HomeMy WebLinkAboutBuilding Permit Application To: Page 2 of 4 20016-12-16 17:48:27(GMT)" 17726733383 From: Maritza Ramirez-Carpenter
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:. Perin it Number:.._`G..l._�
RECD-JDEC 18206
Building PLermit Applicaftlon
Planning and Development Services
ftilding and:Code Regulation Division
2300 Mfginia Avenue,Fort Pierce TL:34,982
Phone:(772)462-1553 Fax: (772)462-1,578 CoinMercia.l_ --_.__.._ Residential
PERMIT pAPPLICATION PORN To Select from dropbox, click arrow at the end of line\J_ _
Address: � .' 'f►1',r rY "''t FPSL
Legal Description: l" Ta'l G:. ir�'� Pub 11
Property-Tax ID#l: �J�a1- 0 d a0\1"640 - Lot No.
Site Plan Name: _ -----_.. _ T_P . . _ _ Block No.�.
Project Name:.
Setbacks Front Back: Right Side: Left Side:
e i 7 K
/*' , C'I'`i� ,gyp 7�p /{ 1-F� ti , •. , r t ;'".,,'..�.4 -� , n +-� 2 , a L,
S:.O•�.Y F�l�i..�[�'� I1!1r��a�l�����1�1.... .z:�.5.n.,. ..,;. ��. .�<-�.t',2 t..,��.,. .�... .'•n�...�.��t,, _, r .4.3_.. = rt y
�!'vd�ifional work�o-Yie^ei-fo`rrrie un ert is permit-e ec 'a appy:
®H�1AC �Gas Tank ❑Gas Piping _Shutters ''".Windows/.(.mars
Electric �Piumhirig Sprinklers �Generator I=1 RooF � Roof pit.Ch
Total Sq:Ft of Construction: Sof.First Floor...,,_,__....
___.._._,._
Cost of:Constry ion:$ � .� Utilities;.. . Sewer _.Septic Building.Height:
c.N2me +lf `P 7it'rd�. �: _.....,,, . ...._ Name: NW- ,t
Address: Ca L g 1 .#a Company:=€ i �€. c. 1[_. trwt-6(tJr
City:('o"vd',Tj ncq- State: ' Address: " i ��;i .`Yc'Q4 `1,'—e
Zip Code:�1a..S 16. Fax: City: ���-��� i��xf: state;.r�_
Phone No. i - J=am, Zip.Code:-`W q:�2 � Fax:..,��
E-Mail:' WhoneNo i
Fill in feesimple Title Holder on n4xt'page(if different E-Mail: it"X-Ra y +0 e,2,
from the owner listed above) State or County License:
If value-of construction is$250D or more,a RECORDED Notice of Commencement is required.
To: Page 3 of 4 2016-12-16 17:48:27(GMT) 17726733383 From: Maritza Ramirez-Carpenter
N [A�- lel tY aY
..J."z'E'� .•� �' kt '1 >._.a.- -,?. ..-ti jf
DESIGN ER/ENGIN EER: Not Applicable MORTGAGE COMPANY. _ Not Applicable
Name: Name:.
Address:' Address:
:City: State: City:,_. State:
Zip: Phone: Zip: Phone:
FEE SIM..PLE TITLE HOLDER. —Not Applicable BONDING COMPANY: _ —Not-Applicable
Name:. Name:
Address.:_ Address:
City: City
Zip: Phone: Zip: Phone:
I certlfy..that no work or installation.h.as commenced prior to the issuance of a'permit.
.St.Lucie Countyrnakes no.representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners.Association rules,bylaws or and.covenants that may restrict or prohibitsuch
structure.Please'consult with your.Ha;me.Owners:Association and m mal your deed forany resttictions.which may.apply.
'1n consideration of the granting of thisrequested permit,.1.do here.oy agree that I will,in.all respects,perform the.:work
in accordance with the aporoved plans-,the Norida Building Codes and St.Lucie County Amendments.
Tlie following building permit applications,are exempt from undergoing:a full'concurrency review:room additions,
accessorystructures,swimming pools;fences,walls;signs,.screen rooms andaccessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in:.Vous paying twice-for
improvements to your,property.A Notice of Commencement must-b.e:recorded and posted oja the jobsite
before the first..i.nspectlan,if ou intend to obtain financing,consult w.ith1.nder or an attor- y before
commencin ark or recur our'Notice of-Commencement. r/
hn •` '
I Signaturc:of caner/Less /Contracto.r as Agent'for Owner Signature.-of Contractor/ticense Hyo er.
STATE OF FLORIDA STATE'OF.FLORIDA
COLINTY OF COUNTY OF
Theforgoing instrument was acknowledged.before me The forgging instrument was acknowledged before me
this. f day of. �t ` ''��"si�a'ra 20 Lby this day of%CC>_.yt6c r- ,20 (o by
Name'of,erson ackn.owled in
tName of.gerson.ackno+N.ledg'rg� r ( p � g),
'(Signature of Notary Public.-Sta-e of Florida) (Signature of Notary Pubec-State vf'Morida)
Personally Knowr'... '" k;OR it �d �s c Personally.Known �.�L � #
Type of Identified.x� cid coM'fiSSION#PF230846 Type of ldentificati n"P' d
e ' ' MY COMMISSION#-FF23OU6'� 4
EXPIRfi May 4,2095
Commission No. x�� Commission No.. !~XpiR� �l�a,'2019 l).'
f '!I:TI Sli.�':� r�(NN}AP711E? $Y•YIfAY�X%. I
.�......-_e.....................a.---.....J....--«_ ......_._. ..................._.�...._..�_......._ _...�-.......,..........PIE
Revised.(l.Z/1.5/'201.4
REVIEWS i .FRQN7 ZONING SUPERVISOR. PLANS- VEGETATION SEATURTLE MANGROVE
i.COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW _
DATE
COMPLETE
INITIALS I }