HomeMy WebLinkAboutTurano 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
--------- --�--' a -
•
- - -- - _ 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: ,S`lii%t
INPROVE _
Address: S L�GI� 1 tW�lS
�L.
Legal Description: 1NLS cc,` cz��aJ�a. Cnnl�/J
,
Property Tax ID It: 3 A= - -70 ^ 0 68 .�c� 06 Lot No.
Site Plan Name: V �Qln O Block No. 3�
Project Name:
Setbacks Front Back: Right Side: Left Side:
CRIPT_ ION OF WORK:
s S l ( De l VVAA-9
A t Pie
Lp—S
CONSTRUCTION INFO$MLTIQ
AaditionalworKtol3eperrormea un er this permit- check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers Generator Roof 3 11 IZANtch
_
Total Sq. Ft of Construction: 1q00Sq. Ft. of First Floor:
1
Cost of Construction: $ 7 -5 -Do r(lj� Utilities: —Sewer _Septic Building Height: 0
"Name
Name:
Addr ss: z.
Company:
City: L�
Address:
eS_tate:
t�i Fax: �i ✓ f -
Zip Code:3i4 S
City: State:
Phone No. 772,-^�-� ZbIO
Zip Code: i Fax:%� 3�S^��
Phone No �S3S'
E -Mail: 6Y&-
Fill in fee simple Title Holder on next page ( if different
E -Mail AtQTw1 V1
State or Co my License O
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: ,N,;: -Not Applicable
Name:
DESIGNER/ENGINEER: of Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
BONDING COMPANY: 'Not Applicable
FEE SIMPLE TITLE HOLDER: 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 undergwng a full concgrrency 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.
SignattW&f Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA �I
COUNTY OF s�a Gly COUNTY OF
The f oing in ment was ckn ledg before me The forgoing ins ment was ckno dg before me
this day of 20_U by this day of 20L_by
Ua ma y _ Lax�,ry-%_a.uv r-'C_'e_^
Name of p son making statement. Name of persdn making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification_
Type of Idee4ofication Type of Identification
Produced J__C 01_ Produced
(Signat o of u P -State of or; n Nota ubll t o I ASHLEY FAECHm
•�,� ': Notary Public -state FI IB ry
- „�' Notary Public-stareof A
;. •= CWnmiulonlGGO 1769. :,
Commission No./1� lU���� f o mi%,; 1G 'p'' C(iO1h(�(� - taryPu bna66071
i C - My ld�tNIm SIOn Nott I �^`• -1 J�1� ,_ � MyComm. Fxpres Feb 8.20
aogWihnwgh NatluW Mol
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
II[ev. 8/2/17