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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMI- Date: & Permit Number: A4uno3gonj•}S SCANNED ABY 03NN8 , `)t Luce County Building ermit Application ED FOR APPLhCATIO(L TO BE ACCEPTED 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 r. OCT 1a2016 public work at. Lucie County Y, FL, Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III I PROPOSED IMPROVEMENT LOCATION: III Address: —A'? /U `r .J US x;x;6#&),Pw ? p—Po3r dT L.il P.tz— a `6QS:� Legal Description: pkasl �JY gi 'iweffn Property Tax ID #: 3 91L1V SOL- akr ©y0—/m Lot No Site Plan Name: - Nq A e . I _.e Block No. Project Name: _L /4 /V O,T Pi 6,0 4A Setbacks Front=_W§T[✓G Back: FK/S'rdW& Right j4AAD f 7-0i2iF6E. xrST/,✓e. Left Side: VAC ❑Gas Tank ❑Gas Piping ❑_Shutters 2AW43dew_gDoors VI UUElectric yjrJ Plumbing Sprinklers Generator �.Roof =fir ' Roof pitch Total Sq. Ft of Construction:'`5(7550 S Ft. of First Floor: Cost of Construction: $ 0146 ��(', bep Utilities:liSewer []Septic Building Height: OWNER/LESSE . _ NTRACTO Nam Name: o b_4VI5 Address: 3 J� u5 cJ i l Company: 7/6`14?4 & , 4V1j co,J3T. Cam f City:/�rOQ-T State: G Zip Code: 3 t5_c;?- Fax: Phone No. 7702-- 5 7`' 61-16411 Address: 4 c' 3oX IS& City: FT, 0/5?G5 State: if4 Zip Code: 349 5 tf Fax: 4105 %CoG 5 Phone No. 41&1 `?335 E-Mail: Ur -Ai a C PL+tIGTTG. ee.K Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: d d a.-/ 5 GQ rkc/a ✓i s. Gani State or County License: . C GC o f yoBcF If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name:1,4A16F,+Ar£AJ Y-d11fUL1V4C1 6f Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: -I Not Applicable Name: Address: City: Zip: MORTGAGI COMPANY: .-Not Applicable Name: _ Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit Applicable 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 commencin¢ work or recordine vour Notice of Commencement. Contractor as Agent for Owner STATE OF FLORI?,�1 COUNTY OF JT L(/GIE The for ng instrument was acknowledged before me this day of aQ5 20 /.-by ,pole_ . _ /. _ pAJCS7- (Name of erson acknowledging) (S' a re of N6thry Public- State of Florida ) Y9 Commission No. c1 •%Ijw my cemw low" on Revised 07/15/2014 r 3nnj.ti.o f4zua S Signature of ontractor/License Holder STATE OF FLORIDA COUNTY OF S� u c` The fo ping instruWi t was cknowledged efore me this day of Eby (Name of person ackn ledging ) Known -1 i ANGELA M HUFF `� ; • . Ey ruillic _ State of Florida '' • ComrntsIpq H FF 234730 P� j��' �d�,jr n No. II"t„a. My Com xp res May 27. 2019 Bonded INouch N2nn-1 &I-__. . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE IQ I INITIALS eV I C21HR A RiiQUP. ODHO110 0141Z • :q;dl q Y151CN. 0"010 Q) M "Wasirm.03 1SOS ,C VOK es+pyt, .a/moJ vg 'i ALL APPLICABLE INFO MUST BE COMPLM2RWQE�ULICATION TO BE ACCEPTED // /,, Date: 025� L 7 BY Permit Number: ZW-42 —y�c3 7 St.L Id tv RECEOVE • _ .., Building Per'h'fi�pp il'cation JAN 3 0 2017 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 Address: Legal Description: 1e_A_f Property Tax ID#3yi5 Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Gas Tank UGas Piping LJ Shutters Block No. rX95 Windows/Doors I-1Electric _ Plumbing ❑Sprinklers 1-1 Generator D Roof Total Sq. Ft of Construction: !!Zwo SqI Fit. of First Floor: _ Cost of Construction:$ �/O' ,r DO�yl� Utilities;l� ISewerElSeptic Building Height: Roof pitch CONTRACTOR Name 8RX-'5,i5 Name: ELh1_4P W. %t LW_4EMI Address: 191?1 3;A-�✓ lJfiL Company: h1,05L.15W 9. SOnI %oAl5'iZU&:T1a /NG City: pi, :%`-r, � Ue'Ze_ State:J=L- Address:.(4p/) Sf A4dntf6 II 12oA7i Zip Cod�3 L��e,T-oZ Fax: City: ; fliA27 State:_=__ Phone No. Zip Code: l4- Fax: 772 2S7 7224 Phone No. '772 287 69102 E-Maik-liO �,(���tlrj�G dIa Fill in fee simple Title Holder on next page (if different E-Mail: wio l a o . Go State or County License: 64 G 0,360&7 from the Owner listed above) it vaiue of construction is 52500 or more, a RECORDED Notice of Commencement is required. 01-31-'17 10:12 FROM- Ab/V-v:-/45 772-489-9822 T-237 P0001/0001 F-466 t, t _ ,• DESIGNER/ENGINEER: pry �nNotApplicable MORTGAGE O�yIiANYI _Not Applicable Name E37�fArzs J G YriUL Lt/IGLGbf Name: fE'�s Address:_ Address: U 5 City, State: City: ff xt / Stataft Zip: Phone: T Zip: .PSG hone: Z3� �'�G1ls FEE SIMPLE TITLEHOLDER: ,,,_Not Applicable BONDINGCOMPANY: —NotApplicable Name: Name, Address! Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. wh th is n wnfllmakct elsj po reApreser�atfon ❑tthat Is grantln� a permit will out�orize thedermit holdeLto build the subiect satire structure. Please consult withpyoiu?Home Ownnerrs Associationtlandrreview your deed for any-resttrictlons whicittmayboapply.. tbitsuch 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 9uildfng 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 fin rovements 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 /Yf'71 �/G'�✓1/ Slgnatur of ner/1.•ee Contractor as Agent for Owner STATE OF FLORIDA / COUNTY OF nr The for oing histrum twas acknowledged before me thisKday of�, 204,by Personally Known __�_ OR Produced Identification Type of Identiticatlod Produced ftr Com ilsston No. rro--Hater/ Pub(64dt1°°IPbrld� *Q eb NKLoFFR2aso4 Revised (r(�,vacr^ka�•�r OfIAii9g,A14A-dc.r.i� S signature of Coni ctor License Holder STATE OF FLORIAAan COUNTY OF �(V�ll The forgoing Instrupient was acknowledged before me this 2� (lay of 20 12 by Phili'p W. Morel\ ;3t9—. (Name of person acknowledgindl ��G�Gw-�e� CQ2fm a09-�-' (Signature of Notary Public- State of Florida) Personally Known -_OR Produced Identification Type of Identification Produced Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS