HomeMy WebLinkAboutBUILDING PERMIT APPLICATION" l
ALL APPLICABLE INFO MUST BE COP ` 'TED FOR APPLICATION TO BE ACCEPTEL ..
Date: �• I;?- ) SCANNED Permit Number: J to O7, 000a
BY r '
St. Lucie Count, RECEIJED
Building Permit Application JUL � 1 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line CO m , renedl.
Address: oubb Kings tlwy
Legal Description: 24 34 39 N 160 Ft of FOL Dese. prop W 692.25 ft of S 1/2 SW 1/4 of NW 1/4 less
Property Tax ID #: 1324-233-0025-010/8 Lot No.
Site Plan Name: Block No.
Project Name: Blue Collar
Setbacks Front Back: Right Side: Left Side:
HVAC IJGas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,229.00
unaertnis Dermit—
Piping _Shutters Windows/Doors
nklers 0 Generator Roof
S Ft. of First Floor:
Utilities:cnSewerOSeptic Building Height:
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Name armer LLU
Name: eary z5ieve Aaamsir.
Address: UaKlancl FarKv
company: ams Fence
city: Ft. Lauderdale State:
Address:
_
Zip code: 33306 Fax:
City: Vero BeachState:
772-473 �
99-20MT
Phone No.
Zip Code:32962 Fax:
Phone No-�999-=
E-Mail: Step _ yahoo. COM
Fill in fee simple Title Holder on next page (if different
E-Mail: adamS ence ya oo.com
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
rSUPPL�MEN Aj s�,'OIUSTRt1CT
LIEN C/�1lUy1t9FORP0ATI0
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DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any. applicable Home Owners Association rules, bylaws or and 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
in 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 concurrency 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
commencine work or recordine vour Notice of Comi-nLricemprit-
05�—
_ Signature of Owner/ Lessee/Agent
STATE OF FL?
TD' River
COUNTY OF
The foorr�oing instr me t was acknowledged before me
thisl) dayof 0Utf 20(_b by
STATE OF FIL A River
COUNTY OF
The forgoing inst�rprr^oent was acknowledged before me
this(a day of 4`20/�_ by
Steve Adams Steve Adams
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known _
Type of Identification Produced Type of Identification
Commission No.
Revised
h ,ABETB EVANS
Commission N FF 989�
My Comm. Expiras May G
Commission No.
OR Produced Identification
EUZABETM
Commission N Ff IM149
My Comm. Ezpirsi May C Wu
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