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HomeMy WebLinkAboutBuilding Permit Application ALLAPP NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date-. j ' ` a Number:• Planning cw-i Development Services Building r :1,7ode Regulation Division tt Virginh4venue, • Pierce Phone:(77.t,,462-1553 Fax. (772)462-1578 Commercial Residentia PERMIT A"PLICATION FOR:F To Select fromdropbox, click arrowi of •. a , r .I. '->•ids.'S;rsll.�lu,`�_��:ii? �S'.+ �. 5. r w'�..ru..:;:.�',,_,..�, a_ .,.:ri�J.'�..'vr,,r. cut..s�•V-.�.�rryy y,_L':.-r�x ..:x�...a�, ...c1-.z��_..x1i...s_...... rs�`,x_�o_Ls ! . '"� f?� y,. Address: I Leg I .-sc f►. ' I►� r �,♦•,I,fir �� �.►� r� • ,,. „ . �;� ~'rte +` ,��►�i► _. Site • • • a .� t �l.n<r.rw rw.;r+2 "rs" �ti X' '�.�,:r e`r.na,��^1•rtT<�+}^src�" k�+...d K.4 Z ,x jr k 5� 7 F r r ti � y z.,. �..�� -r•.r .I Project Name i e Setbacks Fi!-int Back: Right Side: I-Eift Side: rt . rryx ddy iYMt. z -Svx6x 'in }a.r '"�a s �Y=W r,,J�..a..w".ilr r Ir�t rr— a t r al f Jf'� =M f?y w�,f, VAC k r ii.�w,r�.5"t:.�Si.,tf.a:,:,�.�s,.,tl, :��cG�.r_`w�'�sp...:5.:.��.`.'x`--.:�MLYt�::�t"ra.�.,?i�LE':.:i:.. � ....:�1:_ %:':.:...ry�i,n �,,'~ ;y��•„*�:;�=:..i .n, t.:,'.'.•�:it;> ,_.r; i • _ . . r.• .Electric Plumbing Sprinklers ' .. Total Sq, Ft of :onstruction: 5 Ft.of First Floor: Co! Iction, ewer Septic Building Height: ;t of Constri utilities: 5 - - t c• ^--4,-,:,•. ,;`s:..;�.- .r%,r• .::y, - 4 ."r a. :s� i 6�rr,x:,I ti' i a`;.Ytt Et.i1.t yyi {t 7t.�_, n+�1'.b. r,+l-.-k•1� ���ix:,.`«�,p;��.7"r+'ys.:4i�war:e•�•s St t s. r } �i r `ir };.'� t l �{,�+ y`i Ljfy[t1 jk;ll[.1,yjL 7 f 7 ;4�ti�- ' � .yr� rr.,r!t, .�'s8'l=YF..-`+r:?���4 !.. t`ti ` (��i.3}' d it t x- 4 r �y ...'°� trF'a n '] {�r•nh'Y tf r L4L ' ► r. r * P. r • .. r • i • V � • •R' � � f J t • • "D2ESIGN�Eft-/EER: Not Applicable MORTGAGE COMPANY- Not Applicable Name: Name: Address: Address: City: State: City: - - - State: Zip- Phone: Zip: Phone: FEE SIMPLE I LE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address:—L-- Address: City: City: Zip: ! Phone: Zip: Phone: I certify that nc work or installation has commenced prior to the issuance of a permit. St.Lucie Count) makes no represent tion that is granting a permit will authorize the permit holder to build the subject structure which is in con ct with applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Pleas consult w th your Home Owners Association and review your deed for any restrictions which may apply. in consideratior of the granting of this requested permit,l do hereby agree that I will,in all respects,perform the work in accordance v th th,e approved plans,the Florida Building Codes and St.Lucie County Amendments. The following b Ilding permit applications are exempt from undergoing a full concurrency review:room additions, accessory stru ores,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TC OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for imp ovemen to your property.A Notice of Commencelent must be recorded and posted on the jobsite be>f a the f{ t inspection. If you ntend to obtain financI ,consult wit lender or an attorney before com encin din r Notice of Commenc ent. signat a of ee Ig a ure o Co ra ce se Hold STAT OF F RIDA STA E OF. ORP*I - ; Coo 0 COU OF X%� The forgoing i trument•was acknowledged before me The forgoing instrument was acknowledged before me this,�day a 20 1LAby this Z. .day of 1 fie, L�e (N of so acknowle ing) (Name of per n acknowled in ) gnature© tary Public-State of Florida} ature of Not Public-State of Florida) Personally Kno n ro' Personally Known Q ;4f m�luced Ident ca Ion , a ° JERALYNN@ RUSSELL Type of Identification P I .y :o'z JERALYNNE RUSSELL Type of Identifi d +�,,ced _ - u e-3tdle of Florida No Public-State of Florida f o�y � p c ,Ez }II 22,2017 Commission No. 7� My C° fres Ju122,2017 Commission N .,,,,,,,.� co miss n#FF 038392 ammission#FF 038392 i Revised 07/ 5/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I COMPLETE INITIALS