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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j �J Date: (7— 0 l� Permit Number: / © I' / J1 I Building Permit Application RECEIVED Planning and Development Services JUN /8, 2016 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ti 1 Phone:(772)i 462-1553 Fax: (772)462-1578 Commercial Residential \� PERMIT AiPLICATION FOR: To Select from dropbox, click arrow at the end of line r1 �da11.1.ttt .6q1!" S S.Y:a,Ffi 'e�^z r•t t?a'F-,a,., +'r`,� '.°}E r'f'+�.t',x. c. y } y 'n � '..3 L>�, �, �..J.f•�., �P oe' `OCf��I O Nt �,if3 ( t i Y � p/ f•^6,01, t v?*'4•� s.S S..i,..51 - ntl tS JC • I ,rf.�f .f r..is+>, ...d,. Address: 5307 Pan. �)ri -e_ Legal Description: _-YA-,,,J .ver Ncc� k IMA- �AS L4A­ 4 Property Tax IID#: 3�Da�� -034S_®00_� Lot No. 43 Site Plan Na le: Block No. 4 n1 Project Name Setbacks Font Back: Right Side: Left Side: 'r` - -`$ X a Y .,:.�: t., ° r ��2J'a'�Yt q�'4 s�'`?`�F�•�.�.;i'��( *J`, xeK ��.�t ,� r'£`-k,�K `�h�4�i rs�,�,vt r�G.�'�.�e r y�_�r t Y s'7'�,r�M'�:.`. ',:.3,r✓ � � 'i; �: x y:.r� '; ,fit; � f r�fi ip�wid Mfr r� >V ,u { � r �y �kip, ti` v ��.t,74 a � � Z f�;6rci,r"cs� �'r a.-�-�* b+ h. .,r�_.,4 `':SR�«a,:d'F.,�. s.-.s...�. -.'. _ ,_i`-... .J..�.,s.15„r fk;-,..._ `a'4`.0 i?r..�.,A.., {.aJN+x..,-t�`��.«.tic,�'k;.�:.4ar-"4.�+��Y'�.,..�`w xr �. '�'r:>t,r`t:Fv _Y, ,�.....+idx�'^s_ �.F.sr..• pN\c cw"ter o A hrv.avn,r'„a�N:ti.:e„� ,.,,+�:xa4�q} �c: �r t- �"„rS,.:.. �!�'} e-.;;f. y `�lhf-..`'•7 :.:.�y��,vY;...� ?d<.:'x �yrk•,y--=`,^gt„n,r r{cr✓-� a.-'� .tA'`i`k S” 35�'Yfv3 Lr a,��N,��?}}.r: (•d f ��, Y � 4 "ry" v � t �' i -.r'� t ,I �.w$'i4t., cz� Miv S�-, F'v4 ''<.�'N�a�'�' 1 S�•,z"1 aM; �'1i1w< 1 a..-4.i�'L4'+c*,Iti€i ^..`� �....�� �e Zp+y;>s; ,t. �' r� t �I.�+'•N�r�N ,�;z�i � .;.T � � �xv.�. ," t✓1 ��rrtr �"::�.,.a ti� c.,<.t.ti�� '?Y'3•,r Y",.c.gy<fa�"�,���,"r`�'"rP� � ��+h_�- s c. 7a i^5-.�.,�,, - ,Sn - gqAdditional work to be nertormed under tis permit-c�ec'Sa appy: VAC Gas Tank ❑Gas Piping _En Shutters a Windows/Doors Electri PlumbingSprinklers []Generator Roof Total Sq. Ft �f Construction: S S . Ft.of First Floor: Cost of Construction:$ Utilities: Fe t,c Building Height: ^ -'v • v'. 0,4x::u.S' ?a ,�-!1,�[ c7.�1xs:,ra°rfr x,�f,;'r".a�'r:..1.-,i:.f,;�,�e�-.:�-:'�^�^.s�s"t��`j°' •:.,;tX�5'"�.�,,��. �t^S,.'.....1hs�."'..'°�f�'4�j.:�,:'S.y2r:t't- daa�.'Y�.q;.y�.i,.�3c�,�3t-,fie n:d,Y--s::,-,�'.r<,�; ,drs'.7�v,e�.nW�4..",k.xv_.",.,.��...�+Y..,"1.'r'o-�.'�_"'�w"�`...`5Yy'f''.r#k r�E' •t`t •�r. �w,"C -& "t(MORr�E'. Name fr\,L�, " . knc-`tXo IJ Name: Address:5-307 f6A'.' Or Company: pcmer�ca� �'.� Crpre� City: re A P i z-c, State: I Address: 54 5" N W Ma rro,A\X, 0 *4I 7 Zip Code: Fax: City: Fot-� ,�- LWC, State:--f--L No. i-7 7a - 466 1G `(6� Zip Code3R%1 Fax: E-Mail: Phone No. 774-'374 -00a3 Fill in fee simple Title Holder on next page(if different E-Mail: esti c rm r C1ctf, 0 I from the Owner listed above) State or County License: C.P+c-o 5:7 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i ,. y � i>i .4:�9 r„,,;.n,.�;.niti;.:.� �✓�Y.Y.r�.r�,ya.,Y"pP 7'L rt�,�sa:' �,'E"j%",�� '�'a�Ay.'.�sr *l rt,. �+,c Fc���#`E+-- c .._ ���, �f�M�.�yx'^.5.�,c-:r•m ��;:a" .{h�'. Nva°}` 1� i,hm'¢•',ik ,,,,��'1',� Y, ,n ar fn ' r u:l',1';+' i? `7ta.�' _`; 4 �l,f r' � Ji �po�,R'v�r t'.�<£ f, ,"5�,'�ca.,�-a.�```��kk...'M.c.tiivl�'fit+i'r..a.s,�z,3..a2a:d a..;zx..,�.�:`���' *�., ,.„._Cc;k.,w.Y,$"x::}' ,'U.,.s`rr,,.� ra.r,,,���t. ...>x ,....,.tr,. ..:�'e.:9}�i^Y1.i.:%rd,-.Xf•{F�.a,�. �. ..e�r.�:S>x�.t, ,y .a&a,. .,.:� DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: � Name: Address: � Address: City: State: City: State: Zip: Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: I Name: Address: 1 Address: City: I City: Zip: I Phone: Zip: Phone: I 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.confl•ct 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 respells,perform the work in accordance w'th 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 improve nts to your property.A Notice of Commencement must be recorded and posted on the jobsite before f•r'st i pection. If you intend to obtain financing, coils ith lender or an attorney before Cork or recording our Notice of Commeno s _Sig ture ofwner/Lessee/Agent y Signat a of Contractor/License Holder ' STATE OF FLORIDA STATE OF FLORIDA e COUNTY OF I LLQ` COUNTY OF / g � 3 =LL �zmm The fo oing ins m nt was acknowled ed befor The forgoing ins u ent was a knowledged before me =Z this dayo�F 9. o 20/-Lby nlci 'W ? thiss�ldayo 20ZL by mew�c - QO �h r c � >_ 9 (Name of persona knowledging) ?r.` `° (Name of person a knowledging) (Signature of NoVy 1561ic-State of FloridV) U (Signature of Vry Public-State of Flori a) "' Personally KnoYvn OR PrQ ed Id ntification Personally Known OR auced 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 I