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HomeMy WebLinkAboutBuilding Permit Application 41 ALL APPLICABLE INFO MUST BE COMPLETE11FOR APPLICATION TO BE ACCEPTED Date: 341-/5' Permit Number: VS% V_0 t�l s,_ RECEIV'-:D NOV 3 4 2015 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 r/ PERMIT APPLICATION FOR: sL`,Z PRt3POSED— MOROVEMENTa LOCATION: Address: ('t Y\q, /I� 'o r+ f"r e(4 e-- a 3 t 1 Z :�✓h:n4 k Legal Description: 3g,n. cj�, c f 12XK,_ " Property Tax ID#: a�O$' ay 3" ba��--Gca - Lot No. Site Plan Name: ywar K '", _ Block No. Project Name: y,4_! a (� -��1 e Setbacks Front Back: Right Side: Left Side: 1—,DE,'tA'I."L'PD'[),ESCR'IPTIP,,N QF WORK z , e v FC(?__N_S*uCTION°'INFORMATION rtiona work to be pertorme under this permit-check all that appy: HVAC _Gas Tank —Gas Piping _Shutters _ Windows/Doors V Electric _ Plumbing Sprinklers —Generator __Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 3�CUtilities: —Sewer —Septic Building Height: ' OWN E111L tSS'Et ' �: � � t� CONTRACTOR: ; Name I l 'P 4 Name: R-Ck to Ile�11e�•c Address: W'r���'�• E.��► Company: 'V C I�c'_� 0 : .L.►^`c . City; State:1A)) Address: 4= ,S(,O L.ai rO dfL� Zip Code.LK 66Fax: City:fo(-± State:F—L Phone No. Zip Code:j--?,4 1 S" Fax:"7 Z 9---34©-3?5t, E-Mail: Phone No. -7'2Z— Fill Z'2 —Fill in fee simple Title Holder on next page(if different E-Mail: {b I�.( c ""t - 1 'ic�-I-✓nA:( G C3 • from the Owner listed above) State or County License: CC- /` Cj!2 4 t4 _ c If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL,,CONSTRU.CTION„LIEN.LAW INFORMATION: k _s 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 County makes no representation that is granting a permit will authorize thepermit 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 recordin our No 'ce of Commencement. Ze� s _Signature of Owne •Lessee/Agent Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF �-kLO Z %- COUNTY OF s� •L UCA The forgoing instrument was acknowledge efore me The forgoing instrument was acknowledged before me this!',-,-6 dayof �u� 20\�by this36 day of 11)d4 20 15 by s,d,nO 1. � �:%\Vk �y �A0%) \ V@r\NN-CO (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary PubN-State of Florida) s (Signature of Notary Pub c-State of Florida) SEN _ Personally Known OR Pro ed deti@*�e ersonally Known OR=Pro 1 ed�l4�i ���godn da Type of Identification Prod fl'°` 1�4xcy P Hues Q�gg6� ype of Identification"P�gduaed ��- c As, . , #EE Commission No. `L z (S@a1),m,,1AX1 a"0o Commission No. L = r,°mm,sT§,e\a all psso. % ras _ O g0pde8 `"' r-r� O`er.` g ndedZhto OF Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS RECEIVED NOV 3 0 2015 FILE Sub had Underground � Overhead i!d - idteaicers . , Servke�tzd C� rN � ' ,._,.. Comitactur-si�eE., C.a�'j�:rte.: •• • . .. 'NdeteriViala Meter Can Only rj .�--Grounding Siewoo �Wp C a 1p2� ty\ 1 . b