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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: � 2 4 216 RECEIVE- FEB 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 ✓ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line .,��� �F1'{ `R � a '�4,,_: � � � �7�a � S�E�z,$a`tS`r�'�,�'Utr•,. ., '��.,,,'�l�v',&�� � .cs � ,:�,.., rdy �a.�,'�;C�`ic'�,t, ,f� ,r�za� '"F�ak,�;;i,c�z .3...,..<4;..F ..,n.. � �.•i&, rr,h., ,� ..+, (.. q.. � rz-s$:ai��.4ss t...k. �.�.Ci�e '� ..4,. .'� S. _�'.: Address: 14ofP-X I V-A w Legal Description: L4t UJ©dcl Uro� ]-7 ­61L S& LC&QC) Property Tax I D#: 1301 - &01 —037 — 0 00 —3 Lot No. Site Plan Name: Block No. Project Name: LAPet+ Setbacks Front Back: Right Side: Left Side: 3'�r? tI'? 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Ft of Construction: S Ft. of First Floor: Cost of Construction: $ ��^?Coa-C> °' Utilities:�Sewer Septic Building Height: fi"•3k a f �^7' ^ .#;59 ;s,k`,llz�g � ,.tn,r���st...,?a 4t�`�'2°.. .::dry f ,k-„ �+ .--u•:., .eq.. �-.t>y,'fr r* ,�y�,� t7;����7y 4a e r r;• �r�p s i 4 7r r J. c i ',.-f4s, v `+ '� <p + S , s?.:c .?r�^sc k:: ,.;$ d ; .?ti k yx£Y s}h",�s2 '`D--`.;+` ,rA .a•.."a"'Y%'xVq^'t .'r+,�$$t° :,:� ,. w - ?.r^4. �'s3A rt ,€5 - Mr..�,�.x�v"€',�c'F � rt .-�.> W4.k.r...?^. 3.°u T ^ '"k''�� s� 5�,.��:�E��'�`�,J{�1 ��?`&r�4''4w,° �v�A T.� k+�?9J9'f�f �.5�•� `11 �t��4W��'Il�� fi�i'y? b ..arlp�{ r'+�1.i` f� �f L C`iL ���' v.�Eih„ Name hn� l (,Q tr(�” Name: �Wt G/ Address:00� 401 X1I-h ei( Ds• J� Company: R a cng ,,h( e LLC City: U 6 State: Address: �0�0 �� Sl- Zip Code: �/�� Fax: City: U.B StateAk Phone No:SL/0 Zip Code: Fax: E-Mail: Phone No. 9()33' Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: 36- yW#:tea If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. FEB-26-2016 23:35 From: To:17724621578 Paee:1/1 a DESIGNERANGINEER: -Not Applicable MORTGAGE COMPANY: _Not Applicable Name: _ Name:_ Address: Address: T• City: State: City: State: Zip: Phone: Zip; Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name' Address: Address: City: City: Zip: Phone: zip: Phone: I certlfy 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 Ict 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 recording our Notice of Commencement.: s Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORJ1DASTATE OF FLORI A r COUNTY OF i�' Ir COUNTY OF - The forgoing instrument was acknowledged before me The for oing instru nt was acknowledged before me this.96 day of uar 201 k by this of day of� �f- 20 L67 by '31e ll (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Sign ure of Notary Public-State of Florida) Personally Kno ll Produced Identification Personally Known aR Produced identification Type of Identifi at�pipNrA, uce . Type of identiflcation Produced ; ELIZABETH EVANS Commission N .=• " Notary Public-(,Se6bf Florida Commis ' Jea Y omm.Expires Mar 19,taleH EyAN5 4%,; commission tate of i' +,• MyC mmissost EEatSU Revised U7/15/2014 a r 1 $'.;fp..tq;'' REVIEWS FRONT ZONING SUPERVISOR PLANS VE=GETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ` ax Lk(s