HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLI INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber: K_d_000_?re9
On- BY f
St. Lucie County
...... . ...... ..
Building Permit Application
Plernning and Development Services -
BuBding and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR' To Select from dropbox, click arrow at the end of line I
Address:
Legal Description:
Property Tax ID #. (4 3 2A0 c5:3 Lot No.
Site Plan Name: Block No -
Project Name:
Setbacks Front Back:
if Ac- I- i tC, 16> 9- /:,1 lc�Q-
Right Side:
Left Side:
'Ili 13 :nEElz.
16X_W
7aiworKt0benerrormea
HVAC
E3GasTank
unciertrns permyt-ClieCK all
FIGas Piping
apply:
Shutters
F]Windows/Doors
Electric El Plumbing
[]Sprinklers
Generator
0
Roof
Total Sq. Ft of Construction:
Cost of ConStrUaion: s 381,0 i5!
S Ft of First Floor:
1] — —
Utilities. Sewer 171 Septic
Name_,;S(�I�>l r-_ K R, Q lb a-r R
Address: J(3Lk 0 ELe_
City: ' '?I r�_, 0- C_e� State: _.j�_
Zip Code- -SU 0l',A lo Fax.
Phone No. -t-Z1- --qfzKw
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Name. ALmeiM
;L"
Company: (4-1,-AA, 16,
Address: IS?f M,11KEY4A CIRCA -
City: &Y- <,t- 4UC-1'r, — State__Z!��
Zip Code: 3 Fax: /.90
Phone No.-7,'77Z- nJS___ 06/
E-Mail: IS1 9 Co..,,
State or County License: CA co 5 9 6 6,:)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
8�L-J SOOO/3000d tL3-i
Ti �� P_ (4
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NGI
Name:
Address:
City:
Zip: —
Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address.
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: state:
Zip: Phone:
BONDING COMPANY: NotApplicable
Name:
Address -
City:
Zip. Phone:
I certify that no work or'instal I ation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no repres-entation 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 2ccordance with.the approved plans, the Florida Building itodes 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 acce-5sory uses to another non-residenfial use
WARNING TO OWNER: Your failure to Record a NotiCe of Commencement may result in your payinf; twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsitie
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
�'�bf Uwner/ Agent/ Lessee
STATE OF FLORIDA
COUNTYOF S -r
The forgoing instrument was acknowledged b
.efore me
this T_dayof:ZAAajp. f
Ey 20 L_ by
Contractor/Uicense Holder
STATE OF FLORIDA
COUNTY OF 6-r Loci c-
The forgoing instrument was acknowledged before me
this T- day of - ZI-A &jv t4f�4 � 20__Sby
�Z,\. A A Z�_f C Lrn q
116,
(Name of person acknowledging) (Name of person acknowledging)
' 2nIA&M, 3'0ML (L"L
(Sign@-ture of Notary Public -State of Florida) (Signature of Notary Public- State of Florida
Personally Known Produced Identification Personally Known OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No- SAURfM)WALSH Commission No.
I ijJL,;J1 COMMISSION #FFMIJIS
Revised 07
SA"" WALSH
MY COMMISSION #FF091ila
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INMALS
6tL-J 6000/8000d tLZ-1 -wodi C�:SL 9LI-90-Lo
01-05-'15 18:29 FROM-
T-277 P0001/0001 F-746
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, Permit Number;
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginid Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: To Seiect from dropbox, click arrow at the end of line I
Address: 17-051 69%16 0 FZkVff
Legal Description:
P roperty Tax I ID ;LkO <5,0 0 00-0 - 9 Lot No. —
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
J� if Ac-
L_ i & e— 1;, t Ic 0—
N
jz�� - C--.v 1. 6 X, " %J -7-enl w t:_�
13
SHIE12-
Iditi al work to bfelertormea
W-119P
YHVA GasTank
unciertnispermiT—cneCl(aii
[]Gas Piping
apply:
Shutters
Windows/Doors
Electric
Plumbing
[]Sprinklers
0 Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction:$
Name SAblu: KP'P_ u --s-T-A
Address: k(3" IJ r-- � t E_ A po'lt
City: T�bx �� ?X C- P-ce- State:
zip Code: '5Ll'R'1A 16 — Fax:
PhoneNo. 47,139
E-mail-
S Ft of First Floor:
Utilities,-'n Sewer 0
Septic
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Name: ZD� 6,C ALI*el
Company:6og,u hi;L 7EC-NIU61-011H.5 -
Address: 157f Arl-EIKEY-6- clizelz
City: �Vc_I'C' State_-_e�
Zip Code. 3 10767.;- — Fax: 77.)L _&U- / le);;t
PhoneNo.'117?_ 5to4a
E-Mail: (?Leui J571.9 Aal-.
State or County License., C�qco 15
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.