HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (A. ��' J�� Permit Number: ' Q lV
�.► ° RECEIVED
Building Permit Application JUN 15 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permi ting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PROPOSED INPR01/EMFlENT LOCATI®N:
Address:
Legal Description: �nc.�l�� f-l``� �S�-4 �'LS — v� iolr (3 IL 0 z'
iM� �y ozs v� qGZ
Property Tax ID#: C oc-O Lot No. 2`I
Site Plan Name: Block No. '/CA.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D STA LED DE-�SC«R�IPTiON aF WDRK.
10 'FaOf�b�� 01 °c��arr� �/J6� T�IR '' g ��Q(�i- WOIJY� )aJ�'h S%J'e `� •�� �'e21f' C OWv�
0.5 k Sr Je W •fa-- Pi l Cha}e 15 kL4- 0 qa✓ire : l?r6e r4--1 b ie.
(tin t 1 Ox IX--eV-qLn by e� �e 4AA()Jle OC ,)raRcr�! '
CONSTRUI'llCTIONI INNS I=ORMATION:
Additional wor to a performed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping ._Shutters-'-' a Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$' �56G ( Utilities: —Sewer _Septic Building Height:
OU1/NER/LEWSEE: CONTR CTOR:
Name j- kcAw(c ma S[Gne-rw
Address: 1060 &.4110 �} ompany,''' I}
City: CA Nerk State: :Address:.
Zip Code:-311 S62 Fax: City: ;` _ . State:
Phone No. 71`7Z- Zip Code: Fax:
E-Mail: 5vj,,A iiL a 37-1- n LAv-e. Cam Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL C®NSTRUCTIQN L iEN LAW INfiORMATION:
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
commencing work or recording our Notice of Commencement.
Signatu o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��,lE_ COUNTY OF
The for oing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20A by this day of 20_ by
6A Ne ugZARe_
(Name of erson acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) / (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identif>�ion Type of Identification
Produced Produced
"'yP"a,, KAREN S. NIELSEN
Commission No. State niida-Notary Public Commission No. (Seal)
Com i n #GG 207484
My commission Expires
June 12 2022
es
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 712-014