HomeMy WebLinkAboutBuilding Permit Application Feb 2416 03:03p Honest Air, Inc, 772-232-1118 p.1
ALL APPLICADLE l F®MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�� ' j Permit Number:
= - EC : :
Sguflding PeraM t Appikadlan FEB
Planning and Development Services 2 4 2016
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 $
Z 1t6�Lucie County, FL i
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553 Fax:(772}462-3578 iJY81CYi@rCt21 � RC'SiC�E
Phone:{772}46
PERMiT APPLICATION FOR:
To Select from dropbox, click arrow of the end of Ilrte ;
PROPOSED NPROVEMENT-LbCATION?.
Address:
I Legal Description: CtADOEL L l Lt 56 l
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Property-1 ID#: q��.� •?G � � � a BlocktN!�
Site Plan game: J � 1 � � ' l?k�'�l' o.
Project Name:
Setbacks Front Back: Right Side. Left Side:
DETAILED DESCRIPTIONOF.-W. ORIC;
ATE 67�"5; a For- k�
AdOitionai war 4 tobe''o'e# Orme un er E os be -check a t appy:
C¢ HVAC 13..I Gas Tank Gas Piping Shutters Windows/Doors
j� n r
0—Electric 7 Plumbing 05prinklers M Generator !�!Room
Total Sq.Pt of Construction_ SCI.FIL.of First Floor:
L
Cost of Construction: _ �r�� t:/�✓�,C Utilities:f_.�.ISewer OSeptic Building Height: s
flWNERJLFSSEE. . . CONTRACTOR;
Name /J, Name: _i u�-IF
4 Address: Ia w A2 ?s Company: ,,st, ,,vc,
Clty: T � � I State: Address: 3`0 -3 Q, -
Zip Code: Is q� 'Z 7-- Fare Ci r: ! 1 State:*C(-
Phone No. _ 3 C�. Zip Code: Fax:
E-Mail: Phone Flo.
Fill ir:fee simple Title-H lder on next page is different E-Mail:i AW-Tz 1? _q6ezkyw 4�'�°t
from the Owner listed above) State or Count3i License:
If value or construction is$2500 or more,a RECORDED Motice of Commencement is required.
Feb 2416 03:03p Honest Air, Inc. 772-232-1118 p.2
SUPPLWENTAL CONSTRUC ION LIEN-LAW INTORMATION.:
DESIGNERJENGINEER: —Not Applicable MORTGAGE COMPANY. _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE WILE HOLDER: _Not Applicable BONDING CONViItPAIY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
l 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 arprohibitsuch
�{ structure.Please consultwith your Home Owners Association and review your deed forany 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. l
r 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 E
1 'MARNING TO OVINER:Volar failus;e to Record a Notice of Commencement may result in your Paying twice for I
improvements to your property.A Notice of Commencement must be recorded ana posted on the jobsite
before the first inspectio . If you intend to obtain financing,consult Urith lender or arc attorney before
commencing work or rec/irdingvour Noticeof Commencement.
S
_Signature of Owner/Lessee/Agerff Signature of-Contr5ctorlUc older
STAT E OF FLORIDA STATE OF FLORIDA
l�C0UIld TV OF �f��' .COUNTY OF
The f ping insirumaen�twas acknowledged fsefore me
The forgoing instrument was acknowledged before me
this day of irk , 20 IL-,by this?Y-day of 20 by
�"i'Iihr/rf �I`�Z/cC'1` �f d7c
(Name of person acknowl ging) (Name of person ackno g)
(Signatur Notary Pu c-State Florida) (Signature of Notary i Public- ida j
3 Personally known OR iced Identification Personally Known
0=e
ProduIdentification
Type o€Identification Produced Type of Identifitation Produced
Commission No. � ��Z
pBERRY Commission No. / !y� (Seal)
` Commision FF 968943 ,, CHRIS WOODBERRY
axpiras All _.: :k_ ommission
�2V)se�07115/2014 ., R'", 6ordadTnntTmy�o4-mitonw800.36�7ot9 ,s+s;' ?a5 Expire�August 12,2D19
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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