HomeMy WebLinkAboutBuilding Permit Application 08/10/15 11:03AM Acl—'S Alt Co I1 LL Oo L aa, Ian. 772-878-3951 P.02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: �� v
Date: RECEIVED
Building Permit Application AUG 10 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropboxK, click harrow at the fend of line
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Address: F r t , 5�
Legal Description: l '
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PropertyTaxlD#:,'� ��-C��� -U��C�� - L�(�(�—C�► Lot No. �--
Site Plan Name: Ij Block No.
Project Name: 1Lk UU 1 1 1 57=
Setbacks Front Back: Right Side: Left Side:
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Add
itio a wor to e e orme under this permit—cheCK all Mal appy:
Lr1HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: So. Ft.of First Floor:
Cost of Construction:$ ►�-� '� Utilities: Sewer E Septic Building Height:
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Name Name:
Address: --1.
Company: 1-;4,4-m4;gA-l;tif: Irat°t
City: u��-,�.- State:r� Address: S�pii.st�Ianin.FL: 498
Zip Code: ( rF�ax: City: State:
Phone No.9-7:2, — L i l '"�� �_ Zip Code: 2Fax:
E-Mail�Y� ��f __ry � �jt..la n13 y1/1 Phone No.C
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Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: Wl-'
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
00/10/15 11:03A24 Aa- m A1s Co=clY tlo Ll qr, =no. 772-679-3951 p.03
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J3E$IG�JERWUNIEM Not7Applilabl�e7AGE COMPANY: _#71EaL.Applicable
Name: . ..� .. .w � . _ . w . _ .��rass: _ _ ____ . s: ..._.City: �. Statestate:
zip: __.: Phone:._�.....M,._.r-.. IF�:..� _..� _..Phone, ._.
FRE SIMPLE TITLE Flt)tiDER: ,,,,__Not Applicabht, BONDING COMPANY: ..—Not Applicable
Nance;
Address: �. ._
City: Ctty
Zip: Phone: 7.ip _ Phone:
f conn V that:no work or instaltattion has commenced prior to ttty tssuaneo of a Pon-ail.
St.Lucia Count make repreSertt�tian that 1s tgta4rtin(f a Aerrnit villi aµt+�c7r(z(t tti8 p@rtllit ikdir}tf tp btaycf the Suhje�t str��i�wrt�
which is in Contlictwit. any pT� a e Woi a 0w ors Assne;ttion ruiv,l yaws 4r ontl coveay Mita tftit may r stnctY rPPrpYhi
structure.Piease consult m rt your Nome AWnaf$As, tion and rU f, our cdd nr Art restr'rctian5 vrllSL may a
In consideration of the graiyting of this requvsted perinit,t cto herDby agree that t will,In alt M040$,perform tl'le work
to accordance mth tate approved plans,the Florida Wdding Codes anti St.Lucie County Amendments.
Thg foiiowing building pormftapfolitations are exempt from und."oing a full concurrency review:room aciditions,
accessory structures,swimming pools,fences,walls,signs,screen roonyts end acr_essmy uses to another non.reslderrttai use
WARNING TO OWNER:Your failure to Record u Notice of Commencement may result illyour paying twine for
Improvements to your property.A Notice of Commencement:Oust be retarded and posted on the jobsite
before the first inspection.if yop-Intrsrtd to obtain financing,consult with lender or an attorney before
commencin woflc arra ordtn our pati of Con�mencemPnt.
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S griatgr”f O$+hd�jAgent. Wva, 5i..gnF,tlfr,?.itf•('ontritctor/!i .Orfs' oldry
A f ATE OF FLO ra �S'T'ATO OF FLt�itit?
COUNTY OF. �l,�i� __- COUNTY OF.--
The fo oing in'.1f stent was adnowledged_i�efore the The(or ping Inwument was acknnwtodge�d before me
this liayof_. ._,..., 2v _b,� thisltl2yaf_( .t�i �24�1by
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(Name of person acknowledging j (clime o person s knOwtedging)
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(Signature of Notary Public.State of Aorlft) (Signature 'f Notary Wublic-State cif Florida l
Personally Known OR Produced Idsntlfication.✓ Personally Knomi ,_,✓_ OR Produced identffic.at ion
Typd of identification Produced -ice) /./7 ,_ `type of identfffcatlort 9mduce0 _,.,,,_.__
commission slo,• Kraft ( r} Commission NistEn
Rei)
ftY PUBUC
STATE OF FLORIDA •^ ComM#FF133193
Revise Comm#FF133193 E*r"6/16/2018
E)q ores OW/1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE. ,.......T.,, . _,..,..w...T+ ...._ ..�..�..�.�.....
INITIALS v