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HomeMy WebLinkAboutBuilding Permit Application 05/18/2015 13:39 1 ELITE ELECTRIC INC PAGE 03 -AL1;>APP�:tCABLE INFO'M S. BE COMPLE tED F.tR,APPLi.CA t ioN T©SE4CCEPTED . . _ Date..:�'� . >�.... • . .. . .. Permit Number: `. :: ".�:°. ..4:.: - Building Permit Application Planning ond.DevelapmentServfces Building and Code Regulation Division 2308 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)452-1553 Fax:(772)462-1578 . . COMMerCial Residential PERMIT-APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Tl�� C} ! Legal Description: t4AJ r --5A Od .U C,t d L&r f off. /5 -c?z- D Property Tax lD#: -- Lot No. . :. Site Plan Name: Buck No: � Project Marne: _ .Setbacks Front Back:' Right Side: Left Side: 371 Ironwor o e e arms un er t is permit--c ec a appy:IlGasTank Gas Piping Shutters Windows/Doors 0 Plumbing OSprinklers 0 Generator �Roof Total Sq.Ft of Construction: .R.of First Floor: Cost of Construction:$_ 1,0 .+U' U Utilities Sewer Septic ; B iiiiling;Holght: Name- �k/Jul VJ 5r=j Name: Address: ,q kv-z) -Me_ Company: �t V- le C 'City: -ST L.U Gi E, State: AL Address: C W1 Zip Code: 3 �` Fax: City: RTS L U Ue, State:,�. . Phone No. Zip Code: 3 V 9 W Fax:-7_'7a pyo 3 .a E-Mail: Phone No. '779 -3 (/0 – 1 Fill in fee simpie Title Voider on next page(.if different E-Mail:6&M from the owner listed above) State or County License:, if value of construction is$2500 or more,a RECORDED Notice Commencement is required. WD 05/18/2015 13:39 1 ELITE ELECTRIC INC PAGE 04 11 MIQ1 11,11 0111:1 DESIGNER/ENGINEER., of Applicable MORTGAGE COMPANY: ot.Applicable Name: 7— Name: Address; Address: City: - - State: City: S#ata: Phone: "` Zip: Zip: Phone• FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 'Not Applicable . Name: Name: Address: Address: city: City: Zip: Phone: Zip: Phone: !certify thatzno.work or installation:has cornmehced pribrto 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 ln'contlict'with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Assoclation 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 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. WARNINGTO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for Improvements to your.property.A No ' e-of Commencement must be recorded and posted on theiobsite before the first inspection. If you ' nd to obtain financing,consult with lender or an att0.ore commencin or ecordin our Notice Of Commencement. I L-11 Signature wrier Age / see Signature of ConWa_96rJP&nse Holder STATEOF FLORIDA STATE OF FLORIDA '`�� COUNTY O,F .Gf_� COUNTY OF SS r ( .(�C .C�./ec The forgoing instrument was acknowledged Wpfore me The for oing instrument,was acknowledged:before me tEisay OfN Rt4 20.15,by this day of �.20/ Y_ (Name of person acknowledging) (Name of person acknowledging.) . Itit� (Signature of Niftary Public-State-of Flof ida) (Signature of Notary Public-Stat of-Florida) Persoiielly,Knawn OR Produced identification Personally Known -OR Produced Identification Type of identification Produced Type of identification.Produced Commission No. VASAPNCY LEE LANG ission Nog%7 MY COMMON#EE 30242 ='• •,y� LAN a i October 92. 018 " kly 00MAI11S GFO. {aat)s9e n:saFtnrnJnNW8ry9ervkn.twsn go7j 389.tt}aa I:KFRES octobw.1 X01 Revised 07/15/201.4eaa,m�ysan „ Aft REVIEWS - FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW' REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS