HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLE: . FOR APPLICATION TO BE ACCEPTED
Date: C%\\ m �. �� Permit Number: _ 1ro4� d3
RECEIV_D SEP 19 2916
S(;WNN lJ
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BY
Building Permit Application St. LucleCountt
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 X Resid=_ntial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lineizr,\ z Q-AiW eLi-;i�
I" PROPOSED'IMPROVEMENT LOCATION:_;. ' . f, i i III
Address: I () Cl
Legal Description: OCEAtJ "DUNtS CONDO LOT 2 SEC )2
Property Tax ID #: 4 512. -702 0000 000 9 Lot No.-2-
Site Plan Name: 0CeAr,1 D0 tJ E_S CONS Block No.
Project Name: Ut O i0 [1) W FCs COS{ DO
Setbacks " Front Back: Right Side: Left Side: _
DETAILEUbESCRIPTION OF WORK:; ;<,° ' �" '•' ' (I � "' _ "'
SWIMMIOG TbOL, pR&30VAT1 Q, RGSURFRCb, R6—nLE, 5PRAYD6CK+
P kI tsi Pocx, 3E�RtY1
CONSTRUCTtONuINFORMATION .
I, .
HUUILIUIIOII VVUI IL LU VC
1-1HVAC
CI
IUI II ICU UIIUCI
Gas Tank
LIIIJ
❑Gas
PCI IIII L—U [CUM GII
Piping
aliply.
E]Windows/Doors
_Shutters
01 Electric
Plumbing
Sprinklers1:1
Generator
El
Roof Roof pitch
11
Total Sq. Ft of Construction: 1340
S
Ft
Ft. of First Floor:
Cost of Construction:
$ 23 i 0(04 1 O(-) Utilities:
ElSeptic
Building Height:
OWNER%LESSEE: " �� °''
I .,-IfYI%JT'.
CONTRACTOR . s;�; `,_
' ,
Name •I l= I A IC)
Name: r2A1JK- 'PLUSS(D
Address: 4-5�r-0�0 W I �A ye ui t irnweq �
Company: FA-M il.�( 'Pw s i t x,
City: PT I U l C State:FL
Zip Code: Fax:
Phone No.' 7� 5-1I —��
Address: ��13 SZUS VAG7 13' �
City: ' �nLU0 Sta�t7e:_a
Zip Code: 34PI 33 Fax: Z727 b rjLl
Phone No. IjL Z9 X_ A -
E-Mail: FAM iiL%f Ppot S It,-ceOVTLa_-Ae. Cott'
E-Mail: I
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County Licenser 2
If value of jonstruction is $2500 or more, a RECORDED Notice of Commencement is required.
14
$UP,PLENI4 NTQL GONSTRUCTIO
N LAW INFORMATI'ON;' .
:•,'
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
_
City:
Zip: Phone:
State:
City:
Zip: Phone: _
"State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
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 Count makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association 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
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The followirig 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
commencing wsr-kor recordine vour Notice of Commencement.
as
STATE OF FCORIDA
COUNTY OF ST LUCt V
The forgoing instriZrient was acknowledged before me
this _H� day of 20 14by
Signature of Contractor/License Holder
COUNTY FLORIDASr LUO E
The forgoing instrument ,.was
ar�ckno�wledgedrrbefore me
this �day of JtTIC\II�Jv20 Wby
(Name of person acknowledging) (Name of person acknowledging )
41" aau ZWUL 4"
(Signature of NotaryPublic- State of Florida) (Signature of Notary P blic- State of Florida )
Personally Known OR Produced Idggn_tific tion " Personally Known V_ OR Produced Iden -cation
Type of Identification Produced � Y � Type of Identification Produced- Sf/iii ) IJ
Commission No.FEW0Sc�31
Revised 07/15/2014
NICHOLE
EXPIRES May 04, 2020
No.R--1G: %3
;EXPIRES May 04,2020
14W139l-0'53 nnmua.aeorvlo.a
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