HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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7706313981 RHODES PAGE 03/09
ACCEPTEDALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE
•. i
SCANNED
Building B
Planning and DevelopmentServices St. Lucie Count,,
Building and Code Regulation DiViSion
•I Virginia Avenue, Fort Pierce FL 34982
Commercial•^
PERMITAPrLICATION FOR: Me Chanical
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Address: 1 US Hwy I
Legal Description:
Property `i Ti ` FfsLot No.
Plan Name: Block No.
Project Name: RaceTrac
Back;Site
Setbacks Front_
vii d I�ip
�.��aVfkAC�yu4 1'ts.fr�. q�y�t:h/�•{r(�I I�
iN84 d":.. dY."fl_(%..r-.L p$1 •-�i^:: ...,tlluNiu'Yk .iivlL i.. ! 4 Y7. .y.`.�..1 L.e1tr(u5?!x�' N.:x.1 :VY tl .fT�{l!1 III IZA 4
ltt�d[Q
FF' ,�M , f
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•■HVAC Gas TankE]Gas Piping.Shutters ■
•• Do ors
Electric Plumbing Roof pitch
Total Sq. Fl: of • of ••
Buildingcost of construction: 22,500.00 Litilities"n Sewer OSeptic
MUMMET,r•
Address: • -
1• •
:.
State: NY
Zip Code, 71,116 Fax: 631-85MG62
Phone No!F2-248-4143
if value of cona—metion Is $2500 or mare, a RECORDED Notice of Commencement i'srequirecil
7
02/06/2006 06:48
7706313981
RHODES
PAGE 04/09
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DESIGNER/ENGINEER:
Name:
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't*ti .3a.. i�'f+w xSS M/
• Applicable
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Name:
• Applicable
A••Address:
City:
Zip: — Phone:
state:—
City:
Zip: — Phone:
State:
FEE SIMPLE TITLE ■ ■
Not Applicable
■ r ■MPANY:
Name:
—Not Applicable
Address:Name:
••
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 ronflict with any applicable Home Owners.Association rule:, bylaws er 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.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acrnrdantp with the approved plans, the Florida Building Codes and St. Lucie County Amendmcnts.
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 nhrain financing, consult with lender or an attorney before
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrumenNas acknowledged before me
this — day of S . 20 by
1
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
l
STATE OFFCORTDA G G-s2.G ZA-
000NTY OF C (-1 jO'n
The forgoing instr ent was acknowledged efore me
thi�,day of -Sss� . 20 jA by
'?rvI.I l_ &I'o-b6s
(Name ohpersRn acknowledging) , -
(Signa—of Notary Public. State of Florida13E-!!(jr! 1¢
Personally Known 1 OR Produced Id . tibil �=
Type of Identification Produced •.
SHARON S. SHAVE"
Commissl�l°ry PnbgrEhatham c
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ty
My Commission expires tiec. 5,`2m
Revised 07/15/2014 -`t
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REEVIEEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
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DESIGNER/ENGINEER:. NdtApplidble
,Narne;
Not:AppRcable-
Ajdress*
:Address:
Gilyr State:
Zip; -_Phone-.
City
Zip: Pfidrie
State.,—
'-FEE'SIMPLETITLE.-HOLDER;-----Not--Abblid�bl6�-
NArn-e'-. ' — - Applicable-
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.City:
Mt;
Zip: Phone:
lip:: Phone::
f. certify t,hai:ncvork or In5tallation'
Si at re of 0 ner/LesSee Con;raccor as Agent for Owner
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The A ng"inst�Wmentwas k mle�ed before'rite
fhis` day ". j . nU_ �
use
sTATroFFLIORTIM G&DO-Gi&
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'20 by
(Signatu-reof-Nutary-P
'Ok Vfod6ced ide`nbfiE9ti6n'pe iu6ally YlSown v OR Nuduced ldei?cl
Type of Identification rodL'l'ce"d Type of ldent ficat on Produced
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SHARON S.5HAVER --A
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NOTARYPUBLNCY Y.t
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GEORIG�iA
�,STATE OF t 16 2"9 Expires
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Revised 071, mission ExPlres Aug -August 16,2019 ---------
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N SUPERVISOR
REVIE FRONT, ZONING- SUPERVISOR PLANS. VEGETATION, -StAtUIRTLE MANtRDVE:
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W ff9l REVIEW "REVIEW' REVIEW TUVIEW
lFW COUNTER REVIEW REVIEW I I I
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