HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09112/2016 Permit Number:
Building Permit Application
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Planning r r Development �l
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Building r t Code Regulation Division "
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie COUnty, FL
• + z r Commercial Residential
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Address: 102 NE Jardain Road
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Description: River Park-Unit 9-Part B Blk 77 • i i (Or 895/2709)
• •• 3419-565-0040-000-3 • •
Site •lan Name: Block No.
Project Name: Scherer
Setbacks • • Side:
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Cost of • a 2400,00 Utilities: SewerFleptic BuildingSewer.-p
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of or • RECORDED• s • •.
09/14/2016 13:59 1 ELITE ELECTRIC INC PAGE 02
11111101 ',11''
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DESIGNER/ENGINEER; x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address Address'
City: State: City, State:
Zip: Phone:- Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip' Phone: Zip: Phone:
1 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 Horne Owners Association ruses,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 a 3d''posted on the jobsite
before the first inspection. If you intend to obtain financing, consult lendWbir an attorney before
commencing wor r cordin our Notice of Commencement.
Z-1 V_
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Signature of Owna ee/Contr or as Agent for Owner Signature o ontr or/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINTLUCIE
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this taZ'day of��—' 20 .l�by this 12TH day of SEPTEMBER 20 `lam by
JOHN A.PANKRAZ JOHN.A PANKRAZ
(Name of person acknowledging) (Name of person acknowledging)
vet., `-
(Signature of NotaWy Public-State of Flor` a) (Signature of Nobfiry Public-State of Flo Ida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced-
Commission
ice,,
Commission No. GG 20372 `0 P mmission No. GO 20972 4 ''6�R1tSc�1 I Q�
� NCY LEE LANG
#W20 MY caMWSSION s 0020972
MY COMMISSION N t�(i243 EXPMtgq;Octoba I2,2020
Fle][RES:Octobar 12.ion
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS