HomeMy WebLinkAboutapplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEI
Date: 11-o`6 —i 4 Permit
Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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PROP05Ep-IMPROVEIVIENT.LOCATION =,
Address: 3f
Legal Description:
Property Tax ID --nom—ow— L Lot No.
Site Plan Name: Block No.
Project Name: Col QA,I OZ Gdul
Setbacks Front Back: Right Side: Left Side:
9
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DETAILED DESCRIPTION'OF.WORK ;
F i:.t •f
CONSTRUCTIQN INFORIVIQTIONs
AdditionalworKto6e erformed under tispermit—check a apply: t
�OjjHVAC Gas Tank ❑Gas Piping _Shutters I ❑Windows/Doors
I�IElectric Plumbing Sprinklers �Generatot ❑_Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor: I
❑ I ).
Cost of Construction: $ �/aY9r' Utilities: Sewer _Septic Building Height:
OWNER/.LESSEE.. ",. a . CONTRACTOR,.::
Name �ohv kCvle �lz_72' Ltd.\ Name: V i'o ra.i�
Address: 'Z 00 geU A TZcrfx CST Company: 1--7Lokr
City: %4CLY.1_ 'Fo CeSF 4 State: Addressi:- 1011 bU<
Zip Code: Fax: City: _i�LLS�1ti 1
Phone No. qam' � —5 Zip Code: 31/5155- —
E-Mail: �hlba4(��'•rVrxri.(cm Phone No. 77�_
Fill in fee simple Title Holder on next page ( if different E-Mail: 5er'V;C•e1a.
i
from the Owner listed above) ' State or County Lilco
if value of construction is $2500 or more, a RECORDED Notice of Commencement is re qu
State: -EL—
DESIGNER/ENGINEER. otApplicable _
Name: MORTGAGE COMPANY: Not Applicable
Address: Name: I'
Address: I I
City: State: City: I I State:
ZIP: Phone: Zip: I Phone: I
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: i _Not Applicable
Name: Name:
Address: Address: )
City:
City: I
ZIP-. Phone: Zip: I Phone: I
I �
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 lermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anglcovenants 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, lin 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 r sult iri your paying twice for
improvemeZorkkspor
tour property. A Notice of Commencement must be rec ed andJposted on the jobsite
before the fection. If you intend to obtain financing, consult wit ender or an attorney before
commencin repo Ong your Notice of Commpnrpmpnt I /J I
STATE OF FLORIDA STATE OF FLORI®A
COUNTY OF N! Q Yjy n COUNTY OF M�A!ulti 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thist ,day of Z.XJ mh. 2pLr{by this $;�dayof ,Ud/ehnL20by
&*+ fro mb 1/I Y1 Ii�,� r�lI
(Name of person acknowledging) (Name of person acknowledging) )
State of Florida
of Nota"ry Public -State
Personally Known_OR Produced Identification I Personally Known
Type of Identification Produced Type of Identificai
Commission No.
Revised 07/15/2014
(SeONNA L. FRANCO Commission
COMMslon # GG 323779
ap"ra &,d;MN0UrY8Mkes
Florida )
Identification
(NN�L. FRANCO
R Commisslon#GG32877;.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I