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HomeMy WebLinkAboutBuilding Permit ApplicationCpl t k F. )?, J06. 34409-346a s 00 ki CIERTIFIFD T0: 13� ID -4 cn t k F. )?, J06. 34409-346a s 00 ki CIERTIFIFD T0: 13� 1p U.S.A.A. MORTGAGE CORPORATIONr IT;S SUCCESSORS AND ASSIGNs PIDELITY NATIONAL TITLIE INSURANCE COMPANY OV NEW YORK AtEERT 2, 8CHWAPTZ cn --j e- 1p U.S.A.A. MORTGAGE CORPORATIONr IT;S SUCCESSORS AND ASSIGNs PIDELITY NATIONAL TITLIE INSURANCE COMPANY OV NEW YORK AtEERT 2, 8CHWAPTZ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r. 71� F D a Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1575 Commercial Residential_ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: '5C ctwE-u 'rctL bRcvc ,5C.s t -L -3 45 83 Legal Description: Z idSe, l2'ue'r C'-'4-�es �" z L. -re Property Tax ID #: 3` Z,1 _701 `002 ©6b _S Lot No. Site Plan Name: t Block No. ProjectName: Setbacks Front Back: c Right Side: S LeftSide: J ` DETAILED DESCRIPTION OF WORK: 1 s a{ ( � e Q c 310 L( 0,:F (e' A 16-H f IrC rFxiCj_ w( z 554 CJO CONSTRUCTION INFORMATION: Additional work toe nertormed under this permit - check a appy: HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors 11 Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 1'-7360' S Ft. of First Floor: _ Utilities:U Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Au G �.aa..i+F� Name:. �ctrawSec n�Pt.c �n1s�. {� Address: 6fo Company:14 Id City: �SL State:F'C--- Zip Code: 3`��13 Fax: Phone No. Address: 'Z'ooS -� �h .� r�- City: ['S �-- State:- Zip Code: 3 `-E RS3 Fax: -1?2-- S19 Phone No. 7 Z - Z E -Mail: �1e•a-)cue r �i/�-rroQsG �- E -Mail: Fill in fee simple Title Holder on next page (if different from the owner listed above) _e State or County License: C6C -O`-Ee3 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMP NY: Not Applicable Name: _ Name: Address: IAddress: City: f State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: i I Name: J Address: -All 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 Count 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. �� e- a=== A Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Holder STATE OF FLORID - STATE OF FLORIDA COUNTY OF (Sj [ ✓c, i lo, COUNTY OFA f cr , - The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1 - day of 20t-�!!_by this )=�- day of L1 L 20 by � L � /�, •l Cry! f'J•s''d r� (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota P blic- State of Florida) (Signature o No ry Public- State of Florida ) Personally KnownOR Produced Identification Personally Kno OR Produced Identification Type of Identifica ion Produced entification Produced 'lly P0 r% KIRK ARI 10 ATZ Commission No. _ My COMMLSSION oftm1w4s�1 �� 7 ."��.•--. 12,2W7 �o`w 'q °r� . KIRK ARI KATZ 153 FOFr�bp:_ EXPIRES August 12. 2057 Revised 07/15/2014e.atn) 390-fM53 FloridallotaryServicexom REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS