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HomeMy WebLinkAboutBuilding Permit Application Date: Permit Number; O � Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1.553 Fax: (772)462-1.578 Commercial� _ Residential PERMIT APPLICATION FOR. ~' Mechanical •- 22}t JLl1'Pa.R�OG•.PC.O.n•S_E.©,v�t,.f•IV1: ..R• t+!.�c%).�'IU,_IEN / q t t ' `�lW1„,.)�f.'��1�"rRIti'7t7`:Uxy/:,tca+JN^W,:.lh�'.C�1.C�f!I',r0ti4,,,�w=�C,.,rS`rr,�c;"u4f7c,.'4�.•!.'�.(;�,-e3t>7-.�,.Q'Pr'.s,:A,yIM1.,U•),'�Si''[!i.�,^7� Ta06,N , S),4;Z�,�.n.7';;Sr�:.�1,,{,k,,s;1at".,.F,,1'.t,.E'!1�'vr��',•7�,�,•?Lti.t•S<,"b.';:�•E1.�c„i;'h``:tf�4fi,ac;S,-;-;.�ti,.t7t''?s.�t,1c•\M1%NG•a•c,Sr.'.y�pu:$an,�;..�1lr,_.9i`,'••l�,:R�:t,t,i.,t�•.rtirp,.rt,;,ti•S,a�•i(k',l;ra.rd.rr•r.a ^.SW, S Address: Legal Description:AO&J L • CYA L-56 U55 Property Tax ID#:—.1400 - Lot Noll d // 111 Site Pian Name: Black No, Project Name: Setbacks Front Back: Right Side: Left Side: u�.tt.,,au,yti,2•e„ .,bi!'•)„vAi.',pC'•"ttti6aro:J"f]n,Mye—.i�rp,;,,,SCc�gi;`urn,�Yi:�.,jDo,XP'uS,ri�`,:i`;,�,t•:�...,,J,t. +�r.'2.. 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C..Q:NS7, UGTEON�IEVFO.E7IVIATI ,N.,,rr.(,,> >� 1.���ya ,,.,•, ��. �• ,. _ ,�,,2, /� ��,, , ,.t. ��}.�,.,_�.:,/,. ^,r;.�'�. �r. �-t�...,h 1'...:1.._,.�.-�..!'t�4...1•-...,�,_ ..h._r.rn•,.I,-�.•a..,-t,.F:..k,\,.. U•.Z�'.,C4�r.�yF�:11:.�4•�f:,h:il�,}lfafi;�.2�w°-,r.,,,�.,'-�3-41r>,c?,:4�,�'%r,'.A....,.a.t�ah��):'c�,�,5,.5).r..,',r S...t,_,�L.:r.(r':Gt."r,�m��f 4,.:Sn4.�tF��-,J•.� ACIditional work o pe performed un` ort is perm —C e all appy: 9HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: Sci, Ft.of First Floor: Cost of Construction: Utilities: Sewer OSeptic Building Height: a YCd-1'y\Iv:1•.7,Y:�r)�:,:,'), / ,�CS,Z IA^v ..l',. _1 9Iv. �, _. ..,.n� n •:q�i.:� k L t �M^'•�S<, 1"'',t .)a P l(,, y.. ,�,+ ,:r..•-;;z"�,er. 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P )-l: 's�.. :�:\.n_�x:)�W`'"`}��t4'.�� ,ir•":,�Ji:.���:.kn�ii`-sy+'r4iL';?'i c:<Q=t;,J,ttY pWN`�E�/;LESSEE.,�.�,, `,CO.NTR`AGTOR.: ,.,:,),:, �� �,• J� s.,,a' .c.. _e t,,,..a "l�tr,n`,�:i'RS�•„a ..r.,,..,:�tlrvti•,1�,alt nYii�^1•gk<<4).`�.�'L+/S,._,1` s�;4tbldn.�,'o.�:?��,., .d.,-� r ,.c_ �..1 V,^,z„t�-_`3�,�1„ -:t- _;::rel\,,,a,7S:54.tr,.,-F.C•Yytr'1.t; ;,',fl`.r'�,,nl5;�z�it,G(�`, :h2�6 - N d Ad&Liis5:t ,VZJ Ir r ,:, ., City / State: tf'e$ :, �, .• ' Lo L (�”„ fir W. ,..'t ,., "— .,.�.. a, Zip Codei",�' _ ' a,r�,,,,,�,,. _........ . `'f � `tar..” �.,,. ' .,�•• 1;� State: �i PhoneFa Z p Code: .T Fax: 411P� r0 �. E-Mail:.__. ._ y Phone No. 4LA /{ Fill in fee simple Title Holder on next page{if different E-Mail: J from the owner listed above) State or County Licen • If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. P � 9 /� # ZZLE9tZLL f 8L9 6Nt:01 :WOJ�f ti0:Z0:9�-9 L-LO M2511111110 DESIGN ER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name., 4_1 Name. Address: Address: City: State: City: State, Zip., Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER., Not Applicable BONDING COMPANY: of Applicable Name: ame: Address: Address: City: city: Zip: Phone: zip: Phone: I 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 theermit 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 plans,the Florida Building Codes and St.Lucia-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 lender or an attorney before commencing work or recording your Notice of Commencement. �-.&'gnature_of Owner/Lessee/Agent Sig Lure of Contractor/License Holder STATE OF FLORIQAj STATE OF FLORIDA� COUNTY OF COUNTY OF The forgoing instru ant was acknowledged before me The for inst rurpent was acknowledged before me thisday lyk ILI 20 L-5-by this,p_day of J-Uetd- 204,4L by 6aiwes ...........4........ (Name#person acknowledging) (Name of person acknowledging) jr (Signa re re of Notary Public-State of Florida) (�S�Itdre of Notary Public-State'of'FlPrldo 6 PerL1___" Personally Known OR Produced Identification Personally Known L-'OR Produced Identification Type of Identification Produced,___................. Type of identification Produced Commission No, mmission No. HOHMANN AN (SeER�NDRA M014MANN 'A Notary Public-State Of HOW Stale of Fludda Expires Mar 14.2018 My Comm,EX M y Comm.Expires Mar 14.20' Commission FF 071660 NdWd W Assn Revised 07/15/2014 01 0 gonacd Wao Nationai"Atm.. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 9 /T # :WOJ�! tO:TO-'91-96-LO