HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: ��,� Permit Number: Sot)— O11l93
I� RECEIVED
Le- LO-1-41111 10,0
' �
Building Permit ApplicationMAY 30c�`3 i
Planning and Development Services ST. Lucie County, Permitt�` ' I
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial __X Residential
PERMIT APPLICATION FOR: 10+e'y-i0 (- --�trv10
Address: oe:c- t� aRit-e Sr6usc�u &/Iw X 1/2U% 'Idos
Legal Description:614,1-7 /drip ZSlr9/1.� Gr�if'6. C'2'E,�►./Ici/tom IO.tC2D_-T
O 3 3
Property Tax I D#: S3,� 'o-� - O//J � y Lot No.
Site Plan Name: Block No.
Project Name: 00/t,
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
/0/ k/T�Ey �0 l tlsS G,ge ''r_s. s CEi�ilet- G�"�D
10E//"'iTiO�v ' /N06C 41)XI W TW_6
-06M,li t/o - mss? MW AW01014� P 4,9// Q12 11 9 D a81A4-;5
Additional work to be pertormed under this permit-check all that appy:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ '�Yoo Utilities: _Sewer _Septic Building Height:
Name (t41,7-2e ylle-eiv 9 X&444 S7JE.s/« Name: �
Address: Company: 04koe),Q&6
City: L'f/&MQ State: Address:/?70 .SF Com_% ,Car,�',i► E
Zip Code:X89 JI Fax: �� City:Aer sT t4A:f4_,-- Stater
Phone No. = ,FSG `So:ud Zip Code: Fax: -'
E-Mail:4"Pift 460 4'Y)96.0S® SO C610441 44t- Phone No 39f-JV9 X0
Fill in fee simple Title Holder on next page( if different E-Mail 17,O/C-&.S® eb/114A57 4,6-T
from the Owner listed above) State or County License 4t'_ QY
2
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
ENTAL CONSTRUCTI N LIEN LAW INFORMATIO -
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
�ornmencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agennt
X- t for Owner Signature of Contra r/License Holder
STATE OF FL )ftit 1�Oymwk ti't f STATE OF FLORIDA
COUNTY OFZr_�-. J 1:A COUNTY OF Mcr�-inl
The for;ng instrment was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this 2-( day of 20 l't by
(Name erson acknowledging) (Name of person acknowledging)
"ICL as y..�_ CL CA UwLj
(Signator Notary Public-St�ate-e cla ) (Signature of Notary Public-State of Florida )
W natflh W
Persona ly Known `OR Produced Identification � Personally Known ✓ OR Produced Identification �1- �-
Type of Idex-itification Type of Identifiggilliiii
Produced JENNIFER VIEIRA Produced�� �, )•Z SARA A.CROUSE
NOTARY PUBLIC STATE OF CONNECTICUT kotary Public-state of Florida
Commission Noll ` MyCommisl%bgresOctober31 2022 Commission No b 7COmmission SF 5668
Y my CD
mm. Expires un 2,2020
i I®tided through National Notary As
INNER
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
��uGtG 1i0� `
Planning&Development Services'~ ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor RECEIVED
MAY 3 0 2018
May 30, 2018
ST. Lucie County, Permitting
OAKRIDGE CONSTRUCTION PROFESSIONALS INC
ANDREW T BIEGER
1872 SE ENFIELD AVE
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1805-0763
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
Zak
✓,
Ignature
J Date
5/30/2018 12:32:46 PM