HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
Date: rj1''"7.l1$ BY Permit Number:. )G O`I� O 5 9 q
St. Lucie County
RECEI` 7D APR 2 8 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1575 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical L i 10E Fri L L' .c— II
Address:
Legal Description:
Property Tax #:
Site Plan Name:. �-
Project Name:
Setbacks Front Back:
Right Side: Left Side:
'Lot No.
Block No.
Ott 48 Cosse* 3)4 14p 30A(np
Li Gas Tank
❑Gas
Piping
UShutters
Windows/Doors
UPlumbing
❑Sprinklers
[:] Generator
❑
Roof
Total Sq. Ft of construction:
Cost of Construction: $ _e w s;—.
S . Ft. of First Floor:
Utilities. Sewer Septic,
Name:
Zip Code:C!',�t Fax: City: '-'-
Phone No. " P'.�S Zip Code:
E-Mail: Phone No.�22
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) State or County
If value of construction is $2SUD or more, a RECORDED Notice of Commencement is
Building Height:
Fax:
bl A # ZZL849bZLL! M LZWo1 ;woad: W Z0!9l,-LZ-t0
04-27-16;02:11 ;From:
To:4621578 ;7724618722 # 2/ 14
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: otApplicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: '--I NotApplicame
Name:
Address:
City: State:
Zip; Phone;
COMPANY:
Name: _
Address:
Zip: Phone:
r
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lude Counttyy makes no representation that is granting a permit will authorize the ermit holdel� to build the subject structure
which is in co iNt'with any applicable Home Owners Assoction rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit I do hereby agree that I will, in all respects, perform the work
id accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concu'mency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA•.,��
COUNTY OF �ic-•
The forgoing Instrument was acknowledged before me
this A7 day of f YL 20 Lby
Lmm dvou'6
(Name of person acknowledging)
Known V OR Produced Identification —
Commission N0. @ �......4,, +$ al)N .Mnunn........
--4: * Netary Publla-Slat¢
Revised 07/15/2014
STATE OF FLORIDA��•e
COUNTY OF
The forgoingInstr entwasacknowledgedbeforeme
this.4 dayof 20 &by
Jam &.IVA
(Name of person acknowledging)
1�&d4a q-V-
. ignature of Notary Public -State of Florida)
Personally Known f/ OR Produced Identification
Type of Identification Produced
'r SANORA HOHMAN
Notary Pobllo - State of
CannnlSSlea # FF 071
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
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5
INITIALS