Loading...
HomeMy WebLinkAboutBuilding Permit Application 05/31/201',6 10:37 7725974635 INPHI PAGE 01/04 ALL APPUCA,RLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCNE:PYIvD Date: � Permit Number; S- - � �• D SSS. � � l� I RECEIVE® Building Permit Application MAY 3 1 2016 Planning and Development Services Building and Code Regulation Division 2300 ilirgfnldAvenue,Fort Pierce FL 34982 Phone: (T72)462-7.553 Fax:(772)462-1578 Commercial Residential ✓ PERMIT AO,PLICATION FOR. To Select from dropbox, click arrow at the end of line �''''''' `:: o r•;�`'B•y'S' ;1?i?y .2 1, i y��, y' 'iJ n• r '+5�J�44, `�+2",;;rr,2i .K•�:� ._ •.�?'.. .•. •.. ... y1•..' :IiN,• WA1, ,::3,4.. Fn�ii•{':�:;r;,: ;y xs'. ..,�..f•�"'•�� I Address: ?^z l K ")geiif, C"WAr— 4±.Q0q Legal Descript on: Sea a:215 !:r�' A, I q$ ._pem . �-I►-o i Property Tax ID#: _ /� � b 0 0 (�r7(�--_� Lot No. Site Plan NamI: Block No. Project Name: Setbacks Front Back: _ Right Side: Left Side: ''w '°�" ti3+.��n`'•;':a':� ,;:�w;�i' :y,z:: :;�:r';ae��':i�l'St'r:�'+rala.R--Yn`�,•ve„•�,�•�`''r's4,+-f�"!4:tY'Si."�;�"�:�'i::xu{'xt¢�'+ •4'`•=""'`r}::..a+'G�t, ti:%`.,: i g l +�+ w �',y1„ �� i". s,. 5.w tl ntlt:,. r 1, � .Uk ,.:x,b. Y.":.;� ':hs'u. ���.�y,.!r.Fr•�<m,;zl •^L4�4.,..utT�?��i•i�l'•• •,rp.�....y � ���`+•?�'�'�.Jj,� -.,^•�", •f;f. :,5�_�, ;Y n .',r, P: ti 's Q",:: Ii„:'• .'a.J:S '�{�- Zit q; 'r. ;• ;i )f fir^,.;*,r.•, :.�.rw x rn r E• r�r ,tih,i,".. f L4 ta'\G v rJ4 vim;,44\ a+v f r �` ,. •::t'.-'.e'S;;•..?'•`:;rYi��'"1 }1L• "f+Jyy+ ;=,�`+ '� �il� r-,s }� Y-7-'k ',�'�'y:�•Y��.<;:.:�', `' ,y yr.. ,sR` ;_�.�.n';��.+t+-'j � �''�y`:P,',,F',1'�:5,�+iK �" . I.Ryrt�Er�il ,+Zti X ,. �,, :+ Qr f� •;;4�:.�f�''at'r ;Y'tea,::? +,} _f,•r;c�i � :.�.1�. `f.C,'�y�>Fl":."ci.T.rs �r. :,�*P'<'f���9�y�� :'�!:xr 4..; .�3;;' n:I�..A. �. ,� 'i R, rte. '*.'LF .1.75',`'}�''''�i`�`.: E•� �.',!C ..c,rrJ �+- �• � � Additional work tom ore under t is ermit c ec a appy: HVAC LJ Gas Tank as Piping _Shutters Windows/Doors Electric 0 Plumbing Sprinklers ❑Generator ❑Roof Total Sq. Ft of Construction: . Sq. Ft.of First Floor: 00 Cost of Construction:$ . ' OD. Utilities:Osewer0septic Building Height: A� n�'�v i b•: �,. ,.h. •din P...�•,`'y�.y/ - S . .". 'r' i 'K>,^, r"d a. r, d'•;t: :" � rl:Y r.f�7y.r.J F ,.4 Lu�•:ri..If �S�!•r�1��'{ ,,� ;� ��• Nam �r'.'p�•.+.. t ti .. i' .v ..r. .'. C ... v{,�.•A,?JY, =' ,Y+,• 1 .+ , ,.... ' yx-.'i,,.ry,i�:,�F'u,.!�y �..7c c� r. { ,. �"1 vl. ,? 1 ti,.<,.F__._':�'':•. :'i ,.tiy., e ^F.�•:f'9' :9=�.+' �” `�r"\::'.•".r.. ,I,. • l�•P. .p Name Name:� } rho amkeko Address: /i4 74f � .a, �,— Company: . _.L •+u City: }- U r, State: ),.. Address: 1530© 4 wI Lr M Yr44& Zp Code: :31 Lj 4-7 Fax: city:��Alaa�uW Q Stater Phone No..___. .`7 —aZls_0 �.._b`T b_ . ._._..__.... _ Zip Code: . 73t4cJ5 1,_ ---.-.-- Fax: E-Mail: Phone No. `1-1a -- !9I --�a.!i!7 3 Fill in fee simpie Title Holder on next page(if different E-Mail: from the Owner listed above) State or county License: if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 05/31/2016 10:37 7725974635 INPHI PAGE 03f04 1 >a '.t.' c S.. } ;t.- •t ::w •� #}.a� s{'•L.�q.t., Ye '4•`p 'r 1, .. w• 4 M, o c>. i s E ti. f .r DESIGNER ENGINEER" / Not Applicable MORTGAGE COMPANY: _Not Applicable Name' Name: Address: i Address: City: State: City: �' State: Zip: I Zip:r-- Phone: i FEE SIMPLE TITTLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: I Name: Address: I Address- City: I city: Zip: 1 Phone: Zip: Phone: I certify that rib 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 some 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 1 will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The flowing fuilding 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 tender or an attorney before commencinii work owecording vour Notice of Commencement. I Signature of'Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORI COUNTY OF. .�J xw COUNTY OF %1"/"r'i The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this c day of , 2p f by this�,?7 day of .moi X .20 /4o by (Name of person acknowledging) ine of person acknowledging) 0( ature of Notary Public State of Florida} (S' n ure of Notary Public-State of Florida) Fersonaliy Known 0"" OR Produced Identification Personally Known w�+pR Produced identification "type of Identification Produced Type of Identification Produced Commission No.&P Sal J0MELIitJUGK ommission No, t g7f3 ( f Y S�tONi i'F 147955 n `I Si4N 1470 EXP .,Avowal,2018 EXPIRES:AU90 31.2018 I 9pnQadlMn6i�tPob1J¢ilnd Revised 07115/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE GATE' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS