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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue,Fort Pierce FL 34981 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: Address: 51bla PWM PI. Legal Description: 1.-1i"ON't, 5511)-jIIL,A WPM Property Tax ID M M10-50 -0044-OOO-2 Lot No. 3 _ Site Plan Name: � Block No. A _ Project Name: cah� +f ns Setbacks Front Back: Right Side: Left Side: rnC}r l l like Ee/ Ike r"agz door Additional work to be perrormed under this permit–check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ _1�1 15.00 Utilities: Sewer —Septic Building Height: Name rr4hs Name:_ ' mE _ 7 LL.tjQ Address: 5xjag Tfnichpl, Company: } city: FoV+'Di//f1�'`rr,c,��e Stater Address: 1108 7omaha�lr Di Zip Code: �J2{yp,� Fax:_ 11-4 let City: I digin I1.,bw ee.ch State: FI Phone No. 0401) Lras–m. ?ci Zip Code: 37937 Fax: 341-777- W34 E-Mail: WIA Phone No. 772 3.37-4470 Fill in fee simple Title Holder on next page(if different E-Mail: Wn ss' aun Ako>.c-a,.n _ from the Owner listed above - i l 1 State or County License: If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LJEIV CA1Gi�N�t�tA7t, fQ�t: 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: _Not 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 recorded and posted on the jobsite before the first inspection.If you intend to obtain financing,consult with lender or an attorney before commencingtWprk or recording our Notice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORtpA STATE OF FLORIDA COUNTY OF C7�yard COUNTY OF ! 1VtyaI The for ping instrurqeIras acknowledged before me The forgoing instrument was acknowledged before me this day of 20 LQby this$day of 20 _k by Shaunr�a Lith (Na f,per o dging) (Name ofperso acknowledging) (S u u c-State of Florida I { t r u ic-State of Florida P o OR Produced Identification Pers OR Produced Identification Type f I tifica' Produced Type o i Produced ,,'' ` BROOKE SZJG I .''I �c Commission No.r�LF 1Q�J J Y` a MY rAMMISSIC:V�F 2 m ion No.FF'2W(y% "` S"'MYCOkvlil$¢ M ra EXPIRES:June252pt9 Y 90 ded Thu rimy Peds dr. rs EXaIRE629i 2Ct — ixk Re«sed 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS O O J O O J V V V r I V. rl + W W V C X w+ e � o a w p�ppp 33 m n �O_o� Q y oy. m» w a -+C�i 0A qa N � w�ON W To r n,3� y of it Vl?. Z tn� 0 CL 'u m Ny,� 3xm t A m rop s '� O N • %" 3 r 7 b w 3 O • A Q V 8y 4 Q • V 3 • [o C 4z s3 Y z o�'Nx + A 1 S^1n1: n �mx{ p 3 o K Q Cn c m E m R O N o W N O D O O O O VVVA O O O d O O 4 O O O O a O � fR (H Q W mm� N m k 0 0 0 0 m© 0u e Z 2 Z Z Z 2 2 Z Z 2 2 z z a w > 00.0 mmO _ co 4 ro oo n % ° n o c ' OQ 8-- g18�.@ 1.1 am 3�3 a ro vm pk o�� wuffig g ES$ adv MR OF 3 6i mmK3 a m g a