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HomeMy WebLinkAboutBuilding Permit Application Jul 14 2015 89:44:24 Via Fax —> Vonage Page 002 Of 004 �I.LAPPLICABLE INFO MUST BE COMPLETED FOR APRT:ICATIOi�:OSE.-ACCEP $�:: ,::::;:: ' ....; :•::..:.,. :: '.`' Date RECEIVSD.JUL 14.2015' : l� P Application 'Planning and,Development S&ruifts Building and Code Regulation Rivisio"' " 2300 Virginia Avenue,Fort Pierce FL 34982 . Rhone:(722)462-1553 Fax: (772)462-15-18... C6CY h1L-rCW Reside'n ial PERMIT APPLICATION FOR: To Select from dropbox,-irlick nn`t0vu'at the end o1 line � � Address: r,• f e F e Co.� :...... Legal Description. � � - Y7. Pr(a ert Tax I� Lot No, A .•, - Site flan Name: Block No. Project Name.:. Setbacks Fra3'tt _.. ..._ ..... Back.__..___.. Right 5irie:_ Left Side:.__ I Mid C....'E k°'`h. � c,.4'�+" �..w"E '1,.'•`'.'Vt�. "-t ��t..»'' ' �,;,:,M,; '4,f,t..+t..._ �, .�,..'R_.,3�:;+•.��C"" .. : .. ... Ad itior a vrc�r a e arms un r . is sermi a ec .a atop Y: . �ell l-lv Gas Tank. 35 Piping S11Ut. r5.: � inf�OLVSf IOt?!S. r Electric -Pfu�v�l�%egg'' Sprinklers G6neratorRodd Total Sq. Ft of Construction: S .ft.of First floor: Cost of Construction:-5 •oa �. utilities:EJ Sewer Septic'. "B'iailc9in�"Height: }VGii{G.•.•'. '.F .bw+ �v.`'r'-.'.m,W't'� .. •dW IrS+>,i•r' } "^r ` 'R••.,fl' yyp (. , "` a-� Yf�° f.1P'h 41 `"'s`Ir � f r w./ A'dc4r' ssr �T WJE a ,. p. ?�'` :' : state: V.Code.,. ' `� Fax: �.,,... tri jr't, �' . '.. ; '-_..-. State: + . P. �_ _ � _ ... _ Ll ki, t Fax Fill In fee sirrpple Ti4le Holder an next gage(if different E-mail: .. k° Lgy _ from the Owner listed above) State oi'Ctfanty License: 'r � { to fi tralue of Gonstraaction is$ 50Q or more,a RECOBE7Ee3 Noticeof Commencement is required. Jul 14 2015 09:45:22 Via Fax -> Vanage Page 003 Of 004 PVIES"IGNER/El? CaII EI~Rz Not Applicable MORTGA5E COMPANY- _ cit Applicable Names � ,., ., Name- Address Addr ess; :.. . City:—.. _w 'State: City: :•.state, Zip- Phone, Zip Phone:.__ FEE SIMPLE TITLEHOLDER. Applicable BONDING COMPANY: o�A;pplicable Name: _ ._� Naim: Address: Address: City: _ ... City._,,._ Zip:..._. Phone i T Zip- Phone: ' certlifythat.na+avork or insta#littrCm has commlenc6d pr',pr C[i the'i�'suantesf. p rinit;;;:'.: :•:: :' ;. St.Lucie Count�yy makes no representation that is granting a permit will authar`ize th'e►i.�:rra�ie.Fio(C4��,to Build the'sub}ectstructure which is in conftict with any applicable dome Owners Association rules,bylaws or:arrd•coveriants that may restrict or prohibit such structure.Please consult with your home Owners Association and review.your.'deed,for any..restricoons which may apply. In con5ideration of the granting of this requested permit,t do hereby agree that E Will,iii alt r spec:t%perform-the work in accordance with the approved playas,the Florida Building Codes and St.Lucie County Amendments, The following building permit applications aYt exempt from undorgding.a full conc6rrelcy'.re1ffew.,r6orn add#tions,' accessory structures swimming pools,fences,walls,signs,screen rooms and accessory uses to another nonresidential 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 an the tobsite••- before the fir:,�t inspection, If you intend to obtain financing consult with#ender,or an attorney before commencing work or recordingoy syr notice of Commencement.. ,,... s' ure Vowne±rf Lessee/Agent Holder STAT*OF FLORID STATE OF-FL AIDA• � ti COUNTYOF COUNTY Qf :i C � 6. .,.,.,.«•W.,�' —�_ 5.�m......,�.�.� : •. •' .,ThefoXping-instrument wasacknowledgecl&&.me:•` ' rwas:ackno�r(ediecl:befareMe., tihis •day csf; 2t3F. by : . ails, da ' t::' -�.. 2Q.�'b . , (Marne of person acknowledging) (Name.of person acknowledging) (Signatureof Notar�r Public-State of riarEda i (Signature of,Nottiary Public-.State of Florida) :..,. .... ....... Perscana#ty Kriovn. �� • t?R`P'r'pduced€deneificati©ri ' ' ,:: 'p�°isoril>+::Kri !rr ;. :';;. t�.ryat(tace ic#entlfi Type of Idtatifycatibn Produced ' 03184►It T e:tif i�ie tifieatitart Prfid ci? :,::, " •: � � ' YK� 11 �l Yp U _ awV p��� �CCYniSSiOn No. � " C`a .dri115SiQn.#�1(]c� J �• � �� a� ':e,� ��'"5$#• v o��' .. REVIEWS FRONT f�rrrrP a t �OR PLANS VEGE fATEOtVSFA T'URT'LE '+�STX OVE CQUPN"TER #BEV#EtAf W REVItW ."'"..REVIEW' REVIEW RE EW, COMPLETE WiTIALS ;