HomeMy WebLinkAboutBuilding Permit Application i i
BE FLE t MVST
COMPLP-TED FOR APPLICATION To B�
Date; ACCEPTED
Permit
1.. t&•s-tlry•''^"V::.:=zK;�-;tpiy Num• —I L q ..
—_�(Os 9
Planning ant"! eveloprnenj services Building Permit Appli DEC 2 12016
cation
�t • '
Fort PlerCe FL 34982 St. Lucie County. FL
i
Doul lull Residential
„S1 6^y�`.�P'�� ��^a � y7( V 1,F� :�'"" :.$r�-:b' m'• � t
?,5�M....:LutA:es..r•a' 7„'7a��ir,� ,,pp��1-`'4Y�/ts. C�` r.•''�'``,'`;�''!'�::'_^`�'•"'- 'ti: r, , t �
- i �a:..y?Y1:. a�:; �t;,. w�_��E��tf�S�!I��:`o'ily�.:lSir.;r.:::f'�•}''' ;•;ris•'"'t+,M'^:v;3."`i.;"^: ;',4:r «n�.,.r,:Address:
• /
i- 1 •
Property t
•
site Plan Narr
Lot
s #1
_ .. �,
^AJ ,t �'-0 Right Side-
...........
- 1.-
ft •-
n.
':?`.'.-ii.ri i«fir:;'*:.;.^,:r..;•,:.ti.-.
F!. '�:Y'r 1f k.. �r g',.t. nIT.� �t'+ Y�,&�i l,'Id'r.�� r• ,�:{41��+if i�i SS,�:1.;..:��•!�,�(.r�-•. ,.Jl.i ,�.:"f.?'y.: .ti:i�,� .gi(r',rt
'<. �, s. .�;• i"s :.s�1:i.,,::x•:!�i��=e Ys.'..'„�:rv�a T•y
�r
k ,�:�ki,4/! 1t. '�f"i�Y�"L�:��:.R��p� ..Ei�y�v6 ta`'t ,o\7�,r:1+1.��,rf �•'t,�Y�97�ocS;k�iiAi,'?t{^:%�.".:t%..;:,:.�..�:_T's_i::•f-T•.rt:,.;�•.•. ,,,�.._
'•_'; �' e�.4 'ts"�Iif"C'.?"to �}SI R�41.; Y }{%{ s R,..>;r.}.: N 1 �Yt,
� �` xr'i- 1 � arhS-•xr� ::`¢-ls,��.rirr��§.1�t1��r.���ti��� �,Zlft�,tT nZ�,A-.:•hi§r..,;.; ira�. sr� rs$r ;j;�frY°�a�'�`7,° �rf���p 'W
• lion
®, s Y.�'_df.° _ .ir},eY.wF tr''• i '�. ,� .,�.r +t t �r1 t tip ^`- G"r
• • I • • • fir:.Jt`'S•;`%Xi..:it:"..,��:lii�`1.=+":::r_r�5i?.1�<:?SAH';:>'1,'>'7'ilC.?�v "'^�!'P-"� '3
Gas
VAC Tank Flas
ipirig LJ
oSp e
Shutters I •• irr
nklers
• •
• `r•
11 Gene• - / ra
a t • #
• of •r
Cost odf;Con*�
Utilities'D*
tic Building Height:
dam?"Isp r -#
�,• r:rpr, fCZ< t=} tit x rs=yt�tir }i r :'4•;•C?;its,-'};o�,r{�S?frlsltn shtir !•yi=cs.::_d?:'�a: - -
7. J'y trC� C3 t<t� �''
"+q , ;g`,� 7�:K!'}S�`in-�it54 > rye,-
..;tk��,,,,� 'Y.s},„<,,;�.
Namei� �� Ib tiJ� i'_+!L
Address:z9va. : �7,211. .
�N „ ►Fid, t� �`! �► v.l��1 �I
State: h1k
a
PhoneZip Code: Fax.
#
a.71tle Holder on next ..
154 WOMMIT loon,
'listed above)
• Y
I -
I
; .,,.. ,.
DESIGNER/, INEER: ^Not Applicable MORTGAGE COMPANY: Not Applicable'
Name, .i Name:
Address: Address:
city: State; City: State:_
Zip; Phone: Zip: Phone:
FEE SIMPLE TLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name' , N
ame'.
Address:City:Zip: is Phone• Phone;
I certify that n 'ork or installation has commencers prior to the issuance of a permit.
St.Lucie Count ales no representation that is granting a permit 21 authorize the permit holder to build the subject structure
which is in con .�.with any applicable Homeowners Association rules,bylaws or andcovenantsthat may restrict or prohibit such
structure.Pleas onsult with your Home owners Association and review your deed for any restrictions which may apply.
in consideratio f the granting of this requested permit,i do hereby agree that l will,in all respects,perform the work
in accordance : the approved plans,the Florida Building Codes and St,Lucie County Amendments.
The following b >slltriIng permit applications are exempt from undergoing a fill concurrency review:room additions,
accessory struc ries,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residentlal use
WARNING T �PWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
imp ovemen to your property.A Notice of Commence ent must be recorded and posted on the jobsite
bef e the fI . :inspection. If you intend to obtain financl ,consult wit lender or an attorney before
corn encin rdin r Notice of CQmmenc . ent,
Slgnat,re of see Sig a ure o Co tra ce se Hold
A GF P
STAT OFF IIDA STE ORCOu T OF --u------
cau 0 �.
The for olne in t invent w s acknowledged before me
The forgoing ins int w s acknowledged before me
this Z day o 20?�by thIsz- ,day of �— zQ .1&;by
{Na f per o 'Ip'knowied ing} {Mame a rson acknowlQ ging)
�1• to
' (S ature of NQ ry Pubflc_State of F rt'da
)
{ ' nature of N N Public. tate of Flor a J
� ersanaily Known `�'' P a c d Identification
ersonally KnooR Produced(densification hN
Type of identification ad � a
Type of ldentlfl Ion Produced JERALYNNF RUSS£t,t rr^ pY,? State of Florida
sea Commission No. L ,_, Elplres Jul 22,2417
Commisslon N JERALYNNE FiUSSELL j
a CRY pyo�, ",r.l, Curhr;tission#F
�`r f Notary Public-State of Florida
. . . ,
+ �p�E iy Co;rr,.ExpirOS 1u122,2417
commission#FF 63M2
Revised 07/
SEATURTLE MANGROVE
2C1NlNG SUPERVISOR PLANS VEC�ETA7ION REVIEW REVIEW
FRONTREVIEWS l BUNTER REVIEW R5ViEW REVIEW REVIEW
DATE' `
comPLETE 14.
INITIALS i l:
� is