HomeMy WebLinkAboutPermit application i
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`'ALL APPLICAB INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 r/ �G Permit Number:
Building Permit Application
- Planning and Development Services
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: To Select from dropbox, click arrow at the end of line
PROPOSED IM,eRO.VEMENT LOCATION
Address: r el Q / 4
Legal Description: wl o y Z
Property Tax ID#: Z�1Z� '� `70 Z- 608,3—DOO Lot No. AIL
Site Plan Name: Block No.
Project Name: _�� �
Setbacks Front Back: Right Side: Left Side:
-"DETAI,LED"D ESCRIPTIONOF WORK "
CONSTRUCTION INFOWATION
Additional work toa performed under this permit–check a appy:
HVAC El Gas Tank Gas Pi ing _Shutters Windows Doors
11Electric ElPlumbingSprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: le?l S . Ft. of First Floor:
Cost of Construction:$ Utilities:n Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 0yName:�Q/ A r•�'►�7–,y
Address: /9!�- TIC l� Company: ��/5� ✓�iL X d
City: 10AC4 <C' State: L1e'1L Address: ry�J`/1,r9 I�osowZ 10/0c'a ,Q„e�
Zip Code: .�y98 Z. Fax: City:�� `/ lit CLQ Stater
Phone No. 77P, TIr-19.73 Zip Code:�yp8 Z Fax:
E-Mail:/ /E/li,G7►�0&Adv .wJe Phone No.-!777, ' Z/ 3
Fill in fee simple Title Holder on next page(if different E-Mail: de / �i`/Q AAWCO>1 ;;e-7,4 the Owner listed above) State or County License: R C / 2,f`/ ro 3
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPRLEMENTAL CONSTRUWORMAF1.0 N:...
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: ZoVtoL]eA, 4C_ Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: P ne:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: ZqAt 4— Qtf aft/'&,e^ Name:
Address: Address:
City: City:
Zip: Phone: Zip: hone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
commen,c4ng work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent f OT- ,erf Signature of Contractor/License Holder
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STATE OF FLORI - i LL� STATE OF FLORIDA °'
COUNTY OF 9'"e COUNTY OF =LLQ
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The f r oing instr ment was acknowledg d befo ¢ 2 The forgoing instrument was acknowledged bef e �z
this day of 2Q� by :2 this�da of��— 20 4e b i,-
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(Name of person acknowledging) (Name of person acknowledging)
ignature of No PubliCc-State of Flori a) / (Signature of Notary lic-S to of Florida)
Personally Known OR rod ced Identificatior� Personally Known OR Pr ed Identificati rL
Type of Identification Produced Type of Identification Produce
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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nWOOD
SLAT FENCE(MEANDERS ON @ OFF PROPERTY LINF)
�OUND 4'v a CONCRETE ILOT 5 i LOT 6
FOUND NAIL k TAB IN TREE.R00T
MONUMENT(0.23'EAST) I N.E.SIDE OF TREE
L 133.05' (PLAT)I 133.07 (CALC)
66.53'(C) -
66.52' P
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m 1 STORY m In
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i'DECK DECK
SCALE: 1'-20'
14.3'CL
5 ;
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C! LOT 42 LOT;41 N LOT 40
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N S'ASPHALT SIDEWALK
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B L 0 C K 2
Q FOUND IRON ROD
4':4'CONCRETE MONUMENT ��y ASPHALT By�$ (CAP NO.1859)
DISTURBED)0.19'WEST rI0oy0 ((JJ PARKING SJtg•7•� 0.22'WEST
65.98_ 9 65.99'(C) 65.99'(C) J r�
..CALC)- - 131.96' (PLAT) 131.98' (CALC) - -
FRA-MAR PLACE DIRT TRAVELED W
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! (25'1 WIDE DIRT ROAD)
,y 50' RIGHT OF WAY