Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: t2-✓_7-1—7 Permit Number: 1 I .____ •. . -- Building Permit Application DEC 0 ? 2ov Planning and Development Services PE11%411-TING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential V PERMIT APPLICATION FOR: '�•l � S(A� � PROPOSED INPROVEMENT L ATION: Address: Legal Description: TCS 1:51� Property Tax ID#: ZS— �D — D7/� —� — Lot No. Site Plan Name: t-LVII- qdX --�WgnQ� � Block No. W �Z— Project Name: / L ' Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Jf CONSTRUCTION INFORMATION: Additional work to be pertormed under this permit—check—ccheck all t at�i apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator IzRoof Total Sq. Ft of Construction: Z-.S010 Sq. Ft. of First Floor: Cost of Construction: $ R t _TQQ(ZC?D Utilities: _Sewer _Septic Building Height:�__ OWNER/LESSEE: CONTRACTOR: Name SC Name: Address: Company: S , City: Vu _ State_ r\ Zip Code: 'Z7ctgSZi Fax: City: �, 4 State:_P_�� Phone No. 770—�� -1~qLAu� Zip Code: QgZ Fax:-77Z-��S`03C(� E-Mail: ISA • Phone No Fill in fee simple Title Holder on next page ( if different E-Mail 'ta;A Q V� from the Owner listed above) State or County License _ Z If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ER/ENGINEER: of 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: of 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 comm cin work or recording our Notice of Commencement. Signat of Owner/Lessee/Agent Sign t e of Contractor/License Holder STATE OF FLO I STATE OF FLOqI QA COUNTY OF _ ,�� _ COUNTY OF ��1(t_I The Mgoing instr4qnent was acknowled efore me The f r oing instrument was acknowledged before me this day of_ e 20L ( by this day of 201 by AL v 14 es©N (Name of pe owacknow edging) (Name of person bcknowledging) AA (Signature of Nota Public-State of Florida ) (Sig ature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identific n Type of identification Produced �t✓ Produced t. L � r. �1�P IItI,Ii Commissi S. NIEL �1 Commission Noy r KA a,ll„e S N1SF Commission # FF 115637 l '; ommissioo ,: MY Commi FF 11563/ Jun 12, 2018 i_ une 12 e v REVIEW - PERVISOR PLANS VEGETA~ TIO 20 ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'REVIEW DATE RECEIVED DATE COMPLETED lev.7/2014