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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ? 7 Date: �� " Permit Number: / �� / 04S-1 i; - ED - law- RECE"VE REC Building Permit Appli ation JUL ! � 01 8 Planning and Development Services Permitting + ?pal-tmen� Building and Code Regulation Division Sit LUCK 2300 Virginia Avenue,Fort Pierce FL 34982 ® nth FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial ReS en la PERMIT APPLICATION FOR: i C PROP®SE© tNPROMEMENT POWERQN/: Address: es-o-c' 1 2JG.n-d V-e eri NL Legal Description: Lei W a0 d I ,A,k USI i-[ - 9-A. - Tl k Property Tax ID#: �� 1--6/d 9 Lot No.—Y Site Plan Name: MG��S�/1 Block No. Project Name: �cyo� Setbacks Front Back: Right Side: Left Side: DETAILED D��SC PT(ON C!3F T O'R+K: G G4 4q e OiJi 5 761) S . rj6Gw S d4/0- o��doa� - : yPAW2L/ NO Nil INFOR ATNW, Additional work to Ue--p—erfo—rmed under this permit-c ec a tat appy: XMechanical _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:$ `�' �a7 Utilities: —Sewer _Septic Building Height: O �NER LESS CONTRACTOR: Name 13ei ti.ic. /I�.b�2r s6✓► Name: Address: �� 1�- 2IG�+c� Company:7<46e,old 4,G , d' #iciiii City: Fv,4 /%cz State�L Address: g z 8S /a y i� CT Zip Code: 3�/III I Fax: City:lz2 13C4&I- State:F6 Phone No. 9S 7 5-62- :20 , Zip Code: Fax: E-Mail: Phone No -?I - -iS i Fill in fee simple Title Holder on next page(if different E-Mail �<404C/es co, 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®NSTR1U6TIflN EN LAW INFRM/�►TION: DES NEER: —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. Sign atur caner/Lessee/Contractor as Agent for ng Signature o ntractor/License Holder m STATE OF FLORIDA _ =U- = STATE OF FLORIDA - N COUNTY OF M. COUNTY OF o z a�1 co�`• � �ac�a The forgoing instr me t was acknowledged before rn 2 The forgoing instr en was acknowledg efor r this day of 20 by �X this day of 20 byw �W ¢o�¢ e ,$ o a UX z (Name of person acknowledging) (Name of person acknowledging) (Signature of otary Public-State of Flo ' a) (Signature of Vary Public-State of Flor da) Personally K n OR Produced Identification! Personally K OR Produced Identification Type of Identificati n Type of Identi icatio Produced �. .� Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.