HomeMy WebLinkAboutBuilding Permit Application To:Angela Page 2 of 7 2016-11-21 18:54:27(GMT) 18888330167 From: Rachel ODonnell
.ALL APPLICABLE INFO MI95T:BE COMPLETED FOR APPLICATION To BE'ACCEPTED
-Date,
ntt Number.
KAP
pigpning Arid peveiopment Services
Bufiding and Code Regularion.Division
23000 inio.Averiue,,Fort Kerce FL 349
Phone:(772)_462-15.53 .Fax:..(77.2)462.-.1578
..(:oMMerCial. Residential
`ERMIT-AP LICA"k ION FQR: ..To,Select from dropbox,plick.arrow:at the end ofline
dr
Legal Description:
Lot No.
Property.Tax Ill
Site Plan Name.: --
Block No.... �
'Projeft,Name:'
Setbacks. .Fror►t .'Back:- Right Side; Left t
.. L. t e'
VOW: MINE:
t arta wor.;to. e grrtte a un.. er• is laerml c Vic. a app Y
HVAC. . .uas Tank Gas Piping Shutters Windows/Doors
�Electric Q.Numbing Sprinklers.` L1'Generator- .. �Roof
Total Sq.Ft of Construction.: S . Ft:'of First Floor:
_ _�_--
.ost of. A .
r Utilities:' . 5ewer: 5eptic Building Height;
Dame a s ame Michael ODonnell '
Address: t3i� ''.rtr'l.c 1 - Company QDann�ll Impact
,
city: Address:-.640.2 SE Federal Fiyuy
Zfp.Code. Fax: -____- --- City_ Stuart, State-F
Phone No; -.. 1s i zi.p C . .33997 . . .
i
_ Code: .34997 Fax•
-&Mall:
- -- -- Phone No..772-40-0200��
rcodonnell311 mail:Com.
Fill n feesimple Title Molder on,next page(if dif#erpmt '. E-M,ail . ��
from the: thrster list d.above) State or Co city(.icease;.
CRC 133'127:3
If yatlste.of construction is.IS2000 or snare a RECORDED Notice of t6rn aencemeat is required
To:Angela Page 3 of 7 2016-11-21 18:54:27(GMT) 18888330167 From: Rachel ODonnell
!'E$JGKR ENGINEER: Not Applicable MOR7Q,�WE COMPANY; Not:Applicable.'
Name;._ _ _ ! game: _
Address:... I ess:
City: State, w_ ate:
W .- _--
Zip: ..- Phone: .. .. i Zip,._Phone.
FEE.:$1IVIPLE T'IT•t E HOLDER: ..Not App.iicable BONDING COMPANY... IVot Appiicabie�
Name; --- Name:
- _. �._._..______. w,
Address: Address:
:City: _ : . City:
Zip: `Phone: Zip: Phone
I certify that no work or installation has.corArnHnced prior to:the issuance of a permit, ..
St.Lucie CauntV makes n.o representation that is granting a permit.w 1 authorize the permit holder to build the subject structure
:which.is in..con lict 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,7.do hereby agree that i will,in all respects,.perform.the.work
in accordance with the approved plans,.the Florida Building Codes and 5t,Lucie County Amendments..
TkFe following building.permit.appiiratioris are.exempt frgm.undergoing a full concurrency review:roorn.additions,
a;cessory'structures,swimming pools,,fences,walis,:signs,screen rooms and accessory uses to another non-residential use .
WARNING TO OWNER:Your.failure.to Record a No£ice of Comtilencerrrpnt may resta4t.ir¢your payivtg.ttneice for
Improvements to your property.A Notice.of Commencementmust be recorded and posted.on the jobsRe..'
before the first inspection. if you.irtterid'ta obtain financing,consult with lender or:ar[attorney Ixcfnre.
commencing work or recording your Notice of Commencement.. S.
'
iz
g c:
i natureof.Owner/Lessee/, era. . SiSI naturenf. rtfractorll,icens .Holder . ..
STATE OF FLOR&CIAk
$T'AK'E OF-FLORIDA
The forgoing instrument was acknov4ledged.before me Tbe.forgoing instrument was acknowledged before me
day �i7 i(�-bY this Ej:day of ( t�;20%jam-,_,by
this I da. of
til `
{Name of erson acknowledging) ::. (Name.of person ackno vl.edging)
lI
y.
(5ignature.of Notary Publi4:..5tate:of.Florida) (Signature of Notary Public-State of Florida).
Personally Known. " OR Produced identification Personally,Known l.f�.OR.Produced Identification i
Type of Identification Pr dupi&„ ,` -_ Type cif Identification.Produced
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Commission No.. :M_ _'4 WIY lssfeN FFGI 4558 CoI .mmission No. : AF:_
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exsect 07l J 5/ 0.1. .. _ f�oridaMotaryServicc.ro :
REVIEWS. FRON-r ' ZONING SUPERVISOR* PLANS VCGETATICifV: SEA.TURTL:E MANGRbvF.
COUNTER REVIEW REVIEW REVIEW REVIEW 'RE*VIEW REVIEW
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COMPLETE
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