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HomeMy WebLinkAboutBuilding Permit Application 10/04/2016 11 :41AM FAX 7726217882 ALL CITY PLUMBING Two IR0001/0003 ALL APPLICAB E IN MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTEDj, r' Date: Permit Number. \D i©�'4��;, ;� t~'`!i.til t; i t;1,di •:i ':fi",.,,,6. :T t!I�j�.i•. �I1 FIh'1 — f1 rrte, I' .a i RE :� • :;;: � �;�:rpt• it'! c:,,:e Building: Permit Application :! : !!<4 !.,'':, ! t:. V. Planningand Development Services Building and Code Regulation division I I;I '` !J' 'i'til� ii• i't �.�I {�;��• ,,I,�,:t,,-1 ; •tilI;. 2,300 Virginia Avenue,Fort Pierce FL 34982 nPhone:(772)462-1553 Fax: -157$ ;Com(772)462 ercial ResIdea;l° ' :,•� t,;t ,, II Nil PERMIT APPLICATIONFOV T r. J,,lix fi+ify� til To Select from'dropbox, click arrow at the end ofline. PRP,.OSED;IMPR01/EMEIT:LO: ATI P. Address: Legal Description: JI i'' S lie• ;'I � PropertyTaxlD#:T 1Z3 �� � 1, 010/ 1^000 �• .t;Lo; �rQ ;::i:.;;s�: .1,.:;(.} ..1�:� i?1,' fJ.:ll. it li:l.b l • i ;, li:;7 y.r l.•A�};j,._it.,•�l i,l;:4:�": l`{i�i Site Pian Name: ik', �•a ' "'•a.::'�!.;;rt Blo, IV 1.firli '.:'`... Project Name: ; .:;;,u; Setbacks Front Back: Right Side: Left Side: i �'It,+;:'`"t(`� •�°;; ,l~ � i l~':i ~DETAI.LED..:DSCRIP.T.10►V'( F:rjVQftIC;<:; J � ;,;`��,I`:�.�`'3:•'il:'•r.:,'.'i: rrdl�'•`� Ins-�u1Il� a;�. I b 'I,:' CONSTR l311TIQN°INFORM.... d �:J11:1 t� Additional wor o rtormed underthispermit-C eC all appy:LJ HVAC Gas Tank Gas Piping _Shutters Windows/DoprPQI � Electric Plumbing [:]Sprinklers Generator R !.; ' 1' Q '14 oof �. v f t'JT 1 Total Sq. Ft of Construction: S .Ft.of First Floor: i ! il;': ;: t'e{s'fiA?•t;': d?.;!;i,r,ll� 'ii+) ; cos f 'Od : ,;. . ::< 't` tt„ .a;;.,l' '' ,,i,. Cost o Construction:$ Utilities: Sewer nSe tic Builtil.Cf HightI� !,, .OWNER` LESSEt 1 ::,.: :,;; :.:I . .. °� ;:! •+ .;,.;: `'CONTRA. Name Name: ! Addresses �7• L Compan !!.;r,;! :'::.;,!:;�' tl:i' City:�6 inviS(f 61 11 1 StateM Ad s: !r .o-l`,;.' `t':'•.• ; c".,;,. CitY:Zi Code: Fax: r • . State,,�.� �•'}`��% ;�<°, Phone No. -7 Zip Code: 00 Fax;' ;r%E". t l'•Tiy E-Mail: Phone No. 71791 ­510 4.ir•,it',:'•.c_f::J.{.I': }4 j Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or'County License: F :',.' '. :�':::a':! If value of construction is$2500 or more a RECORDED Notice of Commencement is required. A. '� .�'.'5$;igrjj:.;:s:P:;:��l�I?i;at��(1I'��-}p�IYI�• 10/04/2016 11 :41AM FAX 7726217882 ALL CITY PLUMBING Two 0002/0003 Op'PLENI.ENT�►L DNSTR:IlCT IV LIEN L' 111V:1 FORMA. �•:: '�^ ,� ��. I'`i ;;,",! ••r„v s;t't'F' .xi.�� . DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY' Name; � Name: .'i:',;ar+,:'': •;,11'. i' i+j Address: Address: City: State: City: Zip: Phone: Zi Phone: i' ;ZIt41 .' NG COMPANY: ``.,.. ;� . FEE SIMPLE TITLE HOLDER: Not Applicable BONDING p Name: Name: ;. . Address: Address: � i. i ;,� ,!4�;a':••'�'-,i; �-; ',i�:!. City: City: Zip: Phone: zip: Phone: ' .. '.;,.!. ;�i.;;�,;?�>•��%.s�l;:';,I ,+,'�1( 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'b4i!I the•subJe,. which is in conflict with any applicable Home owners Association rules,bylaws or and covenants that.marestrlct or•,p ''Fr,''I ` , i` ! structure.Please consult with your Home Owners Association and review our deed for an restrictions.;whicti Y Y In consideration of the granting of this requested permit, do hereby agree that I will,in all respects,perform: he;worle; :".f., in accordance with the approved plans,the Florida Building Codes and St.I,ucie'County Amendments.• '� • • .;� , .,,J•i.'df:i!.:i�l.:°,•� ;,, ,�•.i;,y • +,q,:+ The following building permit applications are exempt from undergoing a full concurrency review:'toam add tlbris; accessary structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anofh,er,'non'7r'. 41 i�•;:'' 1• WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in,VdUu °N�:yirig;tyiii�i Improvements to your property.A Notice of Commencement must be recorded and pdsl_eii: before the first inspection. If you:intend to obtain financing,consult with lender or an'ai;tbr;;ey: commencin work or recordin our'Notice of.Commencement. ' Iyy` Si a e of Owner/!_essee,! ontractor as Agent for Ownej Signa a Contractor/Licens der, 1IT�. STATE FFLORIDA i. 0 FLO STATE OF Jr r,i'. 1� _ COUNTY OF �C.' ii,. :,..; ,•1..,1;;.�: �'::: COUNTY OF Y � The"roing instru nt as acknowledgeld+rabefore me The f r ing instrum nt as acknawledgcd before:;rYje� !• t ;"Fes- T.,11'a of 20 by �i y v this a of 20. b (Name of person acknowle ging) ' (Name of person acknowledging) II I yli.: L'.jtl.il i 1!i'11'j r I, • .J;. _i i; f• .,�1•��:'ti�jay,'1: Fi Ei :4;i iO4 1144[A ;E;:•:, (Sig ure of Notary Pu li State of Florida') I (Sign re of Notary Publ - tate Of;f16rida;,)�• 'i:':'s:iE;r� ;•1;l';' 1;; "I' � ,i.,J':'f.ir;::�i'"•moi".,(,r:' '�•;i!, Personally Known t, OR Produced ldehtification Personally Known OR Prodaced'(dentifca Type of Identification Produced _ Type of Identification "�'"• '�'" '" ' j Produced ':': '� •�• � � .•;�.<,::i;il,;.'rl' ='lly'�i Commission No 'Ab: �4 '"`is'i-';'r•�y > (5�PA L.EU7' mission No •.�,' .i,�. �: Revised 07/15/2014 jib REVIEWS FRONT' ZONING ;1, '.jf,'l r''11iilEi:ii:' SUPERVISOR PLANS VEGETATION' SEA'TU1 7LE.. +:I COUNTER REVIEW REVIEW REVIEW REVIEW R�VIEV1l; J' ',ljllf• ' ..}'' j `F!ii'° ' :li sji DATE COMPLETEr;«i:�: ..... :inr.:•I': ;.r:i LINITIALS It • 1'Y'.• 'nit-:j� ':�t:P f�'ra. •t,i(rl r i: l:�,g;.:>J•:',;:s,,i rip '=L