HomeMy WebLinkAboutBuilding Permit Application ALLAPPLJCAJBEINFU MUSr BE00M R=FORAPPIJCATON TO BEAOM�TM
Date: 0 Permit Number: )2,rl\
R E C E 1 V7 0 MAY'2 0 2015
Building Permit Application
Planning and Dwelopment SrAces
Widing and(bde Pegulation Division
2300 VirginiiaAvenue,Fort Pierce R-349a2
Phone (772)462-1553 Fac Cn2)462-1578 Commercial Raddential
PE WITAPPWATION FOR To Select from dropbox, click arrow a'the end of line,'
PROS-IM PRDVEM ENT LOCATION:
Address: -77o2 / P eXAo--A
Lagal Description:
Property Tax ID# -0 013 6,0,0 0 Lot No. S-
Ste Ran Name: . Dock No.
Project Name:- �Ouei(e-SWCII
Sbtbacks Front
Back- Rght Sde: Left Scle:
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Adartion alwar l(IODeDerrormed unaertnis permit—cnecKal apply:
--�as Pliping
El HVAC GlEsTank n_shutters Wndows(Doors
DElectric 2Plumbing 0,13prinklers F-1 Generator Fbof
Total aq Ft of Construction: f First Floor:
Cost of Construction-.$ 6-:rO. 6-V Utilitie:n Sco�3wer 1],%ptic Building Height:
OMM11 OONTPACTOR
Name Ndqr,4 ?V Z 6,V
fou ,0 e-S.4 e eZ Name: -0 S ew-0,4
Address 7.2 e WtXA,--,-4
Company, (r�,e-Selx
City: 8 -- -CIL,.9)4 4"e i e- Address /'Ffc-2-
Zp Code: -7 V� ' Fax City: State.
Phone No, 7 702 y6d S9 Zp Code. 3 Y,Cr.2 Fax -T-r �6,fo
E-Mail, Phone No.
Fill in fee si mpieTitl e Holder an next page if different E-Mail: ,Pie-r,'-c
from the Owner listed above) Rate or County License: 3
If value of construction is$2500 or more,a FEMF;DED Notice of Cbmmencernerit Is required.
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JPREMENTALOONSFRUGTION LIEMLAWINFORVIAnO - -
DE SIGNER BNGI NEER _Not Applicable M ORTGAGEOOM PANY: Not Applicable
Name: Name:
Address: Address:
City: gate: City: nate:
Zip: Phone: Zp: Phone:
FEE SIM PLETITLE HOLDER _Not Applicable BONDING OOM PANY Not Applicable
Name., Name:
Address: Address
City: Oty:
Zap: Phone: Zlp: Fhone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Q)untnfl.makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in coict with any applicable Home(JwnersAssopation rules,bylawsor and covenants that may,restrict or prohibit such
structure_PIm consult with your Home Owners�ssociabon and review your deed for any restrictionswhictt may apply.
In consideration of the granting of this requested permit, I do hereby agreet hat 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and a.Lude(bunty Amendments.
The following building permit applications are exempt from undergoing afull concurrency review:room additions
accessory structures,swimming pools,fences,walls,signs;screen roomsand accessory usesto another non-residential use
WARNINGTO OWNER Your failure to Record a Notice of Commencement may result in your paying twicefor
improvementsto your property.A Notice of Commencement must be recorded and posted on the jobslte
before thefirst inspection. If you intend to obtain financing,consult with lender or an attorney before
commencina work or recording our Notice of Commencement.
gnature of Owned Agent/Lessee atureof Gori rador1Lioense Holde
STATEOF FLOM STATE OF FLORIDA
OOUNTY OF A. COUNTY OF S`f "L C--t•a
The forgoing instrum t was admowledgedore me The forgoing instrument was acknowledged before me
this4-?dayof 20?.r by this_adayof Gt .201by
I
( ame of person owl ging) �u +/ (Name of person owledging)
(Sgnature of Notary ,1s (SgnatureofNotaryPublic-State Florida)
S E pliat ION
Personally Known { Aatary��e °� dde Personally Known ✓ OR Pr ,ale ification
j Type of Identification .ommi 7.
i7 Type of dE
lyo�ry public,State of Honda
Cbmmisson No. (Sea() Commi FF�-n'2( )
My comm.expires Apr.27.2b�` '.
Revised 07/15/2014
FS/ISNS FRONT ZONING SJPERASOR PLANS VB3E7A-nC N SFATURTLE MANGROVE
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