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HomeMy WebLinkAboutBuilding Permit Application (2) 09-17-15;22;22 ;From: To:7724621578 ;7724618722 # 3/ 4 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:—001 Permit Number: Building Permit Application 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ,,, ..,.,..,.... y,,. S'.:i .,1 �,, y•rs;'.`t2^Jo��'�=--i�(;('�1°�})JFT»:v\\�'Y,w:'_;-'T:`t.:3;,c':•.;fb`-,r;,�.;+,;rc—rc:S+'^.- •r:,; n,,:'•.v; �' _ , 4 i y Z Sr,b�^L\ ,M,.1,,.�... y,f•h ,. r,i?y��, i";�5,-1 1-t-5F7,-'1 ?,,.,;4i:_-Fti�'n:;•�. cYe... ,,:-(:,: pRbP S ;`Q' 'y :• ^�.'r 't,. ,::.;,,/..,� , ,..,,_ty ,,> (1..,, , ;7.. s 1,., a,, h R41/EM>lNT,. 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HVAC 0 Gas Tank []Gas Piping _Shutters Windows/Doors!. 0 Electric 0 Plumbing ❑Sprinklers Generator 0 Roof Total Sq. Ft of Construction: Sel. Ft.of First Floor: Cost of Construction:$ .00 Utilities: Sewer Septic Building Height: �A� v "''.a`,'";h�,''•�,�= i°'"�7; ;c"2`})-'��?';i'%v4;•'1`•iC��.;Safi.; ,` 7:�% :v •r^��.f :�t`-r.;c*-• '\`_ _ iC+WN'• " � -.•ti,,, ,tF�;w�).h .4h7;,\ + . v'4• ,t,. !'- �wttit7:lttYj�lr.=„kR'tt °tCx'^: v:�'•ti','i,.`ht' �,•,. ,��y���..,�.,.ktw ,a, .CONTp�/�CT, R 111 4, ,� ,,� ., ., r�, 3� � �tiu,t�,r.,r..�,tt, ..art mv:.•,a.,.t. .,e,:,,r7. , `1iXlr7.y:�C-'•'� �t,u;1-(•,(1 11M4:;1:, •i1,�;^. ;'t;+t=,,•,;\taw.•:,;..), -;;,,,, ti„)�l '`, .•:I.s,,?, ,,.c. _ �\.:�,�,,�-„�!_,�• �'�• Qt'/ '.):::,a...,ria_.r..,t-..:;-:._,..:,.,.:,x,.,,.,,.y.,,,,._,...,:L,,; u-:.s.,,•,.,c' :c(tGn�, ,;,^�4" t,�-"!L`• r. Name 'G Name... :Address::S.3/O /7 '/1 T4 . carnpagY , �a city.' d / r State:FZ_ Address: O.S. Ll' bV / ';Zip,Code: 3 Fax: City;.a , State:F Ph'one;No''"'r� -6605-l`�0/ �m� -2f 7Y •.r _.. -- .�,.,.� zip'Code:=; "'.,�• •.:(•':'•Fax:-•7 _ E-mail: Phone No. ILL Ven —ff'7/1 Fill in fee simple Title Holder on next page(if different E-Mail: r,} , from the Owner listed above) State or County License: A'0• ? N '�.r- t" �•.tN .y -,•1„f:.,T,;.je�r;S 0' +.K \ �kSUP:PLS'�M.�N<'�At�CO'N�STR.U:GTi.QN:Li Ny,� ,U.ty�r,Et��O(�Myq,TI4N;��� �., ,�.t,��;'�},t���,�;�r:��.�� .'�.����'i �� ���`i. !a,.,h, — ,,r _ .s, _ .,,,_,� .�. � ,,{,. ,1, ,L.R �'4 4. .� ��.V.N. �� �Q:r�-�•4..5:1. yl r��:�i•� 3 rn•�.Y'�,:,'-E ,.,ysr.S"�li.';_,���d,—\\\\\`,\\��:i:�S(il}d'SPR'e4���ti4'.{5�”�.;.111Yt,.cfrb�?N•rr.'..4\e',a:�.SmS4Ffa�:�\im4<S't?;nPAcr,`�'bsi��s4t�&CICK;ti,*"�R...w<r-y;xd�:;e�S�,co,.r�l.�,c,.,.ratywl�,l\h.,(,.Ia6lrrLltli%rt;w`��'�J u� fr)111r.SS�u1J�)u:.h1.11,a1�Coc�lo- DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: !Not Applicable Name: Name: Address: Address: City: State: City: 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: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Count makes no representation that is granting a permit will authorize the permit holder to+build the subject structure which is in con lict'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 commencin work or recording our Notice of Commencement. s Signature of Owner/lessee/Agent 4ignature of Contractor/License Holder STATE OF FLORIDA // STATE OF FLORI COUNTY 01 COUNTY OF The for oing instrument w s acknowledged before me The for oing Instrument was acknowledged before me this dayof 20 L-�by this/ day of h- 20 L-2 by (Name of person acknowledging) (Name of person acknowledging) ( azure of Notary Public-State of Florida} 7ersonallyKnown ure of Notary Public-State'af Florida) Personally Known OR Produced Identification ``_y OR Produced Identification Type of Identification Produced Type of identification Produced Commission No. �"J` Commission No.. SY1 ROHMANH ,��,�.,'",� Notary P011c-State of Florida ,.`��"""�;�, SAN NONMAN . Notary Public-Al rfda •.. N ■r`4 yCOMM.Expires Mar 14 018 Revised 07/15/2 "'Vol ms o�0716YBp0 SUL „ '';;�o���ti�e'• ��� faslon FF071ti REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE'T•ATTOR.. SEA TURTLE MANGROVE: COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ti iti # zzta�stizct' SLS�Ntti LL:of :WOJa ! Zz:M S L—L 1.-60