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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S` y; Permit Number: a i` - APR 052016 a 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 PROPOSED;#IflPRC?�/EMNTCAT iC}N E Address: �S !��©d•� Legal Description: �/�l ��`�`-�✓��� Property Tax ID#: Z,- ,9) Z ANN 0,9d17 Lot No. Site Plan Name: % ,;)Sfz z,Ozi Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED _-.tea,_.,. ,�, &tc lw5 ff CONS1 RUCTION INFORIUTATICyN Additional ,.. t s work toe e orme un er t is permit—check a appy: ❑HVAC E]Gas Tank ❑Gas Piping _Shutters gwindows/Doors ❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction: $ Litilities:n Sewer❑Septic Building Height: OWNERjLESSEE COI�lTRACTOR 'q �.. Name J o2 _ Name: 1 D d Address: Company: i��tJ�r bec&5w 1 ow, PSy��C• City: �Qf. ,e State:// Address: 1Y,2®O X�A-,OAlo Zip Code: Fa 3�y� _ Fax: City: /, �,��?riri �21 State: X;1Phone No. 7?> gZ Zip Code: 0-'i S-%1/ x: ��5�V3 S E-Mail: �Lo OV59aw,5 VW/ S % O Phone No. 7 Z Fill in fee simple Title Holder on next page(if different E-Mail: �/� �P� lJxlC - from the Owner listed above) State or County License: 2_4,a6f L IZ5 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLfMENTALCQNSTRUCTIUN L# N LAIN INFORMATION . •:�, ._.,. . :,, ,ter ..,. DESIGNER/ENGINEER: _Not A plicable MORTGAGE COMPANY: _Not Applicable Name: /✓, 1 4, b t Z!. 4--&L Name: Address: lb/✓O Address: City: State: City: State: Zip: Phone: 77Z Z/7 Zip: Phone: e-zle 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 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 OWIy� Your failure to Record a Notice of Commencement may result}'nry,Qur paying twice for improvements to y'oTproperty.A Notice of Commencement must be recorded af"nq,, osted on the jobsite before the first�i SF0ection. If you i tend to obtain financing, consult with lender fr'an attorney befor commencingwo,k or recording r Notice of Commencement. _ SignatbIr �of Owner/Less /Agent Signature of C tractor/Men "Holde STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged befo ine�m The forgoing instrument was acknowledged befor this day ofd 20by �o c this ay of Q2 (' l� 20 by o —/ 3, !b y m< .Y/'►+ �/ T�CJ '�NJ�7 � vw�x /^ D- 5-T Al Zmg_° (Name of person acknowledging) �T= (Name of person acknowledging) ;v g PO N�9T7 g=4a Tr (Signature of No yry P b'c-State of Florida) (Signature of o aryPublic-State of Florida) a "' Personally Known OR Produced Identification Personally Known'/ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS low Ll L 010% LOCATION MAP L v STREET ADD LA. z 325 PANDORA AVENUE, FORT PIERCE, 951 o z < < z LEGAL DESCRIPTION < < Lo Lo BEING ALL OF LOT 3, BEL—AIRE ESTATES UNIT 11, AS RECORDED IN C3 < Z PLAT BOOK 16, PAGE 20, PUBLIC RECORDS OF SAINT LUCIE CL CL COUNTY, FLORIDA. CL > TOGETHER WITH THE FOLLOWING DESCRIBED PARCEL; A q < < SECTION 12, TOWNSHIP 34 SOUTH, RANGE 39 EAST, BEGINNING AT THE S.E. CORNER OF SW 1/4 OF SW 1/4 RUN N 00' 02' 03" E, U U u 150.21 FEET ALONG THE EAST LINE OF SW 1/4 OF SW 1/4, THENCE S 45* 14' 30" W 213.32 FEET TO THE SOUTH LINE OF S C) cy) cy) 1-t 1-4 _.' N, m 1/4 OF SW 1/4, THENCE EAST ALONG SAID SOUTH LINE 151.44 cC>u FEET TO POINT OF BEGINNING; ALL LYING AND BEING IN SAINTC) (y) CD C) LUCIE COUNTY, FLORIDA. CONTAINING 0.55 ACRES N '` GENERAL NOTES 1. THE BEARINGS SHOWN HEREON ARE BASED UPON THE FLORIDA STATE PLANE COORDINATE SYSTEM, EAST ZONE, NORTH AMERICAN DATUM OF 1983, NATIONAL GEODETIC SURVEY kD,VUSTMENT OF 1999 (NAD 83/93). Lu 2. ALL ABOVE GROUND FIXED IMPROVEMENTS, IF ANY, HAVE BEEN LOCATED AND SHOWN HEREON. 3. THE SURVEYOR HAS NO KNOWLEDGE OF UNDERGROUND FOUNDATIONS WHICH MAY OCCUPY LANDS OF OTHERS. 4. UNDERGROUND UTILITIES AND UTILITY SERVICES HAVE NOT BEEN LOCATED ON THIS SURVEY, EXCEPT AS SHOWN. 5. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICE FOR RIGHTS-OF-WAY, 41 Qc EA.SFEMENTS OF RECORD, OWNERSHIP, ABANDONMENTS DEED RESTRICTIONS OR MURPHY ACT DEEDS.- () w 6. FLOOD NOTE: BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS IN ZONE "X", ACCORDING TO Qc 0 IIHE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 12111C 0070 J. EFFECTIVE DATE 4j oc �'�UA THE EXACT DESIGNATION CAN ONLY E DETERMINED BY AN ELEVATION F JRY 16, 2012. B Ti CER.I I FKATE. 7. R-E-FRODUCTIONS OF THIS MAP ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAJSED SEAL OF A FLORIDA LICENSED SURVEYOR & MAPPER. B. kDDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING :-A:RTY DR PARTIES IS PROHIBITED WITHOUT WPIT-Mkl -AR 7F.R