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Home My WebLink AboutBuilding Permit Application4f'fCC.i i){ 15"N -P, rn . ©n 15122 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Application Building Permit 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: Address: "�_ trYll Legal Description: Ill r t�ch>r�" Ll!'14��J� X Q Lf' ) Property Tax ID #: moi? IQ' Si 2 i - Doo Lot No. 4 Site Plan Name: No. 2q nBlock Project Name: Q (i h l Gt�l r� i G 1C1Ca iN 1MUM WU 1�C1[' � _ Setbacks Front Back: Right Side: Left Side: 1nS�c.II like hof l,k.e aC�� rye door J I Additional work to be performed under this permit– check all that appy: Mechanical _Gas Tank _Gas Piping _Shutters Windows � / Doors Electric Plumbing Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1,010m _ Utilities: —Sewer —Septic Building Height: Name Gl e: i Q iii '•�rlr �ra L� a SrO. Address: [m cGI,K`il ino F'�C�t pany: MM E rise _01c.iLf.b a ; City: State: FL Address: ! IDS 7orncihacs D/ - 2�. Zip Code: > Fax: WIN City: rnctian 144i'baw 6LtiGY\ State: 0 Phone No.(rl"1i )�L.11 � `?��(�J Zip Code: 3Zg137 Fax: 32-1- - Z E -Mail: t4ib' Phone No. 772 - 337- #1-170 Fill in fee simple Title Holder on next page ( if different E -Mail: Lules5' aan a 'zk0.'>• : or.n from the Owner listed above) r State or County License: if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. . M'. v': 1�.. -'I V DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: REVIEW City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: COMPLETE City: Zip: Phone: Zip: Phone: 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 thepermit 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 prohibit such structure. Please consult with your Nome 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, accessary 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 commencing -work or recording your Notice of Commencement. _ Signature of Owner/ Lessee/ Signature se STATE OF FLO A STATE OF FLQRIDA COUNTY OF COUNTY OF r The for Ding instr ment was acknowledged before me this 20 f1by Lu-+cs Fa f ers 06 led ing ) Commission No. Revised 07/15/2014 of Florida ) OR Produced Identification Theforgoing instrument was acknowledged before me this da y -a --NA CA 1rc Irl , 20 1-1 by 6 00KESZZIGETI N1 JIS&0N#FF244655 Commission No. EXPIRES: ,±une 25: 2019 3onded Thm NotaT Pubfic 1lnderwdters Luir's of Florida ) OR Produced Identification ME ETi 0 ISSi0N4 FF2446% EXPIRES: June 25, 2019 Seft4dThiu NotnPuhtirUndatWnite REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS FZ � c U O � x N W � u b � c � d � O 'C N � Z, M C I6 i• 7 a r U Cl) R Ln 4:- rU�tr N L O N r . Lf) N Q Y r� 0 N O 4t a lb�a © U! Y 0 N F D (13 47 Y • o z ED �� 0 co c g LL o �F LLp 0 W Qo— arZ �p (nU v cn4rLO0a lugp� �aZ C1 ( W Z 7 OW( rya _ ti U O d W 0 O 7 W R w U (L O Z_ OV W LL U x C7 i C7 T LU Q LU LLI (1)aeCc U O © L Y D �r¢ fn 5 t2 Z Z m o Q = M b o U F o LU O 0 N 47 �p xe o .0 R 2 oo toD 0 T X a) C Z Z Z w D a .n C O m o � " `° r a)o U) 0 J0 o b F n LU d Z `2 6 6 °.'- F as r a N F� H i O c c W 0.a N Q�a 0 J Otu 0 C 4 w r N a n V o N ti 0 U W I1J Q N U C Z Z Z Z D o In Lo co C O 7 0 o 0 0 Do' + Vi b o n o N 6 6 V _ r ti N w a 0 0 0 0.a N Q�a 0 J o 0 C 4 © 0 i3 O! n V o N ti N O m In Lo co C O F d cox + Vi • N m _ cFiy tlf E w a o m 0.a N Q�a a J a Y Q C 4 0 i3 O! Y ro v k i b U W I1J Q N uv D C co N h r+ � EL XJ m Q c a O N Z O O U m CL rOi amo t enmauot M I RC)omowODO CO W Ib a0 b m al op Ln 1h [41 In In w 47 47 w �� }\ \; \\� � � § :f °\ \\� ��.