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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - Date: • ��� Permit Number:, Cn VED " 2018 Building Permit ApplicatiPlanning and Development Services , permltting Building and Code Regulation Division - -.._.__ 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: `� 1 V M'w . w PROPOSED I1N1ROUE(UIE NOLOCAT • Address: +9/0 41F -Sa-3�9 --DZ- 04'2`7�1WT /—VC! Legal Description: • _91--0ek L19 12wey- FA-ek —VrA7 S=VUR Property Tax ID#: I?> to L)9-_ (o 0+0 -3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DEl`AILED DC�SCRtPTt©N C?F WORK: rvuC.,l I C u ��� o F v1 e-A\ L", Sem e"' � s% re.e_ r.( <6L ti 5 L) �rD � V%-. n-Ja� j b y 1 F� 0 2 cep',,<_1 Yiie yx,AU�� C-P-v Pn v`Ii- a v, 11PNOSAR"_UC"TI0NAINlFOR ATION; Additional work to be pe orme un er this permit-check all that appy: _Mechanical Gas Tank —Gas Piping _Shutters _Windows/Doors _Electric V Plumbing _Sprinklers _Generator _Roof Pitch Total Sq: V&Cohi tr"uction:' ----Sq;-Ft;-of First Floor: - Cost•of:Construction:; Utilitlies:..,, ;_)Sewer,!,: _wSeptic Building Height: OWNER/LE-�S, EE: CONTRA 4R; Name3-0.S€ Name: TY) �Rn YYIOS Address: N3 I2�—t T/,A,-J S Company: -fit Uvv 1!-: G' ') YQ0 p2►� City: �c�-2A Y State:�� Address: ( (o SW 13 C'C- Zip Code: Y Fax:: City: o C!-. Stater Phone No. 5 b i � � !� - _�s ss Zip Code:3 Q, Fax: E-Mail:`50515'CO2Gr16Z3I2&9e&M 4'L 60 hone No q�-!- q� 1 Fill in fee simple Title Holder on next page(if different E-Mail &dry-,i r-, P j2 LL mbi n! ,+OD efs. from the Owner listed above) State or County License QFC- ly 2-q5 ?`1 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. ROD 2` LEMy, ENT L CQNS"TRUCTI.ON l.l'EN LA11U I FCl'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. Signature of Owner/Less a/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this (I day of _)At::� '201 by this ie day of� 2118 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ohh e� Maria C Cueto o et e�� aria C Cueto Notary Public-State of Florid 3 NotaryPublic-StateofFlorida N, c Commission#FF 961323 N, oc Commission#FF 961323 y o vl (Signature of Notary Public St lorida (Signature of Notary P - Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.