HomeMy WebLinkAboutBuilding Permit Application 1. / •. • f.
r r.. t r i 6.. •r.
• ''
+.. �.wiY' ♦�+� .♦iy a+n:. .-wr--+..A-.-wr .ja ems.'.e,..a1�MS-si-.. "4•V I.+
I Legal Description:
V1,6Property 1
p • .
BlockSite Plan Name:
•
Project
Satbacks Front Back. Side:Right LeftSide:
�•• a •^' r ►- pe ~sem sunder� permit - s•.
•s lei '
—Mechanical Gas Tank Gas Piping Shutters
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost ofConstruction-, SepticBuilding Height:
--.� I3
����
2t
. .:. x it1't' +«�d`J"�a1� ... °4�rr•^ _....• - '`a"", �'S�+."*.. .+`_ "' ^'...- t'OWN
w�,
If value of construction ls3SWor more,a RECORDED Notice of Commencement is required.
•
IN
ESIGN Not Applicable MQRTGAGE COMPANY: _ Not Applicable
ame: Name:
Address: Address:
Ci State: City: State-
Zip* Phone: Zip. Phone:
FEE SIMPLIE TITLE HOLDER: �Not Applicable BONDING COMPANY; Not iVot Applicable
game% Dame:
Address. Address:
City: City: Phone:
Zip: Phone: Zip:
OWNER/CONTRACTOR AFFIDVITa Application is hereby made to obtain a penult to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit•
St.Lucie Countiy�makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in confllct with any applicable dome Owners Association rules,bylaws or andcovenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your Beed for any restrictions which may apply.
in consideration of the granting of this requested permit, i do hereby agree that I will,in all respedts,perform the worn
in accordance with the approved plans,the Florida Bulidipg 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 result in your guying Twice for
improvements to your property.A Notice of Commencement bust be recorded and posted on the jobsite
before the`First inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
30
Signature of Owner/Agent/lessee Signature of Contractor/License Holder
STATE Of-FLORIDA�c STATE OF FLORIDA
COUNTY OF i?-r L..o C I-e- COUNTY OFA5-r LL'C t e
y was acknowledged before me The forgoing instru ent was acknowledged before me
ff The
forgoing inoftrurnent �2t9 by 'this .day of20„ 'by
__Pur
(blame of person acknowledging) (Name of person acknowledging)
,r \
(Signature of Notary Public-Ste of Florida) (Signature of Notary Public-State of ride)
Personally Known OR Produced Identification Personally Known OR Produced Identification
`type of Identification Produced ,%Xy pm, rumarnm Amat Type of Identification Produced
MYCORlbI1SSlOtI f EE
Commission No_ �rl ° al) EXPII;FS:Apri14,2017 Garnrnissian No. Gyp tP, 9d * P dyg�{m0201.1
ii=W Faas+�gott 7 4� 9dEXP(RES:ApfOra lift
$,2Q1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
CRATE
RECEIVED
DATE
COMPLErEb
-Rev.