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Home My WebLink AboutBuilding permit applicationALL APPLICABLE INFO� MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -/Y-/7 Permit Number: _ J, Maill .. irrr ouiiaing rermit Application Manning and Development Services Building and Code Regulation Division j 2300 Virginia Avenue, Fort Pierce FL 349182 v Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential PEKMI I APPLICA I ION FOR: To Select from dropbox, click arrow at the end of line NROi'OSEU IMNROVEMEN I LOCAI ION: Address: 7�'7 Legal Description: Property Tax ID #: �7�7 -d O© Q/I<T J� Lot No. S'te Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: UE IAlLED UESCKIPIION OF WORK: ��/tom �a�r LIhG 3•��rp� /VSt'-<' C'40^s C_ p vc 10#4-) CONSTRUCTION INFORMATION: Wdditio' nal -word- o e er ormeu d"-nder this pe� --rmi - c ec a apply: 3HVAC �GasTank [:]Gas Piping Shutters Electric Plumbing 11 Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: Sq. Ft. of First Floor: Utilities: F]SewerSeptic Name /YzdM&a a LJMt46X 1,21LOU161 Address:DD �Gti /� City: & '(� o kk State: r/ Zip Code: ,4'f5 -Z' Fax: Phone No. 77d E -Mail: Fill In fee simple Title Holder on next page ( If different from the Owner listed above) CONTRACTOR: Block No. Windows/Doors Roof Roof pitch Building Height: _ Name: 6UVC-TlS ,SAMVAcr1S Company: etl3ToM A %r- S�usIems (Nc Address: 14215 1%/ it d_Q arecn A City: PO2r 9t . L u<< State - Zip Code: ei+Q52 - Fax 772- ,3 35-19 6g Phone No. -1.11 335`3132- E-Ma-1: 35-3232E-MaI: Cu stir Sys p acl-corm State or County License: C 4 GO 519 to If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ISH as" )21 Ur" SUPPLEMEN I AL CONS I RUC I ION LIEN LAW INFORMAIION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: I Address: City: State: Zip: Phone: Address: City: State: Zip: Phone: i FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: 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 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 re c , ding your Notice of Commencement. S Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder i STATE OF FLORIDA / STATE OF FLORIDA COUNTY OF COUNTY OF �f L v f_/ -F. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this /S day of 20 /Zbv this1Sday of 7LK -k� 20 7 by QT1 5 �J m vno n S . (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of FI a) (Signature of Notary Public- Stat of Flori Personally Known .1-11"_ OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced /� J, �r ,o `I / rr CHR*?%P? Commission No. Ul D 5� 7 E✓� a mission No. l7l dl O 5"1 `� �• ►�"' I EXPIRES .2D21 i�' .7e_':=_ ?ate "AWTfWUeWjdud"S V. ••"'L X. Reviced 07/15/?014 *%* MYC sS10MO �� EXPM: April 4, 2021 REVIEWS FRONT ' ZONING SUPERVISOR I PLANS ' VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW DATE i COMPLETE INITIALS ISH as" )21 Ur"