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Home My WebLink AboutBuilding Permit Application ILL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3�� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division I j 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Resid'ontiA PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line OPR,QPOSED IMPR�U ME( T LOCATION Y r3. �� ., Address: Ii-l' lel'O rWQ✓ br) 113 y9so2 'IR' Legal Description: leiV�✓ /"-✓k - dni�k3 ,dl�C 3 /.�1i 3�►i9 _5) s- DD 97 - o0o - 0 Property Tax ID#: i Lot No._� Site Plan Name: 1, Block No. Project Name: Setbacks Front Back: Right Side: Left Side: f J � i ,R '_.a"i.��`� ��y�n.�+s.,gl;""�""t'q.r?e�"'r...l«."�`.x"a�`��`.. '�r x;Cv.,�4��r hal;��v�,n.� "�.�`'�+x^ Ta^y.`'�'� ��Ea z'�� i��,� s .�,ya7�z ..•. .l;�r'�r' �:�i; v4�z�"°�.�eT.$.'r',�J,4�,�'�*�.,.�.t sx; .�b.�: .�.��w,:✓�.�!�,ti.�.��..�s .s �°t:�,m3r.<_�,.��a. €�._�z..�,F, c...r��rut�. '�a-��a�.. �.r ��`* ., � ...�'w.-<, ..r�,. xX� s: '�fi�.�,�'��M>�� r .'��.'�,,>�u..c.�� 5h►njy/e Re--,bo F 3/[a p► I-CA a75�. i 'Sa .#. f' e� _' ..�. }� ,' '�, �..i, s�r -,Y •i2�'��e�v �$ ��°ma.a 4,,x �.:�� i�a._ay o '��F � �� ffi;�YEN CONSTR ICTIOf�,yyCi�FC1 tMATIQN , x � r � N e at-S.- _. . .mk. .e.� itiona wor to e e orme under this permit—check a appy: i 11HVAC. F]Gas Tank Gas Piping Shuttersi; Windows/Doors Electric El Plumbing Sprinklers 1:1 Generator Roof Roof pitch Total Sq. Ft of Construction:_ a �� SFt.of First Floor: Cost of Construction:$ 636 Utilities: _Sewer Septic ;` Building Height: {j�� p ' �`(^ ��^"'�'�`: t�3��-`� '�- � ��-�, dt�`y.„, '� 3> Y•:., �,,, � �as y� y¢'s'�e4`'�-7;-r. ar t" ' X�'�+i�" �k Name ki Name: ��i Address: r��/2 16r)iAcr by- Company: �(�7/7' 6/Lf�f"'I 7t,64 M 44&SDC. City: Pb7��— c�� ,(u�/,� State: Address Zip Code: c3 q ScQ Fax: City: t/11b i State:_F_L__ Phone No. 3/0 Zip Code:3cH,9�2 Fax-:11-1o3r_03 t 7 E-Mail: Phone No. r _ 3a1 41-15Y_' , 3�fsL Fill in fee simple Title Holder on next page(if different E-Mail: Q(1)'r1els• t Et;t�iGlO( from the Owner listed above) State or County License: i If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. .1 ' +•t'�:i "�•tx..,�...,1 fi."�r�:,r� .i$��`:' "*i.,:,i'n,#-'3`s, ,:k^ct ,kms .�&.�...�&»5.�'u'".7-`h _.{,�..s�'w'z�^�4 x;:�a�a�^a.E�¢�'x 'moi. .��Sz'� � cr,sy'��°t"s.i h s�'d,��'?'�� '"_s'"�a. S:UPPLEI�/IENTALCONSTtUCTI.ON LIENLAW�NORMATION, � f DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY- Not Applicable Name: Name: Address: Address: City: State: City: I State: Zip: Phone Zip: Phone: II FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: i Not Applicable Name: Name: I' Address: Address: 1 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. 11 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 n'on-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. ' Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract r/Licen'se Holder II STATE OF FLORIDA STATE OF FLORI COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The for oing instrument was�acknowledged before me this day of 20_ by this day of 201E by l`��lin ��i't✓��1 Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known—�OR Produced Identification Type of Identification Type of Identification Produced Pr d &At�, , (Signature of Notary Public-State of Florida) r(Snure of Notary Publi . ° JANINE SCAPICCHICommission No. (Seal) sion No. '_ MY 4&ASSIGN#GG0409 0 .9?q i EXPIRES October 23,2020 I ' l REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE I COMPLETED Rev.8/2/17 i it ' I 2018/MAR/23/FRI 08;50 FAX No, P, 004 �err►�� SLC- 1 0 3-0157 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:_ . OWNERI 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. ermit5t.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, arcessory•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. Signature o owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO DA STATE OF FLORI ^J COUNTY OF &/teelllm / COUNTY OF_ _ /�Cl'!�(/► The forgoing instrument was a knowledged before me The fo oing instrument was acknowledged before me this day of r 20? by this day of J'/J�/ ,20JZ by ke,r/1,17 ��t l��cyil Name of person making statement . Name of person making statement Personally Known_�OR Produced identification Personally Known L,-"—OR Produced Identification Type of Identification Type of Identification Produced P d 1(547/1Lure of Notary Publi - 5" n re of Notary Publi aef-FleFi JANI rSCAPICCHR JANiNE SCAPICCHI ission No. _' ;`i MY(S�9�t�+1ISSION#4130409 0 mission No.. _ :'_My( SSION#GGW9 o EXPIRES rCtober 23,202D Q,� ••`� EXPIRSS October 23.2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17