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HomeMy WebLinkAboutBuilding Permit Application I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /O-2-/Y Permit Number: I 0 -0035 C10,& IBJ T Y F L 0 R I Q F -, Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982- 1, Phone: (772)462-1553 Fax: (772)462-1578 . Commercial Residential /� PERMIT APPLICATION FOR: ') ul'M 01 Y-;o n . PROPOSED Ell PROVEM f1'LOCATION = Address: 219 7.3 ,/re nes Ski ,TerKen Beit6h R. 3V ,7 Legal Description: /Ys 1lJey �Sl4fJ ..,T-04*. 376 y-2 V3) i Property Tax ID#: 115-02 ' J0/" 0076-000 - V LotNo. 2b3 Site Plan Name: A/c Mei Block No. i Project Name: 2_0 73 Setbacks Front Back: Right Side: Left Side: -©CTrAItED DMCRIPTION 0(F WORK° °. Cor,p)e-Te, 1 n'01ifian 9 nGr vAPr70114/ Of 7,27 3' , 'o2 € hor'J e qnJ P/a/esiet rQOr✓1. ( ,..V .,5 /0 itetV4/-10- '@ONSTRUCT MI BIKIFORMATIONo °m- . ,e . . ,. Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank Gas Piping Shutters '_Windows/Doors, _Electric —Plumbing _Sprinklers —Generator —Roof Pitch Total Sq. Ft of Construction:. . 7e.7 Sq. Ft. of First Floor: 7,27 Cost of Construction:$ /T OO.„ Utilities: et Sewer _Septic Building Height: 71011 OWNER/LESSEE? i � CONTR i C/TOR° Name fylar4/ 00,f leu•ihdL 5:l/ane .Name: ISF�/ s0 S r 74'4 , Address: 52 gD f can jO / I Company: /Mtn i fh 3doco7 fK. i,!?C City: WPB. State: FG. Address: 6/ A46-: .5;vedeer $?& Zip Code:_33V/// ' Fax: City: 37,191-e4 .ReceGA State:/CL. Phone No. 51/- 7,23" 6787 Zip Code: 3Y7'5-7 Fax: 772-232 2Iy/_ E-Mail: rii %//4,9CG°' 00/- coir Phone No m 7.2- 2 6O - 37/5- Fill 7/5Fill in fee simple Title Holder on next page(if different E-Mail a 4177 syn;/27 1."C e ya4dd •cam from the Owner listed above) - State or County License CgC. /25798/ If value of construction is 2500 or more, required. RECORDED Notice of Commencement is re uired. S�Ui E i NttAt CANS RUCTION ti .iN'IrM:i N3F a R+1111 it 0W i , ,:°? P 4 ' 4,,a 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 represu sentation that is granting a permit will authorize the permit holder to build thesubject 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 ofrecordin: sur stice of Commencement. E -;111411: r--71 Signature of Owner/Lessee/Contractor as Agent ".t(por Signature of Contractor/License Holder c'F2 tiN ,, STATE OF FLORIDA - F 5 1 STATE OF FLORI 0 / .- .4. ii L til COUNTY OF ` ,� ' dow. . I =gig A COUNTY OF 4 '/IGS Sia The forgoing instrument was acknowled a efor l la 2. The f oin instr ment was acknowled b: w g g /�-� � g ��x� �g g k g� �� this Qday of 5L f ,20) by : >W m this day of a ,20 .,4 ,;;1 1 a i.I/1/r) =-'- ' 'i j.' : 4.,,,........,f6g-. :'1 ;8.. 0 i (Name of person acknowledging) "°",*,"fit�� (Name,of person acknowledging) '•`- (14 11 tyLe IF Iliai,G6U24 / , (Signature of No Publ. -State of Florid. (Signature of Not Public-State if Florida ) Personally Known OR Produced Identification Personally Known q/ OR Produced Identification Type of Identification Type of Identification Produced Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I DATE . RECEIVED DATE • COMPLETED 3ev. 7/2014