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HomeMy WebLinkAboutBuilding Permit Application r,� Ii II ALL APPLICABLE INF LIST BE COMPLETED_ FOR APPLICATION TO BE ACCEPTED AUGPermit Number. .0 it Application Building Perml Planning a . Development Building and Code Regulation Division // Vkginic Avenue,Forts+ Phone: • • • Residential I PPLICATION FOR: To Select from dropbbx, click arrow at the end of line PropertyTaxlD#: -77 Lot No. Site Plan Name: +` 37 i` 4� y`4 c.�"a'4'� IIi a}bl� c-�q'I"�c�F'� .�s X Ah � ��r fir^ '�„'c"c'�'n''ta�� k '�" '.`'GTc'k"�."�.''SB..."S"r• J��, s... _ mow.,.-a... .r:•�'�.�,- ag Block Froject Name: Setbacks . :. . Side: V x--� •' '�;,,fir ��" yr�€iM,.&? M,._ ...r:.--.,.! _ ...;:=.S�s�•� „� _�: r r,�_..,.����G"�'.. .��t=:7 ��'2�.c�.f°— `i�"a ,s�� _.::'��y ,�- `rr n"` �' ..,».�-°-t�wi�� ;t ? w - :;�t}...c =' ^:.,,�'.'• ,.z.�.""�u r':'T; " szx`c ''."�� 'ts'�,a, ,G, x ...� , y,-,--- ..h �?. � •a F >, n., ��y�'"iz �`��Giz.. c� t>,� � s.�,xw,- �'i'-'r"i,�;� ��"�;s� .m,7.b..., .r_�.y„.x ..........:$a.. __:r.:..�::x.^_.a,,.�.s.% T..z�-��x.-L���a;..d�'`7f..`.��.d .- �'w!s,.t ..Ys'�'�-s.`���.w. �s�e., _.'�:'•'+.��.�`ksw_.�.vv�:;.�w.c..�_srt.;�--�r 5.'-'�'"%�",.:?�.,x+� ••• • . • • 3• t • •- .- _ ..4 • ■Shutters Windows/Doors i fir ` ■ . ■ Generator � •.. Tota I Sq. Ft . Floor: F]Sewer F�Septic Building Height: Cost of Construction:$ 1 ri.sUtilitiesa Name Address: :5 87 7''^ �'s' `�• �S b�,e C' b yew � '*T' S ���5 � �J c �+,�..� `k.'�4� ..,.kc'�k' © ��ya4�,,,� k? +-s,•�^rSy'^_��e �,�„ �' f 'C ��c�tir•� �"Cxr( �;�e r - .�5y ..-�.•..-... r�. t - �.a �>�.g'hr.--�"��' 3 2.._ i� 3�s�� ���.,--�''•YR.�3.�+�Fi' 4Y.�ak"`�^-'.'.����,�r�...•s�sn''y"� s'�.Y^ /Zip f - • City: State: rNMI 0 Code: / Phone No. • • + AMNAILWAAM 08/04/2015 11:15 FAX 2002/003 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Nat Applicable Name: ;Name: -- Address: Address: City: State: ity: State: Zip: Phone: -`Zip:_ Phone: FEE SIMPLE TITLE HOLDER: Not Applicable ;BONDING COMPANY: Not Applicable Name: :`Name: Address: 'Address: City: ,City: Zip: Phone: !Zip: Phone: c I certify that no work or installation has commenced prior to the iss?uance 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 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.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 ando on the jobsite before the first inspection, If you intend to obtain financing,consult with lender n attor ley before cornmenci work'or re ur Notice of Commencement. Ig n r weer/Agent/Lessee gnature of Cofftfictor/License Holder STATE OF FLORIDA `` STATE OF FLORIDA f , COUNTYOF G COUNTY OF_ The forgoing instrument was acknowledPPrl hefore me The foroing instrument was acknawledeed before me this day of i� " �0-I 0-IS-by this / day of 4-4,a �p!>S-5y L �f f �'/n 1 /07 {Name of person acknowledging) (Name of person acknowledging) �r (Sign of Notary Pu - tate lorida} (Signatu Notary Public-S e Flo,' a) Personally Known Q Gyred Idi:ntifiratinn Personally Known _OR-PrP (Cc���r(p 13tQq Type of identificatio Type of Identification Produced + r� _ __I N Commission No. MY CoM� )ON#FF165172 ' EXPIRES SCTct ber 1,2018 Commission No. (( ea ?orr1°"f XPIRE October 1,2018 -!:153 Floridallotary ervice.com 4J7 39"153 FlondaNata Service.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW PATE COMPLETE !NlTIALS