No preview available
HomeMy WebLinkAboutBuilding Permit Application 05/11/2015 15:24 7724662417 SEACOAST SHEET METAL PAGE 01 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5� lad 5 Permit Number: 5 S �,'�,�'i.'•.•,�. _rI�! RECEIVED MAY 12 2055 Building Permit Application Planning and Developmenr Servires Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lineG'G�lp7�r'G�� ..:................. .,,.,..u�. 9999. ,9999. r � � �. 4..y,� Ir.. �.. 6-�T' p�"I,�F;L;'ii7",'•';1;:—>+Y•:II:•";ni'JA'li!,u7 .7... ••k5'�•:y'.fv;�,�'':n�l,i;t•:i.�:;6t' .in'r:'„•ri„L:�::�: IS,ffyy��,,y�,,,,;;,,.,,��,,��y,, ,, „I,I z I,�e� � �� „a-,!I(„S,. ,t.,.(,,.r!„ln�:frr:!ii��l'_Ir.;�; ,;ii:.:,..1��'�<, -1P,•, „al•,�I I:Y•"�Lk.I:JY',:,1 ` ..I,AV!IIl°:' l J .� ,r I ':i:. ,,I�ri ,•�.::;” ,.::'.., ,9999:. ,,,,. ,...:,•r 9999 ,:.',.,• :1,':199.:,', �..:.. : 9999 Address: Legal Description: Property Tax 10#: � $ 1^����1!�`$ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back-, Right Side: 9 9 Left Side: n.:i"•':';I�"•'•.,'•!Y'L•!':7:'r!'ir'.:",:�y.,�.'hl:i r:IN��,. ',..n,..r i .,e ,may,..yup::l•u.-::,.,r...,,.:,,.,r .:;.n_�,.I�..��.,�.�.��...,..,...::;.�,.n.i�r:�:,..::a.:,:�,�,li•ln,. .i�,�:. , ��,;,\::: 'J�II��: ;I.,,, ,� r ,�y .. i i J..,.�...r,••.,�7..............:'..,� ._I.:I•lll:• :WII�:��.I.i;lo;";I'I' 7'r'Ail:l�;li� !::l iiii:ll=� viii°: ,.,.;u�p _41 'fir, h.I..",,...,r.l.,i..;;r:...,�..,...:=r:':'.:'I''!:1;,:.;.•..h,r.;..;� (,.'Ir:t.if ,f,:• :;,`J.t: ul•.; I�V•7��,��7..,�1'�.�`���''CI I C'I4 � 1. .I. ,L.,.,I,I,.,1..,:•r,.,ll.:,:�r•��, ,c ,: ...I.. �1;,.,.14i'•:."`�li�•f::,;.`':,� .;1„ .,,a�.:•Il,.r, ., +I r.- :. r. 1.:,1,..� '1�• �Iv�.,.- .r��. a';•` i,l ,..w... :�ro,.r�� [+i�•': Gibe. Ton 1 q 5--eio tow .5-w'P" 1 ....:. .....:....:.....is..:..i.'•I"'.rlii:..J;ir'.'-+,-';@.J ; ull: 'Illl:i f::r„I•r„ .•., ...n,�•,��•„ ,..a,,,�;;.,:..r;�� '.I�.;��„�::. !"P.N., 71Ir,:;,;•Y..., . ,:9999 r..•r•�..�,ll.r. •� ..-��.��� �n.;t, .,:1,':::�',•, :...7. .•'•a$1.�,:�r���:I. ,,:1„�I l;r•¢ .�a, ;i�:r.��i.,.�.,�,i.,��..::1'. .:: -a ::,9:999. �� r f,. d' :r l! 1 al. ^•M1.�. ::•,', ..•sly ,.?�I,I;:��i•�,p I:I:�q'•:M1. ,il'! 145..�,•�I�'.iil irl'C::�L�e �:�o:; ::��3?!�°- '����jli , �c � �t°• �,9999:,.I,,.,,� t., • I, ,.., ; J �,7 .hJ+:..,My•, r.:1:�,.,1,,.,,I•.:>If� v,•:;v� .,Si,.,.�6;;;., ,�;sr�.,� '�I,.:tll�!,..,k� ".1.; 'l:'.. .. � �:.•:'•...11',:,x,:�.����„r,•r�.,.•<:n.n :n w.,��...,iu.;�,,,� '-4:"::!>..,.a.:.:�:t.rl•:�.,.;.:n,:�..,d,4 ,�Jtn:l::i°���T•°IL '.•I.i.. ......'. .!"�,r;•'4•,•' �:'.. ::,999.9.:�:�I...r:.,::• , 9999;�. ,.:., . �..�.,.. l i war to e e orme under tis permit—check all appy: HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric ❑Plumbing Sprinklers U Generator Ll Roof Total Sq. Ft of Construction: Sq. Ft,of First Floor: Cost of Construction-$ 3 .raO utilities: Sewer a Septic Building Height: 9999. .. ......._.. 9,,999,:.,. �:,,.,:..•. ,.: ��I ..,, ., ,..:I....:,:9999.' ::' �.,.. ., :...,,..•'::r.,: ' .:117�::�:i'..:';::;..:::.i':..I�" .. .I.! t � il, .ns•,..., � �..,.7,:•1�•999:9.. ..�•:i:.:m. i✓'i' %, yl!i d:rl ::8.• �.P',�;,,:,�.�. -a , i I'; I ��.' .•. �le:L.,-' •,.,,,I:<:.�,999: :,,9..•...,-- ;;.;�•. Thr c; .,l'i��t ,' `,; 9999. n......�.,l.,I 9999...f.�.:....:.,. . . ,,,,,,,,,,,,,,t.:.'...,a:�,,,,t,l.,.::.,,,....,•I...,.....:..•..,.. :°;;'_ls� ,.;,. %!ll':':;L;+ ;"�' ;�'.: 9999... i.i ... � : ... v: :� .�ar�nir: ..i.i•1 9999:•,.w I • ...i . ... ... .. Name M c 94 At r) Name: ---- Address: 3G& _ S_ 54ee f Company: livt� cm _ 416 City: F . R ercc -- _ state:F1, Address: ��Q1 iS/tr�{rt rG ,j Zip Code: D161 Fax: City: Ff• P,'eP4 Statq:l=l- PhoneNo. 561- 4660106 Zip Code: 3,K9lfi� Fax: L41— E-Mail: Phone No, 7792 —44-,2 VO Fill in fee simple Title Holder on next page(if different E-Mail: Sc°AA �diP�a�f•���'� from the Owner listed above) State or County License: CA 16 If value of construction is=00 or more,a RELORDED Notice of Commencement is required. 05/11/2015 15:24 7724662417 SEACOAST SHEET METAL PAGE 03 S.I:PP`Mi< 11f 1 TAIL:' t 1? �} f LC I L*A 1l�1(F;bt ilkuib �}i ( � DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY; Not Applicable Name. Name Address: Address: City: State: City: State: Zip:_ Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: i Not Applicable BONDING COMPANY: Not Applicable Name Name: Address: I Address: City: City: Zip: —--Phone: Zip Phone: I certify that no woric 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 pians,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 WARiNiNG TO yinction. :Your failure to Record a Notice of Commencement may result in your paying twice for improvements property.A Notice of Commencement must be rec ded and pos ed on th jobsite before the first If yo inte to obtain financing, consult with nde.roran or y ore Gommencin wec rdi tice of Commencement. I V/w I Signature owner/Agent)l ee Signature ntractor/Ucens older STAT OF-FLORIDA �� STAT F FLORIDA � CO Y OF COU TY OF The forging instrument was acknowledged before me The lrwoing instrument was acknowledged before me ; this lC daV of r 20 by this ((l day o '10+ 2 _jo by %A Y x (Pram o perso ckno edging) (Name of person ach ledging) (Sig ature o St a (Signature of N4 y Publi W o Florida) Personally K o du ficatiorn Personally Known .•�'^"" entification Type n ro u Type of ldentificatio 0 MY�pM MAA;AAtC. L "CHACYKPM '. Com ski ©"f MY COMMISSI©N#FF14 j ' Commission No. ;q 1 t # EXPIRESAu9 18 'moi aetrct�3 Pt r SAul4�t9 �2 ci e.aom R1orI�� d^0 • m Revised 07/15/2014 REVIEWS 11 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS