HomeMy WebLinkAboutBuilding Permit Application Feb, 16. 2016 10:41AM Litchfield Co. — Murrells Inlet No. 1266 P. 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a lullu Permit Number:
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Building Permit Application
Plonning and Development Services
Building and Code Regurorion Division
2300 Virginia Avenue, Fort Pierce FL 34982 1 /
Phone:(772)46e-9.553 Fax:(772)462-1578 Commercial Residential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRdPOSEb1MPROVE ME C 10 Z..Z
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Address: (at ;S n lb m QSt , Lk -I
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Legal Description: .3t • _ - c7a((kf)' > (au c�(p (-t(, �j(,K� t
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Property Tax ID V: I - 1 - CID ll -Q(x� _�� Lot No.
Site Plan Name: l.(a(,Cc 1S Block No.
Project Name: l-L.4(T4 In
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OFfWORK' .-
CON�TRUOK__ .INFoRMAION T = _
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Additional work to fl
r orme un er t his permit-c ec aappy:
❑HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Q Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor
Cost of Construction:$p� , M Utilities:]Sewer Septic Building Height:
ESSEE,,. �.�.:.. . FORT
Name Name: boc
Address: e Company: 1
City:Tb(A . L Ik.te State:V�L_ Address:LI`b1 L'-W 9-4-gym e- $Ilan L�)
Zlp Code, 3LIgna Fax: City:Th,oe State:-EL—
Phone
taterPhone No, Zip Code:�_1j6L� 1 Fax: S98-
E-Mail: Phone No. -"1 q 1�- I
Fill In fee simple Title Holder on next page(if different E--Mail: 17P,(mli'�00 coo V,i r, .coy).
from the Owner listed above) State or County License: :1&a0 (j2 —
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
reb. 16. 2016 10:41AM LItch- l e1d Co. — Murrells inlet No. 1266 P, 2
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Stater City: State:
zip: Phone: Zi Phone:
FEE SIMPLE TITLE HOLDER; -Ae4Not Applicable BONDING COMPANY: of 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, cansult with lender or an attorney before
commencing/work V4ecording your Notice of Commencement.
S
nature of wner(Lessee/Agent IgnaLure of Cot;Kctor/Licffse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY COUNTY OF &Mr
The f99rgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this/?-' day of °&tj± 1 — 20 f by this/,p day of u..r J 20 f by
(ffarMf person acknowledging) ( am of person cknowledging)
ANGELA CECILIA MARTINEZ ;o`'"A��°�4;t ANGELA CECILIA MARTINEZ
MY COMMISSION 4IFF050V i MY COMMISSION#FFa39952
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Personally Known OR Produced Identification Personally Known OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Remised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS