HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Du V Recei t# 7M ('7 Permit #
ww
v �
Planning & Development Services
t uI " Building &Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982 SC,9
(772)462-1553
SPECIALTY PERMIT APPLICATION' �oc,,�y
❑ Electrical ❑ Plumbing ❑ WAC ❑ Fence
❑ Shed 0 Demolition as ❑ Siding
Seepage 2 for instructions and 'ti0 al paperrwork requiredfor specialty perntl is D
1. Location/Site Address: 3 ;1 1 -7 /-1i1L1L /.lit E, / ��l • _13 y? 5
2. "Parcel ID Number:
Township
Range
Map Page
Zoning
Land Use
Initials
Wce Use
Section
Only
3. C
to. �
4. Owners bfprmation IN es S 5.. Contractors Information
Name: '!/r/« A A FL Reg/Cert #: d %�
Address: 1.3 aZ &xe/ s�il.� j� County Cert#: oZ
City: 71 � State: Business Name: -
Zip: 3 " f SY Phone:lA iAA f0 Phone: 17,;-0787100Fax: —7 • 0?87
6. Value. of Construction: $0
owNER,s AFmAvrr: I certify that all of the information contained in this application is correct and that all -work will be done in
co fiance with all applicable laws regal ' g co truction and zo '
U �✓�
PRINT OWNER O CONTRACTOR NAMEi� AT F OWNER OR CTOR
STATE OF FLORIDA, COUNTY OF n L� loan
ACKNOWLEDGED BEFORE ME THISFo S -1-DAY OF 20 � / . BY n S7lY�
WHO IS PERSONALLY KNOWN T 1 OR WHO HAS PRODUCED
A IDE CATION. // C O N N E R
n� ,t,• (tea ,,1 'Y;��,,,, JANES '1 !!eekllFF g57347
SI A OFN NOTARY TYPE OR PRINT NAME OF NOTARY =_ .= CcommissionEx�P'�resi2nsuletb
_* : "Comm
h Western Surety
r 2 ° Bonded Throug
J �-7 .Y/�'�/ P�•� n g0uthe061Team
O SIONNUMBER / 7 / %��g0FN�;%c Com a Y'
..NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER 0soo oo
Revised 04/26/2010
foo
hea r
LOT 35
will'. wilvI CL;
,C.P.= Conc( Pod 6. P.U.D.E. denotes Public Utilities and Drainage
_ Voter Meter Eoseslient.
�= PoWer Pole 7. All Lot dimensions sho*n are per plot unless
= Utility Box other*ise sho*n.
a Lw
60' DRAINAGE R.O.W.
COPY
N 89•I9'07" 120.00'�-
M
a
�
w
d'
D[8tr
0
0
30.71C------
M
PORCH
let
,7 1,
1 STORY CONIC. BLOCK
cov
CD
24.63'
LOT 33
24.1f
a
0
z
U LUCIE CO NTY
E ILDIN�I-VI ON
REVIM
FOR COMPL1 IMC
BY
N 89'19'07" W 1M"l MANs'/ I
MUST BE KEPT ON JOB OR
NO INSPECTION W14L BE MADE
60' R.O.W. — 20' ASPHALT ROAD
ANT PINE DRIVE (Posted)
TOURNAMENT AWNUE (Plot)
3217 BENT PINE DRIVE
scku t "=30 ` Atlantic Land Design
of the Treasure Coast, LB7468
DATE:$/27/13 754 KJenseq Beach 6t,yd. Jensen heath. FL 34—J.
A16ro Mailing Address.
;. Yet°i P.O. ROX 1421 Jensen -Beach, FL 34958
2613.- 6 ALD5543.@gmail.com (772) 3984290
=; DATE: REVISIONS
Cer t if i ed to: Jerry West & Joyce B. Wess
iFreedom Direct Corp., it's Assignees and/or. Warehouse Lenders
Old Republic Notional Title Insurance Co.
Ally Porker Brotyn Title Insurance Agency
I hereby certify that the surrey shoffn hereon is tree end correct
and is based on octuol rneaseurenients token in *the field, This
survey meets the 111inimurn Technical Standards of Chapter 5.1
Fforida o(hinistrative code. pYtFIctTC
Jaynes A.Digitally signed byhaves tiCa4oJr. PSM5543
Dt.a4rmes A.Ces4oJ "da tC
' LnW Der:rm afd.e TC ou,
eioell±ALD5543@ymatl.mm. Fl1S
Cesiro Jr. pate 7013012717A731 0400 p� STATe OF
O
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC p^ cant v�t