HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date /� Permit Number: l J � - 6 3 J5
00D Permit
ems. BY f�
St. LUCie Crntntl, 'z 0
Building Permit Application MAY 16 2017
Planning and Development Services
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 Commercialy/ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: �'X )L }—F M J ULX) V V LAAW UN I- t -r 4--'C Lte I T l _ J
Legal Description: GLS N
St L
Property Tax ID #: .0 3 1-(. ' !�,eG — 0 l7 — (� Lot No.
Site Plan Name: e k s i sii eJ r dock No.
Project Name: I;) rO aO 5 ea m0c, I K I r, Is W for
Setbacks Front ack: # d Ri i e: Left Side:10,
13Gti/r>� �ailboss IiosK ircicto(vtq
as Oesi9 ned J
a t( a
muuiuuuel Wu,rt to uc enuuneu unue1 u1u pennn—Cnecn an apply:
VAC Gas Tank ]Gas Piping Shutters Windows/Door
Electric Plumbing sprinklers Generator Roof L'N I Roof pitch
Total Sq. Ft of Construction:? 8DD/i 5 . Ft. of First Floor � y
Cost of Construction: $ l e! _ Utilities: e _ eptic Building Height:
`OVVhiER/LESSEE
'�
' COhItRACT+OR
Name
12
C' .J:
Name: tli)uk L-A\J I U t 0,
Addre s: 1Lk3 O 0 l�Y >, 1�1
E
Company: (' l�S� GYN1 ��PS
City:rzk(ya_Jb
Zip Code: 3cP 01 Fax;3Z(
Phone No: 3ZI - - Z
State: LL
2
Address: 90C) Ykn\ALL S-�_
City:tO(-t-�Pye_rce_
Zip Code: 2 Fax:
Phone No. Zg�-2
State: FL_
E-Mail: < dry Or n)_D
Frill In fee sim6le Title Holder on nke :t
from the Owner listed above)
page (if different
E-Mail: ELA OLit O(• eo
State or County License: >Z 3 8
9 3
it value or construction is 3Z50a or more, a RECORDED Notice of Commencement is required.
Name: AA; kA h!n l
City:
Zip:.
FEE SIMPLE TITLE HOLDER: ,1Z Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY' Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
BONDING COMPANY: -_X-NotApplicable
Name:
Address:
City:
Tip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
whLucie
ch Is Inoconflicmt makes no
any applicable lHome Owners Associatlonl rwill
esauthorize
bylaws or and covenants that buildthe
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 1 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 concurrenry 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 yox property. A Notice of Commencement must be recorded and posted on the jobsite
before the firstdt
�you intend to obtain financing, consult with lender or an attorney before
rnmmonrina nrL ,.. ,It..,.
STATE OF FLORID
COUNTYOFIov;.4�
The forgoing Instrument ,w�as} acknowledged before me
this _LI day of 11�—= 20 'Llby
(Name of person acknowledging )
(Signature of Nota Publi - State of Florida )
Personally Known 11-� OR Produced Identification
Type of Identification Produced
Commission No. f— () (Seal)
Revised 07/
STATE OF FLOR -
COUNTY OF t-i d e
The forgoing instrument was acknowledged before me
this I ( day of 20 E by
I
w>,C`Ln VC'���
(Name of person acknowl Bing) Q
(Signature of Notary Publi o Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
WENDYGEIGER
Ecml^i Thra
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
?j1�
8
INITIALS