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HomeMy WebLinkAboutBuilding Permit Application I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'�-r�1 C� Permit Number: 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 VVV PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -PR' P'OSED,'iM'ROVEMENT�LOCATION - Address: 331 T WO Pt&JTfiLe6A-b, FAVVZeJ7V. Legal Description: W)D[7 Upff ews_ /5 �,4 1 3z 6P, 333 -o 'f� )ID Property Tax ID#: 21q3�_ O —U L)3L/- 060—Ll Lot No. .30 Site Plan Name: hbM� I I rMR/AJ�-I.'D,�)Lr /2LL J � Block No. Project Name: 90827-Y90827-YKff4//U ![.1C�(29-U© ! I Setbacks Front Back: Right Side: Left Side' DETAILED DESCRIPTION.OF 9191 FoW, p6W Sbap fi V-1 iw C� cre4C GSC vPcJ�e a �Dr�9C, o� Dov ,tY�.tt are-c- a6bb PS It St vu 4t Le y&gt � Jet Fei a6r� � Md iu V►^i� Cos�C(de toi9 Q l P / P6ec�-e- sc-C CHS ou4l�� 2 S-P�C!*1C L��al e� �J�� C'ou�1 pL 7i✓.T�IZ�1lT�"112P�1/!� l CO'NSTRUCTIO'NINFORMATION �L113VT) Iv� S"Cf�tTOW ,3r Additional work to be nprtormed under this permit-c ec all appy: HVAC Gas Tank ❑Gas Piping _Shutters L Windows/Doors 0 Electric Plu:1,Z [IS rinklers E]Generator EIRoof Total Sq. Ft of Construction: 0 E F le �yC S . Ft.of First Floor: Cost of Construction:$ l�Pr 0oo. OJ Utilities Sewer Septic j;Building Height: 01NNER/LESSE.E- ' CO.NTRACTOR �; � Name , vi3E/Z_ A)_Jb fit« Name: SEE&?- Address:,3 Pee_lmFT4L(w7 Company: CQ(1 i Ce. Al INC. City:P&M C1731 State: 7Z Address:7544 �0 JA(([ T__ 4j2((/E Zip Code: C Fax: City:S_U_UAR 1 I Stater Phone No.77 �. Zip Code: 3YY q-1? Fax:772,40(20-7677 E-Maide FS/ a 0 AYq, Phone No. -1 3 Fill in fee simple Title Holder on next page(if different E-Mail: SU(^M UM /'1 d/ , Z'61114 FeeSiu'f(Q from the Owner listed above State or County License:6�2I5113' I If value 0 st c * is$ 0 o more,a RECORDED Notice of Commencement is required. i t SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION DESIGNER/ENGINEER: of 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: of Applicable Name: 48 L/t r2(IU !' (I I8CC b Name: Add re s: KLW 1128PLI,M `C (L 120�i Address: City: EA pdV) C1Ti/,h-- City: zip:31-(��f ()Phone:_77A—,R1LI-251cco Zip: Phone: I 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 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,l do hereby agree that I will,iniall 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 commeneft w &wp&or reQ6rd)ngyour Notice of Commencement. Signature of Owner/Lessee/Agent Sig ature of Contract; JLicense Holder STATE OF FLORIDA STATE OF FLORIDA o COUNTY OF M A-!Z77AJ COUNTY OF 7116i C-41 J( 75 �it ooh orgoing instrument was acknowledged before me The forgoing instrument was acknowledged before o y i ay of d 20 �13y this day of �)U U ,20 1 by P,E A 3 z �y i-3ElZI�j2S12LL 0 6t i,& In ti-- 2', ear a e of person acknowledging) (Name of per o acknowledgin ) Mnatur6of Notary Pu State of loriiida) (Signature o ary Public-State of Florida) Personals Known 7011 Produced identification Personally Known OR Produced Identification Y Type of Identification(Produced FL D Y&VS U1 czu T� Type of Identification Produced YP Commission NoT f C) U7,9\ (Seal) Commission No. FP1 (Seal) i Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i