No preview available
HomeMy WebLinkAboutBuilding Permit Application All APPLICA LE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1, Permit Number:–� �_0 4 RECELa �* AUG 17 2016 Building Permit Application Planning and Development Services St. LL-,-,' - Building u:'' .Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: 1`4aNNON Legal Description: Property Tax ID#: i 3b fit 1300 ISD© a Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: WALK 6411, Additional work to be pertormed under this permit–check all that appy: —Mechanical _Gas Tank _ Gas Piping —Shutters ,Windows/Doors Electric !Plumbing u Sprinklers —Generator _Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$sz l4a[),,,� Utilities: ^Sewer i Septic Building Height: Name f ftaulw �� � Name: Address•, S48� _ Company: At aNe-- city: R P-Te9ce /, State:�� Address: Zip Code:,BT_q53 Fax: City: `� ��} � Stater Phone No.'_ PP,9► 1 05RD Zip Code: 3LR�'3 Fax: E-Mail: Phone No –772201 C04 d� Fill in fee simple Title Holder on next page{if different E-Mail Km6lwoo " .. G ��L , Ct7Y1n from the Owner listed above) State or County License if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: M No I 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: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencing work or recording our Notice of Commencement. VIAA—, Sig ature of Owner/Lessee/Contractor as Agent for Owner Signa ure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF ���_ The fo oing instr ent was acknowledged before me The for oing ins ment was acknowledg d before me this a day of 20 by this �� day of 20�p by K,�� ftaAAsi, (Name of person acknowledging) (Name of person acknowledging) (SiWtuk of Notary Public-S e of Florida) (Signature of Notary Public-State Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of IdentificationType of Identification publ Produced `" nate or ti0` ' Produced ic 20lb ao m,Expires De 177249 LASHAHNA INGRAM MY #FF .•`•a��p�e'.,, tate of Florida. Commission No. = + ssion olary Ass • ommission No. .-'�P �,. Notary P(Jaj hNationalN ;_# *, My Comm.Expr es Dec 20,2018 Bonded throo4 Fes•.• * . mission#FF 17724 ''„n w• :N. oc Com Assn. r o,•• Bonded t rou REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI E MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. gNAL ENNATIC p E?ttt�t,i v [ rwr =�t 1`01-tPfi rc4l,FE_ .. � Buyer: Matthew 7 EnEer, 513C,Easf Port,.)fino l�rd-;:. 3494-7 efter� u= d e a k Patt n, -s:u.= e t, o aeHSFarpoBan6 at _,sic .c_FC�r:a2 Lender; c'- dlc'i 8'sign Settlement Date- 0 ',/2016 Disbursemen U-ra° (� 9!2016 4dditianai d4tes per state requirements: €z?r Debit�' FlnRflttal.�•_ .....��_______.__ - _ _ _ _— --------- S115 gni uc)aS !e Price of Property __--- j Loan Amount .- ---- ------— Prorations/Adjustments _ J, City Property Taxes from 0110112016 thro0j29/42016 Loan Charges to USAA Federal Savings Bank and/or the Secretary of Veterans Affairs,its successors and/or i asr:;gns Loalf C ngin i.lur,toi: – Prepaid Interest(510.25 per day from Q7F29;20116 to t>her,�aa ,mal m