HomeMy WebLinkAboutBUILDING PERMIT APPLICATION09/16/2014 .15:29 7729789843 SOUTHERN PLUMBING PAGE 01/02
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ABC-APPUCABLE INFO MUSTBE COMPUTED FOR APPUCATION TO BE ACCEPTED
Date: / " Permit Number: -I l J / —OQ41
Building Permit Application SCANNED
Planning and Development services St. kucB ie Counfy
Building and Codr Regulation Division
2300•Vlr�glr�ia•,Aw nue;,FartPierre-Ft34M C nd.,AOGIr' S�S34,t
Plt2-s3 Fax: (7i2) 462-157e Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
PropertyTax ID#: 33�`%70.~d0y� O -.� Lot No.�
Site Plan Name: Block No.
Project Name:
Setbacks Fronts Bad; Right Side: , Left Side: .'
Q�/,e.� wG+� ��r R< .4Ahr~ aAd Ilea• 1w.�k-pgn
�hiYAC oGasTank
❑Electric ;K'Pllumbilng
Gas Piping Ljshutters
Sprinklers Generator
Windows/Doors
Roof
Total Sq. Ft of Construction: S . Ft. of First Floor.•
Cost of ConstruSeptic Building
ction: S �jOQ .tlG Utilities: Sewer ding Height.
Name IAI 'I Q� .
F'I me: `
Add ress• •t Company:
City: StarState: .L/ Address: 0 ��i
Zip Code: 3,Y6 Fax: City:-VAID state--f:2
Phone Na. 2--fib/^ 7 Zip Code: .3ri Fax: 2 22 414/3
E-mail; Phone No. .7�) 9 0
..
FIR In fiee simple Tide Holder on next page (if dWamnt E-Mail; fir\ b aof co^ -
from the Owner listed above) State or County license: (ZO0100 _
If value Of apnMuCtion Is $25W or more, a RECORDED Notice of CommeRtement Is require&
09/16/2014 15:38 7729789843 SOUTHERN PLUMBING PAGE 01/01
DESIGNER/ENGINEER: ✓ Not Applicable
Nafne:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: _- —
Address:
City: State:
Zip:. Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Count makeego repreSe%ltion that Is granting a permit will aut�orize thadpermit holderto build the subject structure
which is in con ict w any applicable Home Owners Association rules, by aws or an covenants that may restrict or prohibit such
structure. Please consult with your Home owners Association and review your deed f9r eny restrictions which may apply.
In consideration of the granting of this requested permit,. I do hereby agree that l 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 roams and accessory uses to another non-residential use
WARNING TO OWNER: Your failWrae: to Record a Notice of Commencement may malt in your paying twice for
impprovements to your property, A Notice of Commencement mW be recorded and posted on the jobsite
before t�st inspection. if you intend to obtain financing, ilt with lender or an attorney before
Comm ci work ar. recordins your Notice of Commencem ! __ _ _
STATE OF FLI
COUNTY OF';
The Wing lmstngnewas acknowledged before me
this day of 20 14 by
dA. )a
(Name of per owledg g )
6/4ZA 4'
(Sign Lure 6f Notary PubII6 State of Florida)
Personally Known OR Produced identification. _
Type of Identification Produced_
MYCOMMISSiOU EE 151140
V P1RES: December 28, 2015
STATE OF FL
COUNTY OF,
The forgoing instrument was acknowledged before me
this JD_ day of 20—U by
(Name ofpz&n acknowi grog )
( n to of Notary llc- State of Florida)
Personally Known OR Produced Identification
Type of Identification UC60-
JDY
Commission No. Mrs' -TIAM
EXpinEs, Dac:edmr28.2015.
• 9o0ds0 Thnc Notary Pr$6u linderv�
REVIEWS
FRONT "
ZONING
SUPERVISOR
PLANS
'VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW-
REVIEW
'DATE
COMPLETE �..
INITIALS
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