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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: . . BUilding Permit Application-, 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 t Residential PERMIT APPLICATION,FOR: To,Select from dropbox, click;ar.6W at the-end of line PROPOSED`I;MPROVEME,NT;COCATIO:N I , . Address: -S �{.AjVY. < < Legal Description: Property Tax ID#: 3. 6 - CJ v G,Z _ G;a a — 9 Lot.No. Site Plan Name: - _ :r. . Block No. Project Name: Setbacks ' Front ° Back: Right'Side:"' Left Side: D'ETAI'LED DES;CRIPTION'OF WORK: „ z . CONSTRUCTION INFORMATIONr.x s itiona I work to be nerformed under this permit—check,aapply: VAC Gas Tank- Gas Piping Shutters < Q Windows/Doors - Electric Plumbing 08prinklers Generator Roof Roof pitch r e Total Sq. Ft of Construction: _ `Sq_-. Ft'of First Floor: Cost of Construction:$ r EO Utilities: -Sewer O Septic Building Height: . -Y. OWNER/LESSEE :=, :: CONTRACTOR: Name S �� eRi}eS L L. Name: C1 I C, 1--Q-�-o jl`(\efx`k Address: 3 U S ,(' J Gje V G Company: City: S u U P�M, State: I. Address: S0 t'lynnC'�u. f�Ve. Zip Code: 32 0 ? Fax: City: Stater Phone N o'.' , L S�I U - 5 Zip Code: .3 7 . Fax: E-Mail: GCOrVjP-�..e�� a1 UJ(yl�,! <GOl� Phone No. Fill in fee simple,Title Holder on next page(if different E-Mail: from the Owner listed above) State or County-License: e ao-SS I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPP,LEMENTAL-CONSTRUCTION LIEN:LAW INFO.RMATION:` = DESIGN ER/ENGINEER:• _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: 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.' Signature of Owner/Lessee/Contractor as Agent for Q*n Signature of Contractor/License Holder NOJ%b STATE OF FLORIDA ` +STATE OF FLORIDA -� UG, COUNTY OF �� C�U�- 'o�7 COUNTY OF �✓ r ►-e The forgoing instr m nt was acknowledged before ��.0z The forgoing instrument was acknowledged before me. 0this day of -) 202A by a ° �' this C day of ��/ 20�by Na rson making'statement N c�� g m f.person making statement N c)� a ly Know OR Produced Identificatio N�' o Kno OlR Produced Identification g i kation Type of Identification o Produced °) a Produced NCL (Signature of Notary Pub /State of Florida)'`- (Signature of Notary Pu ick-/S'tate of Florida ) Commission No. ) (Seal) Commission No. /�S "'� (Seal) REVIEWS --FRONT ZONING SUPERVISOR PLANS - VEGETATION-- `SEA-TURTL-E -MANGROVE COUNTER REVIEW REVIEW. REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ,Rev.8/2/17 ALL APPLICABLE INFO MUST BE COMPLETED•,FOR APPLICATION TO.BE ACCEPTED" ff Date: Permit Number. I• �- 0,.1 . *Uwe �-•-..rte .. __._ '"__ _ _. ... _ .. .. _ Building Permit Appli:cation__... Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,-Fort Pierce FL•34982 - - - Phone: (772)-462=1553- Fax:-(7-72)462-1578 Cofnrnercial Residential PERMIT APPLICATION FOR: P _ -. To Select from dro box, click arrow at the.end of line . PROPOSED"INIPROVEME;NT LOCATION Address: . -�S. . �C.w Legal Description::.: Property Tax ID#: '2�: ,,� �. — y 0 .0 :� -.,U. C� :Lot No. Site Plan Name: Block No. Project-Name: Setbacks Front _ Back`.' Right Side:. Left Side: ; DETAILED-DESCRIPTION OF:WORK. ` a ti CQ-STRUCTION INFORMATION: Additional work to be "8rtormed under this permit-check,,a appy:" �_ AC Gas Tank E]Gas Piping Shutters a Windows/Doors :. ; Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total'Sq. Ft of Construction: J S . Ft.of,First Floor: Cost of Construction:$ 12 U - G Utilities: Sewer a Septic Building Height: CONTRACTOR:`, "SEE . . ONTRACTOR:° Name Kl'no L5- 6l;_.LC-. Name: Address: 13 n c,- Ty �'t;�a P. ��e Company: RaWr MrP(` o+-z WC, City: J-4- O�0 S�nq State: -Address: R) I Zip Code: V�Z. Fax: City: F o- �,�2(`c,L State: Phone No. Zip Code: �'q 'I T Fax_ E-Mail: G eo("%Q (_ea)`/ C�M&', I , G om Phone No. 7 7 2 6 01 G_[2 Fill in fee simple Title Holder on next page'(if different E-Mail: "`y\f NN(f`\l4-2; �C (U(J I ;Lcs?�^ from the Owner,listed "above). State or County License:.�G�U� s5"� if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN;LAW'lNFOR %T-lbN 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. 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 theppermit holder to build the subject structure which is in conflict with any applicable Home Owners Association-rules,bylaws or and-covenants that-mayrestrictor 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:Yout failure to Recdrd-a Notice of Commencement may Jesuit iri 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 commencingwork or recordingour Notice of Commencement: Signature of Owner/Lessee/Contractor as Agent for O e nature of Contractor/License Holder �s+� Mo q �G STATE OF FLORIDA ?''' ATE OF FLORIDA COUNTY OF �� (_uc,� ` �.� UNTYOF J7 L-vLi�� M o The forging instru t was acknowledged before me 1•J e f ygoing instrume t was acknowledged before.mew. this day of ✓ 20 by ^3 is day of 20 by ' N o a S 43 17 e'son making statement N ` erson making statement ersonaliy Know OR Produced Identification: sonall OR Produced Identification cn pe o identification g pe of Identification cn Produced �' d roduced (Signature of Notary blic-Stateof Florida). :: ..' (Signature of Notary� blic-State of Florida) Commission.No. r�S �� .. (Seal) Commission No..�p6� (Seal) REVIEWS' FRONT ZONING SUPERVISOR PLANS •- VEGETATION 'SEATURTLE MANGROVE COUNTER REVIEW REVIEW,, REVIEW REVIEW REVIEW REVIEW DATE RECEIVED - DATE a. COMPLETED Rev.8/2/17