Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S Permit Number: v 4 "'E, D II MAY 16 2017 i r - Building Permit Application PERPIITTILiG Planning and Development Services St. Lucie County, FL 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: PR�O�,P®SED !NPS®a1/EMEN,T' L�CATIC�3N Address: 00 Spruce Dr (--OA P:Prce c7 3,VITR7 Legal Description: Property Tax ID#:-S40D -Le (G .0OOb—j Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILS® DE�SCf��IPTION C3F WQRK. - 3 7d y L;k e -C,; L;-"rte Al c 1, le ou� 4s' 10 ku-, CO'NSTRetJCT1tJN lN'F©R .ATION: i ional work to be pertormed under this permit.-check all that appy: VfMechanical _Ga' sTan k _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Z `Id0 Utilities: —Sewer —Septic Building Height: O.WaNER/LE=SSPE: C®NTRA�1'QR: Name (moo Van, .p00105 Name: . ' bM Woj+f,7A ?-/ Address:SyD 6, Snr'jcg i3r Company: 64-1 . Gif r 961'J 0 k F1 Sn City: r 7 ID;rr(el ` Stater Address: ( Zip Code: 3 j q9 2 Fax: City: r=7 P;cr C, State: C--t Phone No. ]7 t - o3C / .57�3 Zip Code: 3"l S j Fax: d6 E-Mail: Phone No 9LI o — RR8S Fill in fee simple Title Holder on next page( if different E-Mailt'or,Icaf o r cir•.w, I e o a. from the Owner listed above) State or County License c./�C i 81 O If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SU�PPLEMENI`l�L G®NS1'RU'CTION LI'EaN LAW IIN�FORMAT'1QN: 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 obtain a 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 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, 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 commencing work or recording our Notice of Commencement. Signatur of Owner/ e e Contractor as Agent for Owner Signatur of Contractor iEense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 4. COUNTY OF 1 , The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this W day of lno) 20J!J by this JJo__day of—M 20A by (Name of Person acknowle ing) (Name of p rson acknowl ging) 1 (Signature of NotaryPublic-State of Florida) / (Signature o otary Public-State of Florida) Personally Known OR Produced Identification "' Personally Known OR Produced Identification Type of Identif'cation _ Identification Produced rt, KAREN S. NIE SE!Mdu ` d \\\\'FY Py0••�i Commission R FF 115637 =" *' � """„'• KAR'[N S. NlELS V =,r �1) My Commission Exp6yrm slon No. ?e`,wY P o aL, ,r June 1 2, 20 8 _* *_ Qlornmission ;f FF 1 5 37 Commission No. ' _ ( _ _ My Commission E pies June 12, 2018 REVIEWS FRONT ZONING _ SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED R-e—v–. 7/2014