HomeMy WebLinkAboutBuilding Permit ApplicationLegal Description:
L_r' W i(_0
� e_!s
{�
l 1r � # 1A L
V L_C' �- 15
Property Tax ID #: ( 131 r -j Lo
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
A I & Jo L'4 Ke- Ptw L� K e -
G00AAY_\0JY-%
Imultigmi work o [TasTank
Orme un er t is permit- check a appy:
HVAC ❑Gas Piping Shutters Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $
Sq Ft. of First Floor: _
Utilities: —Sewer OSeptic
N a me `IX Q1 iQ, I IW' t. e_tF
Address: tt rN hemv )
t'�
City: • , ewc' , State: .
Zip Code: 3 `A ;L Fax:
Phone No..7 _1 - ..1-( L22,347
E -Mail: N t A -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: tom✓
Company: 0at J i r
Address: 5 ,ace -V10 t
City; q. p i ,9A(& 4 -_ State:
Zip Code: 3yq Y 7__. Fax:
Phone No. 3-7'7
E-Mail:'fi-�h [y -cofn
State or County License: C
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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: _Nat 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 recordpd and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with der or an attorney before
commencing w or recg_p,&ng your Notice of Commencement.
er/ Lessee/Agent
SOF FLOR i
NTY OF
The fob going instr ment as acknowledgg d be ore me
this da of ; y
(Name of person acknowledging }
(Sign u blNotary PqbucA) ,V of
Personally
CSKnown
f'! L< OR Prrodui
Type of Identification Produced
Commission fro. FEL
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
,iaa�i2,20�9
tractor/License Holder
STATE OF FLORIDI , i
COUNTY OF lel-tc
The forgoing instru nt wa acknowledged before me
this �ay of I 20 1 Lo by
(Name of person acknowledg ng )
(SigVA r I IlAau FRUA(� to of I
Personally Known �% OR Prodi.'$
Type of Identification Produced
Commissiioonn No.11 PIS- 3 337
Mill
ca Qet�ry ?�,o .oma s
:mak ,°9N:
identiflt"n :*
#FF 195337
STPJ
SUPERVISORPLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW