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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (t/ Date: " 3/ 'I Permit Num RECEIVED ' s r Building Permit Appli ation OCT 3.12018 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 .Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: c�off' ,v�► PROPOSED INPROUEM'ENT LOCATI Ad.d r e s s: 7 Y 3 e# f X/ ei rm &.&ti G. YV9 ,57 Legal Description: e 11 c h j 220_/537 Property Tax ID#: g5-o2 - 5^0>_ Q 92 L Qo'L7. Lot No. '2tl3 Site Plan Name: Block No. Project Name: 7y1 Setbacks Front Back: Right Side: Left Side: DE A LED DE�.SG« IPTION CIF WORK: . Q fe ero o li i o, n re.►� v4 5-37 l P me n vb0m C© STRUCTNUT INFORMATION: Additional work to be pertorm. ed under this permit-check all that appy: _Mechanical _Gas Tank Gas Piping —Shutters _Windows/Doors Electric Plumbing _Sprinklers —:Generator Roof Pitch Total Sq.-Ft of Construction: 637 Sq. Ft. of First Floor: -37 Cost of Construction:$ 1100 Utilities: Sewer _Septic Building Height: �7Cf ROM IRS' ER/LNO0 CONTRACTOR; Name 9210Pewe 21r Name:�AilJi 11 Address: IL1y3/ lKw. /9th Ave. Company:AAM :rm r), ! '99e'*7 .Sic. iyiC. City: Oa 4 lend/ AP.,4 State:/. Address: Zip Code: 3309 Fax: City: Tetifeg Re4G4 State: f-2. Phone No. Zip Code: Fax:772-,2-32 '�19/ E-Mail: Phone No 77.2- M0 - 37/5' Fill in fee simple Title Holder on next page(if different E-Mail `d�e," .fA%f7:rlc la y4400. coyr, from the Owner listed above) State or County License GBC/,2 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. StJF�'LE11/IENT"Al. C«®NSTft�tJC�T4C*}N Ld;EN IOW ! �®RMATI��I: �. :: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Nai�ne.�.�;,� • �. a. - — Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: I­a`' 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 recQrding your Wtire of Commencement. Signature of Owner/Lessee/Contractor as Age "Q "r SignatureOfCoontractor/Liccnse Holder. . E %o , STATE OF FLORID =°o = , STATE OF FLORIDA COUNTY OF COUNTY OF � m< a �99 The for oing instru ent was acknowledgWb of rt@ o The r oing instru ent was acknowledged-before e nN this day of 20 a m�D this day of 20 'by �0 Q7 �Z� Al 4 (Name of person acknowledging) �N (Name of person acknowledging) (Signature of Nota blic-State of Florida) (Signature of Nota ublic-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 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.