HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Date: SCANNED Permit Number:
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St. Lucie County RECE-rVeD
Building Permit Applicatioll 1 MAR 12 2019
Planning and Development Services
Building and Cade Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lineA&ACi g1455 dl
PROPOSED'IMPROUEMENT•LOCATION.I
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Legal Description: gPQlUte� '5l('&i4Yj
PropertyTaxlDN: H5Da-$63-665R-606-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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91(t55 AW
CONSTRUCTION,INFORMATION
-
_
Additional work to (e no orme under
tis -checkpermit a
apply:
❑HVAC LJ Gas Tank
❑Gas Piping
Shutters
❑Windows/Doors
❑
❑ Electric 0 Plumbing ❑ Sprinklers
Generator
❑Roof
❑ Roof pitch
Total Sq. Ft of Construction:
ost.of Construction: $ 1 a1000
ScI�Ft.� of First Floor: _
Utilities: L,� Sewer ❑ Septic
Building Height:
S:9E-tE.W/ES+
+ nf., rLi-T• s�•'S ?.
�X. .6 u 6 —
Name' aAt. i=�TPlit5
MName:
'Add re s: rl�h—w� QCP6iI1'!t 1 �.# 962 -'•Com
an L A,niRAIJFI.t INC- _
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_
-L' '�°n." r I—
-Cit t,DrA dh .r State; � - .-
Zip Code: rf_.5% Fax:
Pt°ioner o. �� Flsa gift
-
,Addrese__J'391 NEBAKER R
-
_
City: State:_
Zip Code: Fax:_71R,-33q - JQ 78
Phone No. r%U'334- loll
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed .above)
E-Mail• Pi@ nL4Ur#_l-AoL4 ►1e--i
State or County License: 1151 2(0 3
If value of construction is $2500 or more, a RECORDED Notice or Commencement is requneu.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not
Address:
Zip: Phone:
wvvlvcn/ wlv 1 rtHi- 1 UK rtrrluvl I: Application is hereby made to obtain a permit to. do the work and installation as indicated.
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation
which is in conflict with any applicable He
structure. Please consult with your Home
'mit holder to build the subject structure
avenants that may restrict or prohibit such
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 fullconcurrency.reviiew: 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
commencine work or recordine vour Notice of CnmmpnrpmPnr
Sign ure of O erJ Lessee/Contractor as Agent for Owner
Signat a of Co racfo�r/-Lic�en-s'e Holder
STAT LORIDA
COUNTY OUUL
STATE ` ORIDA
COUNTYOF ST• LUGfE
The forgoing Instr ent was acknowledged before me
The for oing instrument was acknowledged before me
thisf, day of lU4X' 20_LJ by
this,f day of f 20� by
Jana MI i i (il
'SM 01 (l �
Name of person making statement
Name of person making statement
Personally Known --)(—OR Produced Identification
Personally Known C OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of of ryrP�tclipc-State of Florida)
I ig nature of NotW Public- State of Florida )
Commission No. I .J D +N(SftA'ry Public State of Flo
Donna Jayne Halt
i m ssion No. 0O�cJ O � �. .ISnOf�ry PubhG Slele of F
i f,My commission GG 2W
85 , Donna Jayne Hall
My COmmiwon GG 20 ;
?`i ; Expires Oaf15/2022
Expnes 0411512022
MANGROVE
REVIEWS
FRONT
ZONING .'
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
COUNTER
REVIEW
REVIEW--
REVIEW
REVIEW
REVIEW
_ REVIEW
DATE
RECEIVED
DATE
COMPLETED,
Rev. 8/2/17