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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j 4 Date:-/�-Q—c20/� SCANNED Permit Number: ice- l(i BY © St. Lucie Countu RECEIVED Building Permit Application Planning and Development Services DEC 0 9 2016 Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line P,RO OSED IMPROVEMENT LOCATION:. Address: Legal Description: - s I •a0S ovl Property Tax ID#: ano V6-11-SO-twll-coo•'/ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I' DETAILED DESCRIPTN QF.WORK IO L 6/7s�»Pr2i� fePl7oYleY-io/l] —Pourer! Lr0l1c'�P�e 3(XbPS� (�$W�it.�e65 �.� v�ronz- of �i/di7r A-(-,- S.BrLir�l CONSTRUCTION'INFORMATION:', -' AaclitionalWorKtoberiertormed under tis permit — checK all appy: 11HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers ❑ Generator 0 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Y� 00 Cost of Construction: $ - 3i, 7Sa . Utilities: Sewer Septic Building Height: OWNER/LESSEE: V' ' Gv✓G{I 'CONTRACTOR'. Name Name: William Carpino Address: /65g9-- 6- 66ipa. %JyL Company: Pav-Co Contracting, Inc. City:,\.QM5,0� 904, State:( Zip Code: Li3s % 7 Fax: Phone No. 77a - 321')- '1 1 D @-z-I Address: 533 SE Central Parkway City: Stuart State: FL Zip Code: 34994 Fax: 772-286-7859 Phone No. 772-286-7385 E-Mail: Svr�sid(���Z Q iJ-e-ilsou+i1 -0-24— Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: pavcocontracting@aol.com State or County License: 27181 n vame or cunscrucrwn is prow or more, a KtcuKDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III Not Name: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: City: Zip: Phone: State: BONDING COMPANY: Name: _Not Applicable Address: City: 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 commencing work or recording vour Notice of Commencement. I Cy /�.�•vrryl �Il11yl�7t-i�-y SldrrSture of Own r/Lessee/Contractor as Agent for Owner STATE OF FLORIDA / _ STATE OF FLORI A COUNTY OF ��, .L1.e r I COUNTY OF Qd hyl The f ping instrumentwas acknowledged before me The f ,�yp�ing ins ument was acknowledged before me this T day of�,l • 20 �by this � "'-day of CCMbCr 20 L by (X i (legion (Name of person acknowle Bing ) (Signature of Notary Public- State of Florida ) / Sign ure of Not—Ub'iic-Stjtte of Florida) Personally Known OR Prod ed Identification ✓ Personally Known X OR Produced Identification. Type of Identification Produced �•iL Type of Identification Produced gg TT OyC R IlANY LYNCH Commission No. No.... @� MISSION#FF201177 KAREN S. NIELSENEXPIRES: Fdmary 26. 2019 Commission # F 115637 e= My Commissi on Expires Revised 07/15/2014 %%%",;; June 12, 2016 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS A 5 J _40 -A DESIGNER/ENGINEER: NotAppficabk! COMPANY: Not'A#Olicable Name:, , Nafne: A-d d re i '.Address:,, City- State: city:� Statd: Zip:_ Phone- Zip; � . p. Phone: FEE SIMPLE TITLE_H61.bEk: N Applicable _Not Applica BONDING COMPANY: Not -Applicable Nam- e':. Name: Address: -Address: City: city.-,, Zip: 10Phone: 1,60rtifyjhatho� "fk orinst6116tion. has commenced prior to the,issuance. of a,permit, % Lucie Coun makes no re"pr e-senlation' that is granting --a permit will authorize theermit holder 1obuilcl-subject the subjestru Which it in cbnlylictwith 'any'apolicabi6-HornL- Owners Association rules, bylaws oe'angcovehants that may restrict or prohil: structure. Please consultwitliyour Home i)Wnert-Association and review..y eqq J A for any restrictions which may apply. Inconsideration of the granting of J d, this requested I I 'L. - ohe(eby'agree',th5t I; will, in all respects, Perform thework, IrVac cordance With the approved plans, the Florida Buildingt6des, and St. Lucie County Amendments:, The following,building permit app licatibris are exempt f . rq undergoing mull c6fidurivficy review: room additions, accessory structures, swimming .poois_fe'nc�w'aiJ(s1signs, screen roqMs:.and.accbssqN,-q I sestp another non-residential, use WARNING TO OWNER: -Your failure xci Retofid a Ncitice,of.Commencement may result in yourpaiing twice f improvements,to your prop". A,Notice of i:dmrhent6meht MUsYU6Jrec6rd6d`a6d'posted ' the-*'6-! r;- ­_ - - - - 1, " .1� . f — . - _,_ gn job; The I 10["go-ing' Instkument was acknowledged before me 1hIs:j2day of_=CMt:)C-_Y` &.&_by STATE OF FLORIDA _COVNTY'OF pLjEyVhYI The forgolhg irist�urh6dt was, acknowledged before me this Aay Ofl�fC�V . 20, JJjJ by (Name of person acknowte grn q _g (Name of person ack Ie c now e0ging) TyOe,of Commission Revised 0711512014 Produced Id-ent Tication ,Commission Idiintificition REVIEWS FRONT ZONING 'SUPERVISOR PLANS, VEGETATION SE TURTLE MANGROVE_ COUNTER REVIEW 'REVIEW REVIEW REVIEW REVIEW REVIEW DATE itbmPLEITE INi_QAtS