HomeMy WebLinkAboutBuilding Permit Application ALL APP C X11LE INFO MUST BE COMPLETED FOR APPLICATION TOBE ACCEPTED
U "Date: •• t
w.. ,.F',"gyp r:"•>:�`rih
Building,Permit
f 1. u• A t p fi '
j • . AUG
Planning an" PevelopmenrServlce5
PERNITTING
Building and��,ode Regulation Division
23
if • r ♦ r" County,Lucie
46
* Commerciali "
�'PLICATIONFOR: To Select from.dropbox, click arrow.at the end of line RC/
r r . +rr', �X �rR:3;> ?5,. "�:9zr•-. „xµ:..:.r.`[µF^Yi�at r. r 1�f G,:�,�f"{='�';tf'r:'��qq7.rw.::,�,,3.^•s;`"�3'td+''7,..'.f�ti r:}T�EJ,?q7�f.;.•:d,�,{ry";/'v£'SSi. ,'�E.i"e.td]n�.udp"4�'Pa'u�/�Q'RF'tfit,,',:3,.1�.\.L`yt)'-.%Sj nE.v:�'�1"'ytr'it2te_•S`_/.p..`s:-'i.°'�,-`n,"�,k•.`4..i.�Evv:-r��"�Y"!;'Lf$:`34',`"'�.i'/�'.�^Y..i..^4:naa,.'-:'zLV::r.�.:.,��°v..L•y..f-'.z?y;iss�tr+f.i"+..:'.�,,4r.•n.=
.:;r,.;';L,sA..."•.Jfi:•..__3.i4.Z��1:_r.'ti:.:3.i�.•S_V.�,'y2�.•..�-4�Yp•.i1,�1:_?.'.3-kt.imr�r��,f.ii'�'t.
� �.
ut" ' 9 �tF
ZIP
•rS, S.r
Address: 7
L�tDescrl
rf
Property Tax Lot No.
site Plan Na
Block t
Project Name
Setbacks nt Back- ,.
�;k'�•(:rr'3 sv'" c' 'x.".=.r`SC�fr�.c^'e ,�.5`i.�(`; z 'r t 3".;r:F �'.�,ar�.liti:' .ni;- - .::/.rga•5 �•N: •utr.
'1• ;^,;y `�filr. r 1, ,R! •..•'�?` �'�:t. y
?,U�.G"z 3rha 1'pY ': c, {,u�rvL •µYj�1,.r }E�i.l'=`.'Ya�..a .sg:..,.4,".may rpt_ r1 ` S n^,�yt ,?!'+, a
�(,rc�;l���f(�t.r��„i{�+,y•„Ei7,��u`,:.d ;f€��„I. ��=�; r�i z�,`'�',•'' r{ i` s ��5'''',
�'rn,,.y..'Sf:{+,r...�. .�. :,5 .!4•,`1L',Ft ft., t�,n.�_ ?„'fir_`;� � i��ai'- :y': ;. ': .? �
«''...,�'"v+.+,r•:'�.,*.'=l"t�"n.f y:-!-.,. r•,. ',�:3''^?.,..,�:yY``rk.l�, i..�•` :rvin •.I'h'�rf.f, ,:4'.i:t:5' ;F�?'� t ., ..
.�.r{,�riG.+.:•st.Id..�uSa.i}���S.r.L.S+.'.L'La:,-d11..✓__bi�I�:..,d{.,J'..:.ti:.::w±L::�.. a ..-„ n: ...�. r..__::�Jnrc+.9` 'S
.Ak�'�,,yifi'W,ta.,�tti1 c�+'t�''f7°c?.-,'",,xti<Y -g'r{Rr'F r9 °'rn.; <jl c r(,S .r j �c r r c l -c^ - „r.rr='�, ,:3•.t '�.' t -
�' .�,"1'e;!''� ,a` ;G.�$'.,.tr,�`',Y�'�,�-j y.np, .�', •d, �'�"t:'�t�.r;.ia's��'r.�i,t�.•�;c-,,.: y ; 'IIx }�_. ��� �.aS. :•e1�4�..1�; .i rS ����ti�: }.,T.
ca�7i+ r V, Y'.•9��9}�,'w:,'E. jtf,'J'A>Y 4d i1P ' - '.:1.i7' 7.•-.-f :.:."s'�;i'.,.5 ru.: _:�S>^:1':1•' .:r:S.C:•{.n:.S..t,,h: f ,1�f� 'tq fr.
re:r°�:eC`l,: .?•: ,:'u?�^',n.i�''" :t
} �]y�.r!`.::•`1.''r`i'a. '•:/.{i.[,Q � ��..r.n �,p�.�t •9'!'.yi i^- ..��': 'Af•J.d�: 'f.,`' r�4.•. ':zei i':l':i/.:: i' ':.£`.,:4.i' ,(,o�Fti• -fi- L.�,n
; ":C`S'13.:4�W,.JrJL9 Y..LKf llt.� C�:v�,.,.__ .:::4'�N4.•'�':G.��.."4 ..,r:�S.s L..-S:. ��-fz t':.�:Vt.����tt .K.=�"v .,� , X
Ir•"•�l'UY31LE Y111
heCk all�JtT-I�F app
Shutters WindowslDoors'
Total S, of l instruction: t , Ft. Y First Floor:
Cost of ConstrIlction-$ it O'Sewer r Septic Building
-.l:-"1tyy^S:.Y:,.�.=� tt',.Y.,.r'+��,"j.47 q"1.r-F.r�s�P�'I1^:s)^-'7•a�.r.;j''"4;nw.'}yr+rr i:*;>��,:^Y{1 y•'" zcr ,JT�.�f6t,a:4..•.fti_r r/!:�,.'.1C';'r.�-f.p.:t�,�"��„riY;”r.�.r1'rt,,.!b u.Y"/:•f}tJi t�-��.: /'.-Ltr:..r. ,.�7rE�E�Vr„M1:'�X:�„",":7Cs»t1�lti�ait�°'!�4"•.�%�e:'.':+rf?:i'v"xS�7w+'''r�l-�'�Si^�-afTJ•'d�'°�.
:
Y' .E..Ir.n :[.,4 r1..`4t1;-+r„l$i•.tr., _;y„• ,�7' ..LZ:i,:7.:•: r?fi:., t+i'`i:4' <,�i:-: ../s• `-'�.•• c4 7��r4�e._G..rmY r. y.0
N`u..:�i�;e7fyleti'�,�'„•^:z,::;".::ec<ti�rY.Sh, v:r r..,,,.rxt ot:l.S:_•a", lrrri`•:`:i3�t�:•?:;&'. .,c��l�:�Y:�.t e�'^ r, :.�"�1.�.�rS�'':+:tS„=%h y 5,�:::•'):'x. i.-Y,•:;.- T.'. ey�'�'`' y*.t�e
City, 1�111�E�11�Y a ,r l.M
Zip rr
Phone No,
' ! ,
�`
DESIGNER E GINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:, City; state:
Zip: Phone: Zip: Phone:
FEE SIMPLE ITLiw HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone, Zip: Phone:
I certify that n work or installation has commenced prior to the issuance of a permit.
St.Lucie Count •,makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in con ct with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Pleas consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideratio of the granting of this requested permit,I do hereby agree that t will,in all respects,perform the work
In accordance th the approved pians,the Florida Building Codes and St.Lucie County Amendments,
The following b aiding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory stru res,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use:
WARNING T OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
imp ovemen to your property.A Notice of Commenct must be recorded and posted on the jobsite
be e the fi t inspection. if you 'intend to obtain finare en,consult wit lender or an attorney before
clam encin rdin r Notice of C9mmenceinent.
01 AA
Signat re of $see Sig ure OA, tra ce se Hold
STAT' OF-F RID COU STATE OLOFORIDA
COU O --
The for oing in'tr rnent wa yknowlezged�eFore me this The f day
ent s a�edged beforevme
ccYY"" 4D6, y 2Q
this day b. l— Y
(Nameperso acknowledging (Name of oerson acknowledging)
gnature of ry Public-state of Florida)
ature of Not Public-State o Florida)
Personal no _ Personally Kno n _
- tsced JERA1ynt,c a„
Type Of id iv � oduc�i ALYNNF Z�tGec,, Type of identifi ti �. vL4t
Notary Public-}tate Q Florida
Notary Poalle-state 0(Fiorida �.ExptrAa�i 2.2017
�ires di TP !) Commission N e� CommissiaA FF 0g8$g2
Com misst 2017
amollssl4n y#FF 0$8392
Revised 07i ;5/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS