HomeMy WebLinkAboutBuilding Permit Application ALL APP1iCA$L•te INFl1 MUST BE l tlMPEEM POR APPU CATION'TO BE ACCEPTED
Date: 14. ISPermit Number. 4a�5
RECEI,.PD SEP 5..
W#Ming PewMft'ApPlicatlon
Planning and DevelopmentServkft
Building and Code RegukUbn DMlSton
23W Virginia Avenue„Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial � Residential
PERMIT APPLICATION FOR: Other e..
Address: 16X11.01► .P1-tom (yl0(0
Legal Descr{ptiorr: S�l�
Property Tax-il?#l; Lot bio.
Site Plan Name' Bloch No.
Project Nance:
Setbacks Front Back:. __ Right Side: ____Left Side:
i - 0 ECK- CSD 1<�Q
Tnal workrme u er permit-c e a app ;
i�i�tAC Gas Tank Gas P{ping _Shutters Windows/Doors
DElectrlc Plumbing ❑Sprinklers 0 Generator D,Roof
Total Sq.Ft of Constructlow $0.Ft.of First Floor;
Cost of Construction;S G� IX) Utilitles: Sewer ElSeptic Building Height:
Name Name: fM iAJ{
Address: t- PCompany:
City; 4,{1J rf`1f� State:PISS Address: IC.t-kLd
-
Zip Code: 01 a V Fax: City. (n state:����--
Phone No..(a ' -�-✓ 610 Zip Code:;71 4`f_- Faic���m-' /cog q
DO
E-Mail: Phone No. T—r—� 5L
Fill in fee simple"tide Halder on nod page(if different E-Mail: i'�..- �b &Q, W--AM l
from tfw Omer listed above) j State or'County License; cR-050
j
if value of Construction is'$7.W or more,'a RECORDED Notice of Comitierrcemant is requitrad.
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F1DES%tG.NE1V`EN1G
NIM0. Not Applicable MORTGAGE COMPANY: Not Applicable
Name- Name;
a
Address:
Oar State: City:
Zip:_ —Phiinel. Zip; Phone:
FEE SIMPLE TITLE R—OLDERT Nat Applicable SONDtNG COMPANY: ZNofApphcable
Name: Name:
Address! Address:
City: City;
zip: Phone: Zip:—Phone:
'I tert4 that no Work orinstallation has commenced prior to the issuance of a permit.
St.Lucie Coun makes-no representation that is granting a permit will au -the subject structure
I) ict--th-W. ca thorizethe Permit holder to -ructure
which is in �71 -wit an '001 ble Hqibe OwfiersAssociation rules,bylaws or and covenants that may.n�strlcvor prohibit such
structure.Please consult your Home Owners Association and review yourideed 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,smmming pools,fen*,walls,signs,screen rooms and accessory uses to another non-residential use
WAM1MG"F0 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
im roteffleriutb Voiw,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 record ft our Notice of Commencement.
: Q essee/Agents'tfa3FQWftor/Ucense Holder
'M'
STATE OOF
FLORffAA if AU STATE OF FLORI
COUNTY OF..... couNTY OF
The nstwmentwas ac nowledgeo,.before me The f r ing in str e was owledg d before me
f
this ay of 20 Mby thisZdaia ogby
(Name o p 9 acknowlerfgi (Mame of person acknowledging)
(Fignature of Notary Public-State of Florida) (Signature of Notary Pub ic-'State of Florida
Notary Pub g,
'tate of
Personally Known OR Produced l0entification Personally Known Produced Identificition
e
Type of Identification Produced Type of idenifficati
Dula A
My Co
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CAYBTA�e&pUEMI)o MY COMMIARMA"
Commission No. 2 Commission'No.
COMMISSION 0 FF004M a .
July 8t,20
I:UtPI gkvk
plevisea 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR71711 MANGROVE
COUNTER MM.EW- REVIEW REVIEW REVIEW REVIEW REVIEW
5A-
7E
COMPLETE
IN171ALS
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