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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: Building Permit Application PERMIT APPLICATION FOR: PRC►PCISE IMPROVEMENT LOCATION: Address: 1 l C, Legal Description: W i L rAl Commercial Residential L, -... Property Tax ID #: 14 So I - Le 1 1 " 0 193 -- crio - Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. RUCTION INFORMATION: Additional work to be pertormed under this permit - check all that appy: Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Electric Plumbing Y Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ ISC),..-C`C. Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE:' VY NER LESJE ' Name CA C4 ACAU ,-_ 1 1 l ) i i1 V irz11 Address: City: I :1... i)cT(' (= . State: E ._ Zip Code: r.ty!1 9 Fax: Phone No. _ 4 SU I CJ E -Mail: L11 L,, CY ' 1 l e. hcl rc-)c, h . 01- �+ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Company: C. i c L}i k U-' j C.: - L . Address: Lr, Lt :rw+6 --)C;,, City:y I State: C . Zip Code: i Fax: it Phone No I ~ {_ - Le A` E -Mail C C( ; i CEI 4 Sii,tip'-"1C t l I, i State or County License C", t c, I I C_'11 C'C, i If value of construction is 2500 or more, a RECORDED Notice of Commencement is required, 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. <- `- vu:tCt G Signature�of Owner/ Le e/dontractor as Agent for Odoner Signature -4 Contractor/Li ke3seA older STATE OF FLORIPA� COUNTY OF STATE OF OC�� Ci COUNTY OF cam" The fo aing in ment was acknowledged before me this day of 20L by �1V � (Name of person ackn wledgi g (Signature of Notary Public- State of Florida ) Personally Known (11/1 OR Produced Identification Type of Identifica' Produced Commission No. REVIEWS DATE RECEIVED DATE COMPLETED KRISTINE HpPKINS Notary Public - State of Florida Comm(), GG 066127 O1y Comm. Expires Jan 25, 2021 TheIng in6trum t as acknowledg efore me this day of 20 by (Name of person ac�nowledging ) (Signature of No ry Pub ' - State of Florida ) Personally Known A., `ntification KARYA Type of Identification .�°•�,�; Produced `. I. +KRfST1lyE y0A r, orn public _ St eK1HS Commission No.lii2m,A4Y Cordxpir. pie GG 1? 1 Florida17 s Jan 25,2 21 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 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. <- `- vu:tCt G Signature�of Owner/ Le e/dontractor as Agent for Odoner Signature -4 Contractor/Li ke3seA older STATE OF FLORIPA� COUNTY OF STATE OF OC�� Ci COUNTY OF cam" The fo aing in ment was acknowledged before me this day of 20L by �1V � (Name of person ackn wledgi g (Signature of Notary Public- State of Florida ) Personally Known (11/1 OR Produced Identification Type of Identifica' Produced Commission No. REVIEWS DATE RECEIVED DATE COMPLETED KRISTINE HpPKINS Notary Public - State of Florida Comm(), GG 066127 O1y Comm. Expires Jan 25, 2021 TheIng in6trum t as acknowledg efore me this day of 20 by (Name of person ac�nowledging ) (Signature of No ry Pub ' - State of Florida ) Personally Known A., `ntification KARYA Type of Identification .�°•�,�; Produced `. I. +KRfST1lyE y0A r, orn public _ St eK1HS Commission No.lii2m,A4Y Cordxpir. pie GG 1? 1 Florida17 s Jan 25,2 21 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW