Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� Date: -�{�• �[� / Permit Number: 1 / 0V 1)2-/-77 _A_14111110m, ' Building Permit Application APR 2 y 2017 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 Y, PERMIT APPLICATION FOR: -Ft !Al S7AU_47-z pr l 911!NPROUEMENT LOCATIQN: Address: 52/G P,41_AA 'DQtU€ Legal Description: !otW 14AJ P-1 V&2 ES7?4-7-e'S -vx11T-07 - 86KSoO Z-07-1 6dA-P 3510 2S (09 1-707- 178-7) Property Tax ID#:4@3yo�-- 6,09 . coo - Lot No. Site Plan Name: Block No. Project Name:& /41/)IIIA) R/L/E EJS7Y Z.S Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION O W©RK: lA1 S n?'t c. 18 qvF �o` H14W wwz) rEo cE A-5 5 HOwA! o N) 55-t-re_t4 W rn4 � NN'80RUCTI W INFORMATION: Additional work to be pertormed under this permit-check all tat 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:$& /500,0 V Utilities: —Sewer —Septic Building Height: VW OWNER/LE�S�SEE: C®NTRAC+�T®R: Name C#0XJbPAW 2). AsJyeFw S Name: - - Address:52M, HALM 7pV& Company: city: .1q, ACR46 State: ft- Address: Zip Code:34R82 Fax: City: State: Phone No. 772,42o-440-3 1 Zip Code: Fax: E-Mail: 0-U4N-A1s&79Gome_,Ls1� tief Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S°USP ' LEMENT'l� CON5T`RUCTk�N LIEN LAW IN'FORiV1ATC�N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtaina' permit to do the work and installation as indicated. 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 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 prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of tlie'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 commoricing work or recording our Notice of Commencement. (:Signatureof Owner/Lessee/Agent I Signature of Contractor/License Holder STATE OF FLOMA — a X� STATE OF FLORIDA COUNTY OF t Hi�� COUNTY OF S The forg ing instru ent wasacknowledgefor ib The forgoing instrument was acknowledged before me this oZ�day of 12k) by n 3T this day of 20_ by N �A (O na Y'!s- C N N (Name of persoh acknowledging) (Name of person acknowledging) 4 3. (Signature of N t y Public-State of Florida (Signature of Notary Public-State of Florida) Personal[ no OR Produced Identification � Personally Known OR Produced Identification Type of Identific n . Type of Identification Produced (!' ' L Produced Commission o T__ (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.