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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LDate: S- a — ( Permit Number: /6O S i t tq ;,�: a Li -.. -tet v �;, CO 1- x RBCQPvE8 E D_ o F8 D D r Building Permit Application MAY 1,0 2018 Planning and Development Services Permitting Depart en Building and Code Regulation Division St.Lucie Coun m 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IN1P4ROVE ENT LOCATIO g , 4-, .. Address: Li -5 a 2 re d woaZ drvr've1 E_�' S.e��r �L. `3 y cis, Legal Description: 2 it Property Tax ID#: 1 J l 3• v� - OOOCl ` O©0 8 Lot No. II Site Plan Name: Block No. Project Name: it Setbacks Front Back: Right Side: Left Side: TAILED DRGRIPTION CfP WORK. ,s ° ' ii C®NSTRUCTIQNOkFORMATIONg Rt . Additional work to be performed under this permit-check all that apply: /Mechanical Gas Tank _Gas Piping _Shutters _Windows/Doors' _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cab Cost of Construction: 2 vd Utilities: _Sewer Septic Building Height: OW ER/LE$SEE , _ . .a,.�.. CONTIR. 1111111111.1111.1.111111111111111111 Name /1.''r ( 1li,inO Name: CYf(yr5 (Srie( Ni/ijd2 /d/gy6 'Z Address: Li 3 a 2 reIuraacL di- Company:'/9-i kr Sc j,tt; I City: .vr- er ev-b2— State: t-4- Address:,8 Y7 Sty 2a cc i.E 11 Zip Code:_3 y qS ( Fax: City: State: �1-- Phone No. 777 59 S 2 .17/6 Zip Code: 7'1.'7E19 . Fax: . E-Mail: Phone No ,C1 -2� / — r 0C2 Fill in fee simple Title Holder on next page(if different E-Mail lci ry c/l v'h i OA , (.Q.e ci, iC°'` from the Owner listed above) State or County License cAc l$3f q d 7 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. ' P ' I , ATIN ,5 I EMEIT .CQNS 13tIUD NR . , 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 4 commer ing wo1\or recording your Notice of Commencement. / if, Signati - o'i er=/Lessee/Contractor as Agent for Owner Sign ture of C tura t rhi ender STATE OF FLORIDA STATE OF FLORID COUNTY OF 5+-(' -c COUNTY OF ,f •Lh ct a The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this !0 day of Mai , 2011 by this I LI day of __ - ,20 (E'by • S1lc5 I �' .� friovi-yri;, OciS_ / y ( / ame of person acknowledging) (Name of person acknowledging) '-.9- '1"`).-\-W- (Signature of Notary P lic-State of Florida) (Signature of Notary Pki bIit-State of Florida) Personally Known OR Produced Identification I/ Personally Known OR Produced Identification 4........-- Type /Type of Identification Type of Identificatio - --'.4a Produced P'( () -, 3i± Produced (i 9)„. ._- `� -Dials , 154S u U S '1� (fie . pl3 d ` 1t 1, Commission No. nuc.. GG on Commission No ,,, - b y PU S,�A;,,h4:dS� et 10,20'0 ' ° FXV`�` S:Dec F�b is ��ul, ynceT'l v.5 ''N ` i FX�IRES:Ue pubt10 ..7en i ��c 971 -- —' ''.':.15e: ende lhtu{,to �� Y AS f, •u � REVIEWS FRONTT: F�Fh7fi SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev. 7/2014