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HomeMy WebLinkAboutBuilding Permit Application 1 • 1 1 • 1 �� 1 1 1 1 ALL APPLICABLE • MUST BE COMPLETED •• APPLICATION • BE ACCEPTED Date: * a. Buildingrn)it Number: 00 Permit Application Planning r • DevelopMent Services Suilding •and Code Regulation Division //Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commbrcial Residential • • • • IN • • • •••• • • • f,;; .'r;-.�, _ ti%.�-•�-y ._«,•=e-:.-r.-�^. �"` �.✓c:�c?L��. t s`e ,L,;S:;-?f.: �-i"��^� ..'7"'^.' �.r�l'��= -•� c.. .r ewe., �'.�,�tn- u>n-xrvi�•'�i 'fie n``�3' T••'''',rra.Y�o-i3�'�.c:-�'�.�' •wT••S,r�...j�,�a.1.�r •w'4'ta'`-a';��ItS'Tr� Address: , �Dt .ilk Property • ' 5,30 r '♦ 00 LotNo. Site •lan Name: Block No. Project Name: Setbacks • • Side: ,(, .C- � V� 'y' .�Y4�����x.'r r"l.T,s.� .1 h..'�' -1�FLi��^ S^'�"e. Kh�,i�•�R'� ���~jyJc r.^ ry"�' cam''• anv�I`�{r J `,a,��`t''�'o y`,'� -`::t .�i, ?,..2:.�',�,�'�-.a.� -�'""",�.da�_==MyN'-.`�'��,-'".� ���'`'p'r��� ���yx`-'„�'-'.�'' �-' �i �gg q �' �{� 1 ?���.� r�9 � <'^�.�'k rm"� f#e<'1� �K`t't.���--�;�r,�'��kz,:`Z`�t i .+.5, "'a•�.r a a^'-f`�"2'€"e3 Cx,-n atY l.0 '�. r rZ�"l x•31 t.�r � ..�• 4•••c....�'�!��=r �s �--,r' Y' +� �1`.nu..,� [y �!�, �- 'k -�' k�-z.,,... �_.,.�..�avA� �:;moi.....�sn_ -a"vYf:"^• :=��' �. �vc._...r _'.s`r_.-fe-_ ,�✓ mss. �. e� sf "y.;s{ .� Z'' �"��.��-.�:+.. ti'�r�;�. �'`•�• t Lf fix-'-N s'.,.� �'Tt.ss i�.-x t ;_'--•."'xF�a-` '�'> i .erw^::. i�t` y �'sa. I .'1 •-�-�- s � w� -+s�Si Rs y +.7,S'a ,� aa.r•..x`� �-c"'��,.,r7i-+�.'e.� a ���:� -2.r,;� .z;-iw T�1`1.. i��..�t� 3 u�x�-•a..:�' n..�-fix �,a �t�.���sem.=,�.aF� •f-� ���_:::u='��_._�L t::-*- ••• • • . • 1 l • • • • • .•• ■ Generator Roof Cost Total• • • r Utilities. ■Sewer[—]Septic • _ �,d:Y/'�::1 Y'.r:;.,•�-^.,r�M1.; ?^...-x`G� -L.���w" �T°'.-`S' s JPf r �e''f- c' ��, t..t.rfirli=,r`s t,< .�.:s.,.rs's .zw"'ay �SYc t©_ lam`° _�3-. 5 wJ'H9 -rte^- fa-%-•s-s..as •�..�rx +e42_ SL�V��JJ �j)� ycj } �S�Flrt s £ xz =fJTT e/ WWI MWITS'. if value of • $2500 or more, • • of C' mmencement is required. 06/30/2015 16:50 FAX IM 002/003 DESIGNER/ENGINEER: Not Applicable 'MORTGAGE COMPANY: _Not Applicable Name: Name: Address: 'Address- City: State: 'City: Stave: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: —Not Applicable 'BONDING COMPANY: Not Applicable Name: ,Name: Address: Pddress: City: :City: Zip: Phone: Zip: Phone: 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 permit holder to build the subject structure which is in conflict with any applicable Home Owners Association ryle's;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 herebjr agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes a�d 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 paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lend or an attorney before commen.eing work or recording our Notice of Commencement. ,, , 1.7 Slgiiature of Owner/Agent/Lessee Si ture of Contractor/License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instr4!p_�nt was acknowlerlFPri hefore me The forgoing instrument was acknowledged before me this 22 day ofa?0J S-by -this .... day of a0/J-6y (Name of person acknowledging) (Name of person acknowledging) (Sign u of Notary Pu tate lorida) (Signatu Not2�4�PiOfZELQAYA— Type d) Personally Known Persohafly Known �of Identificatio P.e,liiu., d Type of Identification Produced`_ pj f°. MY COM fON#FF165172 EXPIRES_ ber 1,2018 Commission No. `,N . .J Commission No. eai XPIRE October 1,2018 :.!„s3 Florltla otary ervice.com - 4 7 396.0153 r1orldallotaryService.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS