HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONARK
ALL AP ABLE INFO BE COMPLETED FOR APPI
ICATION TO BE ACCEPTED
Date:
Permit Number. v11L-11
s..>
RECEIVED
Building Permit
Application APR 3 0 2019
Planning and Development Services
Building and Code Regulation Division
ST. L`UCie County, Permitting
2300 VrginiaAvenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial
Residential
PERMIT APPLICATION FOR: To Select from
dropbox, click arrow atthe end ofline
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Address:
Legal Description: ,GCS
=1'
Property Tax IDtli-3 3:5- 7o1'G' -nr
Lot No.
Site Plan Name:
Block No.
Project Name: -
Setbacks Front Back RightSide:
Left Side:
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v, _rl y w FY a't
n� n�dLof) : 49J fX`
, •r, 2, f,-l'Cn'it ftc- T
Y.
Manorial wor Ie oeI orme un er s perm t
c ec a app .
L,�Gas Tank ❑Gas Pi
ng Shutters
��IHVAC
I (Electric Plumbing ❑Sprinkl
Il��_I ��1jWindows/Doors
rs L�l Generator LJ Roof
Total Sq. Ft of Construction:
Sc . FtFt.I of First Floor:
Useptic Height-.-
Cost of Construction: $ 1�7 �'7.�i
Utilities:L� Sewer Building
h:
QWNE,R�}. :�,s .rr� •.;,�:
Name r 2_:.
Name 17ZJ7c - '0.A'S'rP _..
f �S�- i •-�'� �
t�
f
'Address:�`'f"f? 5 ! r✓C :J c_ i.'E
Companyy—
E/ Address:}„ 14to `7"c?T n-`'t'
City: .� `a-t.r" t.1�f-, C'I''� State,
Few: '.SLI.�d S•4uS
City:State:
Zip Ccde:Jctc.57 Fax:
Phone No. b3-4ar-SS3-?
Zip Code:��tl5.3-
Phone No. 5/ ei �S' 5"5 4 C 5
E-Mall:
Fill in fee simple Trtle.Holder on next page ( If diffe
ant E-Mall:
from the Owner listed above)
Slate or County License: L (`o C �J.�- •2�-
if value at construction is 52sco ar more, a RECORDED I
ic—,imf Commencement Is required.
SCANNED
BY
St. Lucie County
. jarpentry
1&G IncInsption Department 561-333-7704
mDepartment561-855-4052
1402 koyal Palm Beach Blvd
Buildf Ing 700 Suite log
Royal Palm Beach FL, 33411
DearM.aluedCu omer,
We a beginning to sta\ave
rocess for your t
and reejurn originals to thaddress In the
necessllaryto.pulltheperyourhomeoroi
Door Customers:
Please illow 4-6 weeks for your pe
you ma be required to provide prop,
Is unable to be obtained the city may
You ha+ documentation available pli
returne11ti. This will help us expedite th
completed as well. If your municipalip
apply. .
Please sign nd notarize the enclosed form(s)
d self a ressed envelope. These forms are
u are having a NON -IMPACT rated product Installed
'e approved hurricane shutters. If proof of shutters
installation or imp?at rated Product be installed. it;
shutter permit number with the forms being
Carpentry will have all required engineering
al or site specific engineering additional fees may
6.8 weeks for p rmlt process, If you I vein condo or multiplex home we w11I require a
unit floor pla to show the municipal ty the walls_
If you 1' In a Hom Ovmers/Condo Association p
the city. uld y need J&G license and Insuran
1&G'will Irov1 you with your completed permit
for coop tl gwith J&G to schedule all required
to close permit. Should your permit remain o
Property til your permit has been taken care of.
Please II1&G after yourinstall Is complete at 56J
requir 48 hours notice to schedule Inspections an
for a Insoanl.,�
Ise provide an ap oval letter or form to submit to
informationforapp valPleasecontaitthe office.
:he time ofinstallation- Cu mars are responsible
Pectlons. Inspections must be mplete for the City'
n the city Is able to place fines an lens on your
55-11o4 to schedule your inspections. Cfties
equire that someone over 18 years of age bi
DESIGNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_Not Applicable
BONDINGCOMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City.
Zip: Phone:
Zip: Phone:
1-3
I certify that no work or installation has commenced
Issuance of a permit.
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 SL Lucie County Amendments.
The following building permit applications are eeemptfrom ndergoing a full concurency review: room additlons,
accessory structures, swimming pools, fences, walls, signs, si reen rooms and accessory uses to another nor -residential use
WARNING TO OWNER: Your failure to Record a Not ce of Commencement may result in your paying twice for
im rdvements to your -pro y. Notice of Commencement must be recorded and posted on the jobstte
_p__.�_r_�.____�. r „*m.Ar. nhlr, inanclna. consult with lender or an attorney before
j
Thefargoing intro eqt sacknowledge }iefom me
this i(�, day of 20 L2yy
�sti Ae,f UiY1R
Type of Identification Prol
Commisiion R6EN N I
REVIEWS FRONT ZONING
I COUNTER I REVIEW
INITIALS
COUNTY
Thefo�gfingin mentwa�sacknowledged foreme
this �.�t1ay of HO C1J� 20 , 1 by .
Personally Known
Type of Identifica'
Commission No..
PLANS VEGETATION
REVIEW I REVIEW
duced Identification! _
NGr�iYOUNG
F1Y Cd S31ON K FF 9E1069
EXPO Igcc p_i 1v -
Bonded The. Eud9el Ncery Serums
TURTLE I MANGROVE.