HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED jj 29
Date: 11/6/14
SCANNED Permit Number:1
St. Lu e County
Building Permit Application
Planning and Development services
Building and Code Regulation Division
_..._
#}j�yr•���� ^` �*r� /�y� a4 �Fk p� '*"p��'^'� 5 c
" k-i:�4lYR^lC °�itl'EIYt �r"#Riv4F'11i#`t,-pxr`�
..?r.$°rva:.......L S_^ .4�%hrlsy'r1•y?i'#"$`:4., di:w9 ii.c.m3
p�/� +�*#_'�'fi ;' a$L h "E
.ai�.i-%3• re
+M+s� !E'i#
r7'w�`.�d. .�''i i .,. i. t':r*, a a.. vp..;,,
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Jeffrey L. Crawford B Margot E Sadler
BONDING COMPANY:
Name:
X Not Applicable
Address: 6502 Paso Robles Blvd.
Address:
City: FL Pierce
City:
Zip: 34951-1215 Phone: 772-559-9997
Zip: Phone:
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 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
Lessee
STATE OF FLORIIPA
COUNTY OF chi'- LUUe
The forgoing instrument was acknowledged before me
this � day of WoVeN.ba.r' 20 14 by
New1r, lXttu wLA
(Nam person acknowledging
(Signature of Notary Public- State of Florida )
Signature
STATE OF FLORIDA
COUNTY OF INDiAN RIVER
The forgoing instrument was acknowledged before me
this 6TH day of NOVEMBER 20__JA by
Garen P. Guidroz
Personally Known OR Produced Identification Personally Known
Type of Identification Produced -FL- 'ot- Type of Identificat
Commission No. l(sa3.)
ERIC DAVIS I Commission No.
State of Florida
OR Produced Identification
Publir lfly Florida
)II Hefield
omission EE104878
Revised 07/15/2014 Commit FF108235 II
EVires 3/31/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW,
REVIEW
DATE
COMPLETE
INITIALS