HomeMy WebLinkAboutBUIDLING PERMIT APPLICATIONr, ,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber:-AO —t�
BY RECEIVED
ST LUCIE COUNTY
Building Permit Application MAR 0 8 2018
Planning and Development Services ST. Lucie County
Permitting Building and Code Regulation Division g
2300 Virginia Avenue, Fort Pierce FL 34982
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROI?fJSED' lIV1RROVEIV_ IENTLOCATION'�,` ; t �'� 7 n "`� +s '- '^'" r I -;_ � �r>k•:
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Address: 3120 %t'.�/{�
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Legal Description: 1 I A�i 1PW MG A CONDO S-e-CnON ZCJ jD jj jGjhp 34
RAI &G 40 [a. -io9La
Property Tax ID #: 142,95 010 0000 0CQ I
Lot No.
Site Plan Name: ?IARA-MU Q .- Block No.
Project,Name: Tlf�iP—A �uj(4 s
Setbacks Front Back: Right Side: Left Side:
DETAILEDkDESGRIPTIONOF
RGGUaPAGL�i lbal 0 SPA'S bN ?RDPe'9,W F02 ?►ARA iO�Jfa2S
LNsiYau. Wl -W MID acVEeS A'S Q612- VCABA
CONS�fRUCTI+ON�INFOfIVlATION00,
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Additional work to -e a urmed under tispermit—Me—a _ a - "�"•_ " `-
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11HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric ElPlumbing Sprinklers Generator ❑ Roof
Roof pitch
Total Sq. Ft of ConstruWon: S Ft. of First Floor:
�Sewer�5eptic
Cost of Construction:$ �ZOO.00 Utilities. Building Height:
=OWNER/LESSEE .a _
.S.?V`.f..Y-H'�z'�s
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CO TRACTOR �' # t 3 a fA
,A6r.At�e.._�:f':aT;'. ,a'd
Name ' : Fi�%J '� p�lSSO
Name T 112 A 'j�uLl�(� Cc�lb
Address: 1!)35 ZOTIrt P1ACff
Company: F."AiL4 i?00IJ-s INC
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City: Veizo / _ _ _ State: Ft _
Address_-$]� SVI/S R ACt 'W
Zip Code:50�'i(1PQ Fax:
City: RE Q I_Llcl . Stater=:%
Phone No. 'IZZ E;&q — 9 9%53 M i K6
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Zip Code: st-f $-251 Fax:_712_ _796• 93Sp
E-Mail:,Phone
No. 7-72 %8- 5Z
Fill in fQe simple Title Holder on next page (if different
E-Mail: NlkNlt�l �Giks IP1CG (AJ j I LL7L•;CtMI
from the Owner listed above)
State or County License: (.�VCi IA609 Zr1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ••
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SUPPL'EMENTQL`CON57RUCTIOIVLIE, LgWINFORMgTIONi €5t
DESIGNER/ENGINEER: Not Applicable
_gApplicable
MORTGAGE COMPANY: Name:
Name:
Address: Address.
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: 1
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation indicated.
as
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 the Florida Building
plans, 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 recording our Notice of Commencement.
-or
" 5A
nriature of Contractor/License Holder "
Signature of Owner/ Lessee/Contractor as Agent for Owner
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STATE OF FLORIDA r� I
COUNTY OF c JT ucic
STATE OF FLORIDA
COUNTY 3T W Cfb
OF
The forgoing instrpen was acknowledge efore me
this! dayof I'
The fo going instru,Qlent was acknowledged before me
.2Q�by
thisdayof iEB .2618 by
��lK {Zusso
FP-A•N��ussD
'+• Name of persorinaking statement
Personally Known .� OR Produced Identification
Name of perso2making statement
Personally Known .•// OR
_
Type of Identification
Produced Identification '
Type of Identification
Produced
N.
Produced
(Signature of Notary Public- tate of Florida)
(Signature of Notary Public- 511: t4 of Florida )
Commission No. (Seal)
j:
Commission No: (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
GETATION
SEA TURTLE
MANGROVE
ii
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE-
RECEIVED
DATE;
COMPLETED /
E APO -Tr
tev. 8/2/17
Florida • g'04.
Stele of
`" •oy��"4�; Commission ae8F05•Da-2010
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