HomeMy WebLinkAboutBuilding Permit Application Oct 27 2815 13:12:47 Via Pax —> Vonage Page 862 Of 884
ALL APPLIC . LE.€NFO MUST BE.COMPL.E['ED FOR.APPLICfkTIO.N.:TO,BE.,ACCEPTED�-:...,.... • ,
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Date: b : P&r'hit.. ut'rif�ixr: .. ✓ ` �`�
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Planning and Development Services
Building dna`Cure Regulation Division w
2300 Virginia Avenue,Fort Fierce Ft 34982
Phone:(772)X162-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: : �� 7' r OLAJ _
Legal Description:
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Property Tax ID#: t ��" ' t" 6 -- -- Lot No.
$ite Plan Name: __. ••. Block No,
Project Name:
Setbacks Front Back: Right Side: ....-Left Side:
l 3r �*''�."""s�- c-:asp, ��'e�"'"4.. •�4L� ,�`,y-�e.•�•:d"�"
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K. 1�." ,. —v^"-
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eteor, work to be Derforme un 'ert isperm' —e. ee a "'ahpipityters
VAC Gas TankC;as Piping 'MF Windows/Doors
Electric 0 Plumbing' Sprinklers Generator .•••Rocif
Total Sq.Ft of Construction: R 5 .Ft.of First Floor:
('`'"''.
Cost of Constru�tipn:$ Utilities: Seuver:L�f'Sr?jatic::... Building Height:
Name
::Address: ' Al. : � f A k�.,•e� ,Company,
C ity: ' .u,'V'�l OPS State: "Aft'oss:. ' `� . Qt's G C'
Zip Cade.::..-..J,��'.�ti 140, Fax_ Cit:y,: c, p. _:. f: .,, ._. State:
Phone No. Zip Fax:
E-Mail: Phone No. "Q '
Fill in fee simple Title Holder on next page(if different E-Mail:' ws ol~A k �l �` Wry
from the owner listed above) State or County License:
if Kafue of construction is$2540 or more,a•RECORDED Notice of Commencement is required. -_w•m.•••..�..,,
Oct Z7 Z015 13:15:45 Via Fax —> Vonage Page 003 Of 004
CBES#GNER�ElVGINEEIt; of Applicable MORTGAGE CCDMPANY: PATp�
�f'f licable
Name:
Name:
Address: Address;
City: State: Cit
Zip: _ Phone: -Zip; Phone:
FEE SIMPLE TITLE F#OLDIEig:-.�., t Applicable BONDING COMPANY. � 1ot Applicable
Name: Name:
Address: Address,
City; City. • . _- �_.•,;,,,.,•,_,�.
Zip: ,„,,.,,,,,,,,,,,,,,,,,••,,,,,,�,...Phone: zip” - Phone:
I certify that-he work or installation has commenced priortothe-Itsoan.de:of44 eery iit:
5t.Lucie Count makes no representation that is granting a permit will,authorize'the• 'erriiit,fiold+ r;to.buiid tNe.subjec$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 Rome 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.
'rhe following building permit applications arc exempt from undergoing a full concu.rr`ency.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
lrnprovements 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,consu.it with lender or an attorney before
commencing work or recordin our Notice of Commencement:
� � •.,. .:::,.• . : .. rte, :'.; . .. ..
nature of Owner/Lessee/Agent .rtei at :o Contracta icense Holder
J.
STATE OF FLORI!� J STATE OF FLORI
COUNTY OF -- -'te r` LCOUNTY OF- '' � Q__
The f rg�ing instrtAme w S ac knowledged,before me The f a rtg'instru pt a .acknowledge bgfoJ,e me
tills day of :`. •.. 20 Y this':: :ay �e :"•j 2by• •• .
i].
(Name of person racknow ei dgin6) (N;tme of.person acknowledging)
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(Signature f!v tary Public State of Florida) tttti48600 (Signa u of Florida,
• ,®�oa'� aa.•q �°�.
Personally Itnown •• ''"' OR i roduceB Y �Y or5onelty.,Kfi'o�urj::::,': ..:..•:0'R.I�rdcrcEd: n
s
'Type of Identification produced „� yp' a
T e of ld'2ntifldation•Producecf•• '..:.: • ,y�.,,,�„�,w,”,
Commissiars No. l 363Commission No. ... :
3. r ��'nnn444 �y
C . e ' W
••..:. ...+:• ° e �. AMR! �
Revised 07/15/2014ilc,sti�'at��`' Balitltti~►S�Q1.;.
"``Ba 1B 19 i 6tittttba��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
TA--TE
„
COMPLETE
INITIALS