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HomeMy WebLinkAboutBuilding Permit Application .a, 7 A . All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o OV/ , /19- . . / • $ Date: Permit Nu •�••- T - D r,,:-r.. 4- OCT 1,8 2018 .-r IL, Building Permit Appl cation Planning and Development Services + Permitting Department Building•and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 ?(1 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: men c e - s i vz ♦ 1- i - , 1 t c - i Pq�r#&.� i r � � �s Address:\\eO1n (1 c'- �-N- cot-N \ccC Legal Description: ick c,.�oZ[�ceic \10, c.� �1Ce_ )'C&t\`'�t1c C�ic �,o'os(. -5C7i 1.-<- ‘ • - Property Tax ID#: '627"0 6 ; ,---0 4 - ©D 1 -. 000- Lot No.11 c: \ a• Site Plan Name: �} Block No. (i In Project Name: ju yi i ) 41,r)Of et rd,e/ 1c I I Setbacks Front Back: Right Side: Left Side: 1 Axv5\ .:\\ LA. c.506, ID "?c-N6 OC>,\ \--QX1C,e, L.4.')\--V\N ,zD S8\CS ,,,,,,,A-' ,..,--,„v„,•,..\-,( aF0se., 1 ,- x •ittona wor to se pe orme• unser is permit-c ec a t at app y: _Mechanical - _Gas Tank _Gas Piping —Shutters —Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 4 3D L .c' • Sq. Ft.of First Floor: Cost of Construction:$ I 50C.) Utilities: _Sewer _Septic Building Height: • Name JC\e. et-C\ � E c ce- 6 a\\\ Name: Address: `\o k._.7,, (..\ 1--\ -5't1' k Company: City: b C IC �2.•Z-[-L- State: U Address: Zip Code:3 \CV V ) Fax: City: State: Phone No. 1`1 l,3\ 'O ,' V • Zip Code: Fax: E-Mail: Ne.,{-c\C\L\atsc.�aslma.\+Cc,O1 Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed abo1ve) State or County License If value of construction is 2500,or more,a RECORDED Notice of Commencement is required. I 1 i DESIGNER'ENGINEER: , Not Applicable MORTGAGE COMPANY: _Not Applicable • . Name: Name: Address: Address: 1 City: State: City: . . State: Zip: Phone Zip: Phone: 1 • FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: I City: . . City: I Zip: Phone: Zip: Phone: . I 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. i 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 CountyAmendments. 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 co mencin: work or recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent ..,,,!,_•.l.,;_. Signature of Contractor/License Holder STATE OF FLORID' 4 - • STATE OF FLORIDA COUNTY OF ► it '1- - -' i - COUNTY OF The for ing instru ent as acknowledge efo: : L • s The forgoing instrument was ack •wledged before me ��fJ this f day of 'i7-• ,20t_d'by 1 " this day of 20_ by _ gew/, T S / 6-b7 L1/ 1 'LLjy (Name of person acknowledging) (Name of person ac nowledging) JO*/ ! -0 :/ .I'11.-.---:"!, . f (Signature ofry Public-State of Florid• ) (Signatur of Notary Public-State of Florida) Personally Known OR Produced Identification Perso ally Known OR Produced Identification Type of Identif• n . Typ of Identification Produced A • UI C . P duced Commission No. (Seal) Commission No. (Seal) I • REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER,, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1 I RECEIVED DATE • - COMPLETED . ley.7/2014 i I I I