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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONeVz " ALL APPLICA I LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit �dmber: NCC)<J BY St. Lucie County RECEIVED Planning and Development Services Building Permit Application APR 042018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 v� ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line `PROOEbtRfN I OCAf OMt4pF� , Address:3GOO 3 Own bc-e (in 6.3 Legal Description: ErhroceCS CAnnr1i mi n-Uno on f 1163 Property Tax ID#:-'5,0a-(Qa0'OORCI GGO'i Lot No. Site Plan Name: Block No. Project Name: CirQfY C_QLiyrlrl Setbacks Front Back: Right Side: Left Side: �� ©IY:7T �L� [C�'Nal� � � s" y^ii'R�,3,�sj.s,c �-'s %s "t�t,kyrd'•m-�5'jyyV_' rwrF:'�Yr"r"'„r� ,2` �s,d.-�.n .x�`: yam � iii i � � FY � Yi'M4 ."' S£ .Yi �• vi �•- 'f` � rK Ll Additional worK to e e ormed un ert is permit- cneCK all apply: 11HVAC Gas Tank ❑Gas Piping _ Shutters Im Windows/Doors Electric Plumbing ❑Sprinklers M Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ l 15,5. � 7 Utilities: Sewer Septic Building Height: ��IV�iI R• � SS ���'�~ r"y °� �-`���'NTR�= 0�2 �",� �..� :�::� .�. � INZ ., , `.4.$c4 n..t-.aa..Y �, •.A a".-�'a�'a��+'.�.:*#v�Sc�?� ➢��,'a>� .m:m�+.�iuY so+. eLaae � . .�i.'�.'�..."�f`.C'. . Name ec6rhC ®u��n Name:';S-ter- Address:q(dpp S 002on e, Uri f 1 �03 Company:`r,1-(n City: lCnSen 16,caa. State: EL Address: 1:':� 4 to 1 `79 Id Oaf A Zip Code: 3 W7 5 i Fax: City: I.O, . kniLl ec-. C State:_E_1- Phone No.Zip Code: 734 I a— Fax: 51-•4 . 5S`S • �f0 S E-Mail: Phone No. 5-Loi SS- 4-10 � Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: L (o l- () a2k_sd 3 L If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: one: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. no ce the permit holder to build the subject structure or and covenants that may restrict or prohibit such 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 k'j-5ignatuer/ Lessee/Agent.' STATE OF FLORIDA COUNTY OF 1, STATE OF FLO IDA COUNTY OF &(M' flL b4" The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me this day of 'T� 20 i2by this L?-, day of AW f 1 1 • 20 (S' by e r�jvvt c %- Q�(t � � (Name of person acknowledging) (Name yf person acknowledging) - _ O l� 'eta* A�cO�MSSI SON© ORS 1 f2, C6 t ignature of Notary Public -State of Florida') Signature otaryblic- State of orida Pam ' s,,, �dr 2029 smr�ry�m Personally Known OR Produced Identificationy Personally Known VV OR Produced Identification Type of Identification Produced t _ DC_ Type of Identification Produced Commission No.. _ - Commission No. (Seal) ••�ati°�s"Y'c' ELISABETH J ALEKS - S ate of Florida ,• : - : •= Commission # FF 207212 Revised 07/1 a•' My Comm. Expires Apr 26.2019 °�� ••• Bonded thrown National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS