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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �yJ t2 r �9 0 � Building Permit Application MAR m g2018 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: To Select from dropbox, click arrow at the end of line ,.z,. sxf`�`'Y. Address: lo Sh e-IIeuT rra llie o A-,SE Lu e u i rz 3 cis?s,_9 Legal Description:b r7o(e✓ 0')nP.S 61k 1 1-o k L/ Property Tax ID#: 3 N 15'70,5- -0 bb S' 000"02 Lot No.�_ Site Plan Name: Block No. Project Name:Be116(kh'dieS Setbacks Front Back: Right Side: Left Side: ,.��.ss,}^�cys a� _ ..,r't"ahLk � � � .� R �%4 arm� k+a v 3 r 's - x �e, ✓ v r ,. x}; a k ;Y n s �..„ ,'°�ii si xt ;y t ` .i,1f s zf r c -. . : -rcci CNSTRUCTIQN�INFORMATION � h � �� x �� to �� s`^�..`.:i �._ ..s' -�v, °der'.,7;. ia .,�a. Additional work toe e orme under this permit-check a appy: HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors FlElectric ❑Plumbing []SprinklersGeneratorRoof Roof pitch Total Sq. Ft of Construction: '7, 33 S . Ft.of First Floor: Cost of Construction:$��7 a ` Utilities:Sewer Septic Building Height: '; .4..+ ..aa:'f, ...x.ti z. -.,�.`a., xs .+.._, ti".�t ��`*,r.:' .,`b,.M t»,. 3 ✓,7ua. Name ati,. t' ,$ Name: Address: b903 S&WL re►✓✓ Company: City:&0 L'y-)-aL'l e, State: FL Address: c2cM /,✓i llar'd V Zip Code: 3 qg;5�Q — Fax: City: a12296L State: Phone No. 15-ki- 766-,-k40 0 Zip Code: C3bd dd Fax:c:/-0?"Q3 47 E-Mail: Phone No. 341"15-V- 45_01 Fill in fee simple Title Holder on next page(if different E-Mail:d6Ln�(I i615.bar6f from the Owner listed above) State or County License: Cee /1=4?00y If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. dXyl"7ff7 :a.t.e. fi.. . DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: a Not Applicable R 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 cornmencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Sig atur of ontractor/License Holder STATE OF FLO DA / STATE OF FLO A COUNTY OFCOUNTY OF The forgoing instrument was acknowledged before me The for o' g instrument was cknowledged before me this day of ,20_ by this day of 20L by Owl I ?r �✓ 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 Produced (Signature of Notary Public-State of Florida) i ature of Notary Pub c-State of Florida Commission No. Seal ��p '° A INE SCAPICC (Seal) ommission No.6, 6gogt) i° 1086MMISSION#GG 00 EXPIRES October 23, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 2018/MAR/23/FRI 08:40 FAX No. P. 003 � �j(,.Cr �f ��r-1� t1 ! RECEIVED P f0717F' ��7}� S h��—ter MAR-"'2 D artmen e aunty 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,fends,walls,signs,screen rooms and accessory uses to another non-residential use WARNINGS 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 commencin work or recording our Notice of Commencement. Signa re o Owner/Lessee/Contractor as Agent for Owner Sig atur ontractorJLicense Haider STATE OF FLO DA STATE OF FLO COUNTY O� je �f� COUNTY OF �l' { ((GI The forgoing instrumentwas acknowledged before me The fo o' g instrument was cknowledged before me this j6Z day of A___ 120—LIN this ay of 261Z by Name of person{Waking statement Name of person making statement Personally Known_ OR Produced Identification Personally Known t. OR Produced identification Type of identification Type of identification d Produced (S' n ure of Notary Public to of Florida l i ature of Notary Pub c-State of Florida -y'� A IN l_ SCAT>ICG mission No. JANINE(!%Qf&IGC"I0 ommission No. 8r It��U MY COMMISSION#GGO402CJO MMISSiON#Q(3 04 EXPIR158 OatobOr 23, a- ExplRES ci dober 23.2420 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.$12/17