HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPL.FTE® FOR APPLICATION TO BE ACCEPTED
Date;�
_7/ 3/2.018 SCANNED -- BY Permit Number;q -6
St. Lucie County RECEIVED
BuildingPermit Appl6CaticiFEB 2 0 2019
Planning and DevelopmentServfceS
Building and Code Regulption Dlvls(gn ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Plerce FL 34982
Phone: (772) 452-1553 Fax: (772)442-1578 Commercial ZC Resldentlal
PERMIT APPLICATION FOR: To Sslect (romdroRbax, opci: arra►v at the end of Iin®
Address: 310 Airman ) u Fort Pierce. FL 34946-9101
Legal Description; 29-34-40
Property Tax ID#: 4429-age-G oc-on+ 1 g O" 1-000r--•000-4 Lot No.
Site Plan Name: Block No. _4
Project Name:
Setbacks Front Back . Right Side: 1e _ Left Side:_
4 Louvers and 1 Roil -UP Door
HVAC
U,GasTank
❑Gas Piping
Shutters
❑Windows/Doors
Electric
q 'Plumbing
Sprinklers
Ganerator
�
Roof
Roof pitch
Total $q. Ft of Construction: SCI, Ft. of First Floor:
Cost of Construction:$ 20,000.00 Utllities:SewerUSaptic Building Height:_,___,
Name
Address:
City: End pierna State:
Zip Code: _U20_9101 Fax;
Phone No. (772) 468-6106
E-Mail; . chambleton@appjetcenter,com
Fill in fee simple Tide Holder on next page (If dlffprent
from the Owner listed above)
EMz
(dame: Cheryl A JaS.gUin
C0MPany: P&rl Cnnstfiirfinn.n the TraaciirP Pn^et I I
gddresg° P O B04 434.;
Clty; Fort Puce State; FL
ZIP Code: 319A Fax: (772) 46a_Q095
Phone No. �(772) 216-8900
E-Mali: pcconstructiontcl@aol.com--�
State or County License: CGC 056649
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otApip
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OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby mada to obtain a permit to do the work and installation as indicated,
I certify that no work or Installation has commenced prior tothe issuance of a permit.
St. Lucie County makes no representation that is granting a aermit will authorize the nermit holderto build the subiect structure
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 Cedes and St. Lucie Col my Amendments,
The following building permit applications are exempt from uri0argging a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARDING 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 Iobsite
before the first inspection. If you intend to obtain financln& consult with lender or an attorney before
cammencing work or recording our Notice of Commencement.
dip
Signature f 0 ner/ Lessee ntractor 8 t f`or Owner
Signature of Contra ense holder
STATE OF RIDA
STATE OF FLORIDA
COUNTY O St Lucie
COUNTV OF St Luce
The foraoing instrument was acknowledged before me
day
The)f aing ins rit s a k owledged before me
this dayofM=, by
this_ of----------- 20_ by
20
Christopher Harnbleton
Cheryl A Jacquin
Name of p $o making statement
Personally Known OR Produced identification
Name of a sor, making statement
I Personally Known OR Produced Identification
Toe of Identificatip
I Type of identification
Produced
Prod c n
(Signeture of Notary Public- State of Florida j >n
(Signature of Note ry -state of FIgrida)
Commission No. rd rypoy
Commission No.,m_ (Seal)
afFl�
Paul E Jacquin
ytp` MY . ammiulon GG 154889
p S Ex iron eL
REVIEWS
FRONT
ZONIN
R
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of Florida