HomeMy WebLinkAboutBuilding Permit Application 08/12/2015 13:36 7727811307 FLYNNS AC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r __ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FC 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
�Y�d ^:,9�;ni.ci�.;..�Ga;�, 7:1;tk;t,l;' .�➢,. -aa ".'�.. tai��3'''ti+vk"_�'/�`'.i i:�1 ;!:i:
! 1" o.q:k: ,�Il;'': YA ,�j`5 ''•:•r',.' .s:' :ka:;., .hl'i•�• 1J!%!':�;.
Address: d S d C.Q.'a n Z�A It-L0`7
Legal Description: 10 0 b 0
Property Tax ID#: `�S ;2-g01t - OOLI 7 --600. 2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
5 q4 1 �:,:,•�}➢ C;M1 ,,a�t,n:Edi -�r' ;,➢k::c1�';Gr, SM1. b•'qy, ';y�➢,'1., @:i:1.7^ da.:.:�.q:•iS7r�+E1 ii•';JTai��. tip
,fa;lra�h;a';c6y•.:a�4:•.�ti.:;'., .. f, Y i 1 C N
''tt�i;.?.;�C`ti'V "$x:.-�.':.}:,.�...x,.'r:�•.; ri.
•..h I. �I!A, q`4,.,T.:l�.,� ,�:':�. :l+y.s:,,.;, ..z:' dRsr:•:x:'
• y"`h,L. n h�.11,;'nF➢��2�.0 �,i,'�i ir'ta'::`.�'' •;:� '•var, �
V ill ,w i-' iA00 d v�,- - re C t AFO r�
Cog Z o✓, w >�w -2.ti-e.�. •I1 e r� ��i�.
�.t.� ,.�9.F'r 125 :::41. .:1�'�t: f L x..'•.:.:' S'.': �.:+:�'L'3 2:�'7, 1�3�,7...:(;Ac::`�d „��,.^<��''Sy �y]{,, }.�dY.r %`''�'.'�'- M-..,y,.f✓t ,!;:...r,:• •.�°;.'..;�„` . :+�'..1275.:h'�f.;
?': J.<"!"',' l,,: �i:P':T,. :(.h'M/„•.'.t�lia"` 7'.NI:QR':,.:i��F....l[�. r2... •i';.'�.
'�j.M �i; d,f'k is�: '�6i'"''"'•' �.R.d^;:i:1� y}
'I'1. U;,!!� ::jt':';`•*'1.�'�1:':':J'.�1.:'4�:in.•1�:b 1!:';I�'.:K��1'�F:� 1':.L'rl h..�.�.;, .
ftp na wor o ormei un er ispermit—c ec a appy:
EfHVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: _ _ S Ft.of First Floor:
Cost of Construction:$ / 02d Utilities: Sewer Septic Building Height:
'OA.. }i'(i�.�•�} K•i. :i� ul�: J!'sil F I' 7 �l�.i.)'.:, �( _ ei'1,,1'i:�S,,Ini�e ..'SI ^l�l.Y .
/ Y�' y':1. y n'r.k7�. • �, z r'�I'''��•'"'l i.'•'f,tit,I.F. j:'
}; '';,F' .Iql.:. •I.1• f�fid:"'t'i61� y
Name R V Name: : o S4T. fir��V1 yN
Address: '('6 oq Y f>. 6"&A,,ti t>A 607 Company:
`�D.Id�Ap ut .�� State: Address: l 3 '�
City: S
Zip Code: 5�-t <� ______Fax: �_ City: • ',SJ state:,a,_
r,
Phone No. `77 2- Zip Code: -34 g Fax: 1--130_/
E-Mail: Phone No. '17,'� -f>-R$ 3 `'Y I'f
Fill in fee simple Title Holder on next page(if different E-Mail: OA'I�D 0,- VA✓I 0 d- ,CDW1CAs-ibi'L-VQ-
from the owner listed above) State or County License: QA C n<�5g4
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
08/13/2015 09:56 7727811307 FLYNNS AC PAGE 02
, •.• orr. .:H. .7 f; +. r -i .LLr: i rY,:;::"...ar: 4.: .•r. ..
., r I . I•. :.; .,; . 1,I. 9.4!.5'•`.•�'.%`•.`.• i.• Yr";��i.>;;:�Y""44n;S"�•.�'•• :I• ::: ::.:•'.: ir..::�• ar.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x NotApplicable
Name:— -- ,. Name:
Address_ •„ __ Address:
City: State: City: State:
Zip: Phone: Zip: _ Phone: — '
FEE SIMPLE TITLE HOLDER, x Not Applicable BONDING COMPANY: x` Not Applicable
Name: Name;
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 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 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 our Notice of Commencement.
Joseph Flynn �= - - _ Joseph Flynn
—Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aero- COUNTY OF m-to
The or oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A.P day of Q V5-+- , 20 Eby this 13 day of G S 20 L._by
IL
"Sa<W ;i2 Ll h.P\
(Name of pe on acknowled ing) (Name of pers n acknowledging)
(Signature of Notary Ic-Sate of Florida) (signature of Notary Publi State of Florida)
Personally Known� OR Produced identification _ Personally KnownOR Produced Ider0� ation TSN
CHELE
Type of Identification Produced Type of Identification P oduced
NOTARY PUBLIC
Commission No,_ e STATE OF FLORI Commission No. {�TE OF FLORIDA
Comm#BE219M Corh"EE219838
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS