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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /�- (,/ - Permit Number: RECEIVED Building Permit Application NOV 2 02018 Planning and Development Services l Permttln Department Building and Code Regulation Division g p 2300 Virginia Avenue,Fort Pierce FL 34982 St. LUC• OU nty, FL" Phone: (772)462-1553 Fax: (772)462-1578 Commercial R PERMIT APPLICATION FOR: - PROP®SED i!IN, PROVEMr-110107@71.09,71 / Address: /0725' 3'. Ocegn ��".-#7O IF SP,1ffn �P.liClj /C/. �y�f s 7 Legal Description:&gLllav Oy1 a� S� Ly�%P �237`ZY7 -209; -/00 . Property Tax ID#: 4y_ r02 V 121 - 000 -51 Lot No. q Site Plan Name:&O644,i 0411 Block No. Project Name: Setbacks . Front- . Back: Right Side: Left Side: DETAILS© aEzSCRIPTION OF WORK: lG /' ,1,V /Plv ova I Of ySZS . iwa j/e L-we `7.4el 0 6, kn CC*@=N,,TRUCTIJNKN1F.OR;11/IATiO Additional work to be performed. under this permit-check airthat appy: _Mechanical _Gas Tank' _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction:. 1/679 Sq. Ft.of First Floor: Cost of.Construction:$ /900..a Utilities: k Sewer _Septic Building Height: O1NNRER%LIMS ES /- CONTRAC�TO'R: Name Ona O G aI __// Name: r i A Address: /070/ S. OC eq;, or. /9T 705 Company:iQ//am -5,�a/7'� da2c,?7' 5,vc. City:�J 4f-tai 946 Stater Address: !(a / 'P Gam, 5;9eye S><. Zip Code: - Fax: City: .3'BiSm. l3cA State:FL. Phone No. �//O " 5) 7 -3lyy Zip Code: .3/957 Fax:772-23) /qtl E-Mail: Phone No 7702" 2,d0 ' 37/h� 11 Fill in fee simple Title Holder on next page(if different E-Mail C 41a m.Sm;/,A %h 4,0• 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. 'Y Stl'PP!_Et�IENTAt�C®NSTR+IJ` TION LtdN l_AW INFO;RIUI�TIO DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: ,4d'dres's: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Names 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 r ordin our ice of Commencement. Signat a of caner/Lessee/Contractor as Agent fo Owner Signatu of Contractor/L' nse older r STATE OF FLORIDAL J STATE OF FLORIDA COUNTY OF . _ COUNTY OF N The forgoing instrument wa acknowledged'before �_u) z The forgoing instrument was acknowledged befo ani this�'1'/ day of 20 1? by ¢oX this day of �' 20�� byw z �� ••��}.rpm ¢mow � (Name of person acknowledging) (Name of person acknowledging)La (Signature of Nob4 Public-State of Florida) (Signature of N&6ry Public-State of Florida) Personally Known J 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 SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 4