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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: Permit Number: 1�' 0� - 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)462-1578 Commercial Residential PERMIT APPLICATION FOR: -'E,wQo?AM PmIE R poLE_ RROP05ED IIVIPROVEIVIENT LOCATIOaV k# Address: 5 XUL XCE-2,30 Ll A . Legal Description:- Property escription:Property Tax ID#: 's3a • `, - Odea- cwc)- Lot No. Site Plan Name: Block No. Project Name: Yi0`T1AICM Res 1101Egg Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPI"ION OF WORK k X 94S'Tows. IL,.C4.TCr•to.pov',i E�i o �oR ll�SC.�u i�i�SC� Con�tST6Z�.�10 �►{,g1w.1 &wLpWG% �Ei T SLC. C.1."�02,•001,� CONSTRUCTION 1NFORMATIOIV ' � .; . Additional work to El Orme un er t is permit—c ec a appy: E1HVAC Gas Tank E]Gas Piping _Shutters F]Windows/Doors 11 Electric ❑ Plumbing Sprinklers I Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: So.-Ft.of First Floor: Cost of Construction:$��•O0 Utilities: Sewer OSeptic Building Height: 01NNER%LESSEE _ CONTRACTOR r Yh g, F Name Name: JUPM c4m Address: Company:envy.EC�T�IC�1.LC City: State:_ Address:42S0 SE Cp -A0e_ Zip Code: Fax: City: STV-a= r, State: Phone No. Zip Code:3tf*�J Fax:: •E-Mail: Phone No.,12.' 225"111-09sp`� Fill in fee simple Title Halder on next page(if different E-Mail: ac a Co q$T-41 from the Owner listed above) State or County License: L..0 000QWp5 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I f q SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION 4 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: 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. • s Signature of Owner/Lessee/Contractor as Agent for Owner na u ntractor/Li tense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _ COUNTY OF ,MACria The fnraoing instrument was acknowledg d before me The forgoing instrument was acknowledged before me thisl=day o 20by this J&day of 44X&U.&T' 20 M by u l 'AAA"t`�O� (Name of person acknowledging) (Name of person acknowledging) (signatu're of Notary Public-St5te of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No745-- ( gALL TADLEY RU MY COMMISSION#FF9871 Revised 07/15/2014 (407)39"153 Flori/allotaryService.com—i r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 09/21/2017 08:46 7722879084 COOK ELECTRIC INC PAGE 01/01 t, Po l e DE5iGNERJENGiNEERr Ndt Applitble` Mp#iTGAGE COMPANY; Not Applicable Name: l• blame;' Address: - Address: -- - City: 'State: Cty: State Zip: Phone- zip;-- _ Phone: FEE SIMPLE TITLE HOLDER:. 1 ble BONDING COMPANY: Not Applicable Name: Name- ' Address: Address: City: City. Zip: Pha ie: . .zip.: _—Phone: - OWNER/•CONTRACTO2 A>tAl'161VI :.;4pplicatioii is .erehq'made th,obtaln a permit to do the work and installation as indicated. I certify that no work or installation has commenced pric r to the issuance of a-permit. St.Lucie County makes-no representat16n:t6at1s:grantid a permit will a.utho'rize the permit holder to build the subject structure which is in conflict With-any applicable Hom'e'owners As oaation•rules;bylaws or and covenants that may restrict or prohibit such structure.Please consult Wtth.youf HomeOtn ers Associ tion and review your deed for any restrictions which may apply. In consideration of the g'ra,Rting.of'this fequesYeci permit,!do h'erebs agree that.l will,•in.all respects;perform the work in accordance with the approved plans,thi=Florida euiliii g Codes and St.Lucie County Amendments. The following building permirapplications are',exernpt from undergoing afull.concurrency review:.room additions, accessory structures,•swim}ning ho6l4,fences,:wails;sign screen rogms artd accessory uses to another non-residential use WARNING TO OWNER,';Y Axi'failure•to•Record'.a.. ,o'tice of•conirY e�+cement may result in your paying twice for improvements to ydur pro ertj+:f 1Voti�e.r�f.Co mencerneritmilst•be recorded and posted on the johsife before the first inspection: if yoia ntertd"to obtain f'inan:cing,.c6hsult with lander or an attorney before commencin Work.or recorditi our.,Noticebf arrxmeiacement, weer/.Lesseef Corifractor aS Agent for. ner ure of 6ntractor/Lic0se Holder STATE OF FLORIDA STATE':OF FLORIDA COUNTY OF � M ;. 1 ' COUNTY OF _ .J4IR1A The fro going ins#ru r1t was ackn'owledgp before rn The forgoing instrument was acknowledged before me thise day of '�. 2d by this day of �t" .� 26by Name of p6rsorr making statement; dame of person making statement Personally Known x OR.Prod'c' f'. ntifieatioil . Personally Known_ _OR Produced Identification Type of Identification Type of identification Produced •Produced_ �,_ (Signature of Notary public-Stete.of'FIgdda:)'' (Signature of Notaryublle-State of Florida.) L C TAD EY.hU Commission No• �>✓q$ 1y �C rrimission No.FF V.70� +i galKNOAl:l.7AQEr RU3T •'::t1gY•C.OMMtSSION: FE98T tis -'_ My C-OMMISSFON 987106 ,,,,,.•,: E7cPiFt>=S Api�l EXPIEtt_S AptA 7 WO •.. ... UOl)39a0t9a. FM �M • REVIEWS FRONT. . Z0N1NG.'`':. tJR R .ISpR :'. LANVEGETATION VEGETATION SEA TURTLE MANGROVE COUNTER' Rola tf 'REVIEW REVIEW' REVIEW REVIEW REVIEW EA RECEIVED DATE COMPLETED Rev.8/2/1,7 ,