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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -I ��� Permit Number: �d1Pd030 RECE:22018 ED Building Permit Applica ion JUL o Planning and Development ServicesBuilding and Code Regulation Division Sf. Lucie CouPermitting 2300 Virginia Avenue,Fort Pierce FL 34982 �/ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /'�• PERMIT APPLICATION-FOR: PROP®SED I PRD1lEMEN J ILOCATI{3N; Address:_r72? 0 !�I VC 4V-e p o rJ S y Z v t (e 311952- I Legal Description: Loi 3 �( 610 c/C, Z 1 L-C Y .(2 U n ij 4 1A-c Property Tax ID#: 3 y��'S \a- Oa,� ddd 'S Lot No. 3 Ll Site Plan Name: Block No. Zy Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DE�S�R�IPTIt3N O�WOR rt�tdc� 3 '20.' . - \X,1,0 drama ed_ can C>.<,J-e ve-.—a0 dYeV, "�5 op0 pS-r, Ll 'yv' I�h F ►�ey n��Sh ,� Ih �o✓cP r)o IN81T1 12, I'W FOR+MATI@N: Additional work to be performed under t is 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:$ Utilities: —Sewer —Septic Building Height: OWNERcc/LE=�S`�SEE: ,� CON?'RACTOR: Name _.1 a r?e � P✓l o v 4 Name: J V on R 9 Address: 310 h VL4 Ve- - Company: F /dn & f V C.�- row I vi City: po r� S o ih Z Cr-e State: FL Address: IV 55, a,3$ e/d -/h Zip Code: 3 V 9 5 Z Fax: City: V-ero 122 e a c h State: r= L Phone No. 1772 Z ;0'7 0 6 Zip Code:?;2- 9 6 G Fax: J E-Mail: i?4eY$ 7.23 9)/4 f;� . n e+ Phone No 177 2 3 6 5 S 'IO Fill in fee simple Title Holder on next page(if different E-Mail 3 F(-on S f rL/ ro"Z-) cg j" a) from the Owner listed above) State or County License 2 y 70-!5* If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUR LEMENTAL ONNS FUCTIQN LIEN LAW INS©RMATION: 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. S gnature of Owner/Lessee/Contractor as Agent for Owner gnature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6)r . COUNTY OF Gk The forgoing instrument was acknowledge before me The forgoing instrument was acknowledge before me this day of20N by this 1 day of 120 \% by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pu lic-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced::Id'enfi c tion Type of Identification Type of(dent f'c_ati•n =`' �ARiEo�V�riS Yp YP L t' ©EANRN #G0 o2zo2s Produced NF1. SDL �� � Produced4-,��'A.L ,���tntSslou s 202o ` ,a FXPIRES:G ecern�' ,�s^'a`.ss�r" �GIVEe1S 73 rt;j:�; �`' ��ru hlotaN Public lSnderu Commission No.�dVS.41 �h(� a�� 00220- Commission ��`d a � .5:0� ictlnd REVIEWS FROSUPERVISOR PLANS VEGETATION SEATURTLE- MANGROVE COL ``R VIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.