HomeMy WebLinkAboutBuilding Permit Application ALLAP ICA13LE INFO MUST BE COMPLETED FOR APPLICATIO, TO BE ACCEPrrED
RECEIV
Piano nd Development Services
Buildinr . . Code Regulation
If • id Avenue, r 49:
• • - 4. 4. Commerflal Residential
FIR
1i fuel
•err,' •�.rv`.n•..•w.,....,..e.,-.:y,-'^",.rnc:::.w::.,�"=""':".''"•,K's4"".,.:v,:-..,<_..;.-r✓a'px -.,'+'.• - - - '�c—
Address!; go S-01 m ug an
.�aa�.ti^F;« .ns?_', ,cer.. .-x;,^,r :,.�.: y,...n. �A•+, •d".�,.^.: ;arr.;:-�.:,",vr:;:�:~x.•::r,:w ;°M;':°t.:S;";;;&-.,- _ :::;{�.�•<
•'.r: fi:•w ;:S:"':,;,rr•r ✓-_ '.:Y.. _ - e'xi•:v=- ""^Y:o�'.. - :s...�t�5.���%:";�-('r.�.:.ra.
' - -- - rc:?n`�"4,!!<:�•"1_ _:,?ia-sw`;s i:" ';;y;�.. _,�t ..Cti4'�`' .,.xr,.,_.,hv ��==~" •+,:�
_� s_,_m,•�.:- y4`. �'ar.:�.,a" "':-. +;;F�,t:�:�•� ...-t'::a:^r<"��f:::Fc,�<T.,.._..�:;¢:_..-,.rv_x+x_.'.,,,..;"a,,a_,;:
v;« .wm.,..^ _..,,:,,..., r�•., ..{..,�,�,+S,.�,..,r.<. r ::e$.;:?.r"i,p•,A.. . -.-. •J•_Y-7. .�3'ht _!x� +:.-�,,. - - <a
! / 1- 13 is-006-
fs�r�
Site II flame: Block No.
Project me.,
Setback;!' Front Back: Right Side: I� Left Side:
,r:^.,:.:.a,:t-:.. .,..� .:_ .^,.:•-vaho..r:.�.ar.....cr.,„...•: r „,.q.,,_..,:,.:.,.b�.i�;_.c,;i:_..,,�r:.:..:�+<..�1.-.,-...•.,,y-;c;,_y - •^.-xy., - ,",r..r..;,..:c,.ry ,F,>:
..f x.: ,.1'v- J.•- ,T?g,. Y_ .�. ,.'C4,:+:ta;?^;.:.-Tia. ;;.y.y:;::, xc.,rngx.?^ .n!'.".`,C`-�^;.s.
-b:wl:• %tCw_: '+dt ,;fir, r_. ,,,r
aa�:, •`'.i:.. �/•-c•. '•c ,r_ >'•�'<• `-':gip:: - y.A ''�--
:r.'t �'tt. _ ::s;, :%i,. yC`.,}r .M. .5'T — ^•:6. 4 '4 '.�L�,.—..^v.'Z".�::_. �Y .�i'r``.+� ,�i,
:.K Y.a;.�4' r'..:L-•.:.-K"'-^...,. ._.r`Nn_ y:..you.::';.. •.�, 1 Sa.. _ - .�+:vY?:t __`M1'...YM+a.. 1"" .L+4'k- E�' -- i�.Le./
,:S„ � _;.. .,,w. >ac =5.�`:. :�^'Gr:+;.x;..r:.r,_y _ ::r'lA..Criw� _ _ :•T :s,b:.,� r..vt`P:n%i'7.,9,c�,�.'_
hh'•• :Mw..> S:.^:.,.,.w•r,n. .YaA-*r..•.!^ ,^C_.. ,..^.y.''T. _... .''. .,7+,<'�;`.....,.i. •. "..•x.,. ..Ns �%y "'Y_'.: .:`Yi. -:1:._,. .,5. .Y+
t1<)�r:•�'•'�.or.a t^ ...3., ,,.., .:�-:¢.. ,fro_ ,:4•,. .r.rr.s. u"�. •Y.uy.., :$: ;7'�:Y-.,r va'i?�= -'"r-,!•,'''%:-:X�:r?'1;o c./.j•.'r S ...C.. H=2
_av,�......�.o.r..::.:;i:•:.5::_ �k,i:a_.7,..r_^.,.s`z•.i... _ ra__:t'_ti-�tk..��:Y...__ :�:1_' .�:�.1':C.Si,r _,��✓�',..- �:��;a"u^FL�•xt1v....uLt.�_^- ..�rL1.�.-�:s.s:�r.��w•.`"..,:,..v:a.�e, c
A► 11 r ��
'x:?x�n ,.d. -�:lY:ev-:�y;., �c•-0,••:� r::.5`i•.n.X.�. --"C...,�n,�.i:.�::;a.. .:+n:,:-x.. )s-,�., rl.-�;;, :): �M9e:»•,
^cc .1.. .•,a 1_u a•:.r-C%v o•.Y,•;:y.., _�'q7 _v
4".•" :'ci-F •F... ,Y.., -
.["J t•Y e•'!-_'x:11. �
:.ti
.}, --•7 u�:,� !",:" i�ti•Y:+i7 .J'.n }CP
- .r.r:r• �'t". �..,.
r'n a i `+.'I;ph"•: "'Y�.. ".^r:^ �•.7r .,t,. •Y.v ..>,...,r+.L... v fi.•'.°i'i� .a•.ro, .
?v'�.:r..Y*.:.ro`, !.�,. R':�Y: ti.�?�%" •,J.^:451,: ,«J„'•`5��� >_'`r?,�:5;..::::..+....r....'�:...,a..r.^fS^` •) v.4,,...r,- ;"dz'•:{x_.,r.,,
,.r.t, ;%z;r;�.2+ ,;'6^::•= ,.;%: - 7',.y�. .u�.:t•a .;ir-e�"' r- - _-
r_:...�M_��s-�:>_3'!,?;:cy%-....._._ri::,.�___-'"'�l_:a�:c":�':.•-` .�a.,;a..x::;:.,... ,u"di=e��r�id%S� •:..,�..';,�.rt. .sP.a••ti�a':e:):rx _ ^r;*Y%�nr - �a^�ir.._,'yn.,,x^,r,•�.;:.�"� >`
I work to be perrormed under this permit—Check aalupt apply-,
C* 11 Gas Tank* []Gas Piping Shutters Windows/Doors 7N
■ Plumbing, Sprinklers • ■ ••
• •
of Construct' '�.. • • •I
Ltruction.$�F Utilities::— ewer Septic Btfilding Height;
„�r�.cr„v.,-.-.r r•r v.";::•'-:•—:ii�:,r.r�n^.;.:::,:•'-^.^�1:..�.��.-.y r..__„"'._ _ �_S _ _
a ..,..- •C., .w,._. .{.:�-,,, a-.�..,,-„.:s.:,:. �..�'c'�f_r? -. ,�•..rn.i^�F�,,:•^r.�.a..:,..� <.f�^,',<J,.�.��.� ;r.c. �;..H:.o,, -1�tx.�.;:r;r:."�ti'art'ri;.or"�Cr�"IS:_Y'Q";x`,%C:. :•4_- a:,
>l. .�_ .,.r_ _..r„rr- _a_x.,�„,;...ra�.«m'a:.. _ rwu,..y. ;..a;-,� ar"� �':w�y?,+n_.cJ:Mx�+N;��. `,..a:4�_%:3�!._._�"�ax.,v- _4..,�'.'J�l�-�"•�.."'. .r'�" .•8;
c=.a''�` ;';.. �.t;a re_t.^ - �-r mss,-..rr>_.•_ ,ra- a x_° ��e:. �v�5. -ir.' 4:. _ y ;s� ,z.. _:•n., _yore �,
;S'; '-.^,. ...'� ffy, _:'F..h ^w`+`7•....•r.. _ - '=`i. ,v,<-ra ..r:• ''�:'�•< .y.. .•:..�„ .>�.:« .^.�.,+ix�,: .,.'Ate}.
✓ -h ..V, �.`'� .,y,._.;£fi...S 'trip C` ^::1r. :�'T.,.\_ n :i:. :r;S�. ^..K .^.�:.,,. ,+V,:, k- r"�
�,..,
-j .,., ., ��tix;:,.......nv„. y^.,r�a.,,.,,u:.,r^.'.:.::ti,,�..,. ..�,:'.1i %_g: x3��.r;” .,,g^r,. ,-k;"*' ..qa,,; :.Y.,.0. +.:.rx 1.+�'.?'•..�'..
,,.. �!r!.;,.,.,.^,hr:�edl,- `t...+ 1„.... "�, ,^.r - s:.r x'�~�•� �'71�"-��AL:-.... -`•^3. _�,d.E s,.,• .M-i•o i N Y"! >:� N K•
Lr=,:.c�tw.�,..s C:_:-.._.+rL_.xti�...,^,a,;..�...n�fs.,W ..,�•ar.:-�t:a':.a'2� ,....r..8 +-'� `k�n: �•.�_C_`ti`--k�:��,�Y�:1�.�e�T::•.SL1"v. '�....+'•-.,::�r::a:”.�r'�'�.r:�vr�"a:u:1.,T;.,f.�:,n:-ea.�
Al
Ci
NO
4 r
•
HolderPhone 1111116l 02-0 12
Fill in le Title
imp
._ 1
from theun r listed above) - • 11 L' r
PTI
DESIGNER/ENGINEER: Not Applicable IV�ORTG;tGE COMPANY: _Not Applicable
Name: Ii 1 N{me:
Addres A;dress- _
City: ! sState Gly: State:
zip: t Phone: Zi' Phone:
;l
FEE SIAO• 11.12- LE HOLDER: _Not Applicable $„LADING COMPANY: Not Applicable
Name: i! , N ime:
Addres': Ai dress:
City, I i -- Ci _-
Zip: III Phone -- _ _-- ZI; Phone:
W
1 certify tI no work or Installation has commenced prior to the issuz nce of a permit.
St.Lucie unxy makeno representation that is granting a permit wil `authorize the permit holder to build the subject structure
which Is I . onf[Ict witL any applicable Home owners Associatiori rule ,bylaws orand covenants that may restrict or prohibit such
structures lease consult with your Home Owners Association and rev Qw your deed for any restrictiohs which may apply.
In consid'ration of the granting of this requested permit,I do herebyree that I,will,in all respects,perform the work
In accord Ce with the approved plans,the Florida Building Codes an II! ,Lucie County Amendments.
The folio I ig building permit applications are exempt from undergoid` a full concurrency review:room additions,
accessory i Tuctures,swimming pools,fences,walls,signs,screen roo Imk s and accessory uses to another non-residential use
WARNI, G TO OWNER;Your failure to Record a Notice of Cotbmencerrient may result in your paying twice for
improve nents to your property:A Notice of CommencemiInt must be recorded and posted on the jobsite
before 0 first inspection.if you intend to obtain financing,consult;With lender or an attorney before
cvmme ding work or recording
y9jur Notice of Commencement.
4�-Slgnatur• I Owner/AgenV Lessee Sig i9ture of Contractor/License Ililolder
STATE QF FLORIDA STATE OF FLORIDA , t
COUNTY F U.Y�;I{�._. . ._ COUNTY OF.
The f go I g inst ent was acknowledged�rre''fore me Th I r oing inst ment was acknowledged before me
this��y 20 3j"by th" 8y o 20y
r) AA I
(Name o! 's
cknoW edging) ( e of pers acknowledging)
(Signatu,d Notary Pu a Stat o Florida) (Si nature of otary P lic-State o FI "da)
PersonallyKnown OR Produced identification Per , pally Known OR Produced Identification
Type of 1 tification Produced Ty d of Identification Produced
commis 5 rl No. Seal) Co 'mission N. (Seal)
• CRYSTAL MARIE CRUM �I y CRYSTAL MARIE CRWADO
MY COM
MY COMMISSION II ! : MISSION 0 F-111197463Reviser b7115/2014' EXPIRES Juno 25,018 I c' soearsi EXPIRES JIM 25.2016
REVIEU' FRONT ZONING SUPERVISOR PLNNS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW RE �W REVIEW REVIEW REVIEW
, 11 DATE i
COMFUl li
fNITIALSi
lil Ij .
EO/E0 3919 HIV HOd3E N3SN3f 6ELSE5EZLL Zb:ZO TTOZ/6Z/b0