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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) /� Date: /' I I Permit Number.- J i/� 0 . r 7 RECCIV Building Permit Application JAN 15 2019 Planning and Development Services Permitting Departmen Building and Code Regulation Division St, LUCI �outFL 2300 Virginia Avenue,Fort Pierce FL 34982Y Phone:(772)462-1553 Fax: (772)462-1578 Commercial Reisl en Ia PERMIT TYPE: !" -S k. m SEp 1 iPt1, EM a�� Address: S /�O ti ,+� ` �c eZfV Property Tax ID#: 6 0 5-0 3 ` �O 3 (`D o (0 �- Lot No. _ Project Name: DETAILED DE5CRIPTt01� OF W011 A . .C. �'^'',. G14 1VQC-J w&-: -e Ak1qV. �J 0 ©tAJ CdC�nj to "A Utilities: C9. NSTRUCTI{� tINFC?R ►TlC3N W . Utilities: _Sewer Septic Sq. Ft.of First Floor: X166 Cost of Construction:$ 1 Z 0 CD Total Sq. Ft of Construction: a&d 0 LflOT3PLAIN QE�IEL�PIN 'p1IllTrstructures exempt fryli(�il Mo taa �re in the , ; �odp)aIn L}�ra 4 s y,. ,r ' v x - h 7 a a ..^ s' ,`"��zr + a* � ;t':.x ,�fss�.� � Z . .Y �,�t �y :.h¢a3y;. �a�y"3's' s z�� 3,�' ` ti. �` '� �" �sy `� ,r ....: u��" Rd 'hed usedex�usief, l"c nsfi ue >�`oi anrsldentta�< aria Bu1d n e r ff nip 6 IUabre/loiiar fc> tietxpCstruetla o�ice: 3 .�Bfdg I�tuo rred 1ntb�� f elecrlctt ' -ther � Flood7. Znr e° 8FE k El �dways�Y/N if Y� i� t>EseCert#nate wrth stpportlndat��a`ttctied YJ07 � � � � ` � � � 11 otherkappllcable state and federal e'rmits sha Al be ob atnet ,prl�r to cor men m t f xa 3 � � v 3 r w ! 'ate r ' M n<C15tF'�tCfll11° _asp Name 0--rQ ( 7,2-.1 Name: iCkllel ail A �ikWAIL/ Address: 3 D'u ia! L--,\J Company: City: Z 2 LO State:V'IT Address:.2_6z&-2 St 'N n I V Al �y Zip Code: Ci r6'? Fax: iJ 4 City: ` ( Sttate:f"'(- Phone No. �7/„„L 2 5 �- Zip Code: ct� Z Fax: E-Mail: &J Fit Phone No 777 7 <:G_4`72 L( s Z w Fill in fee simple Title Holder on next page(if different E-Mail �R\CAA ALJ C AdA_,,X e from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. UP]?LEMEN=! ALCONSTUC1jON LIEN t:AW INFt) iMAT!{�N4.uR £ DESIGNER ENGINEE / R: 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 thepermit 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. e ,`�yy�•;f No Signature of Owner/Lessee/Contractor as Agent for :�+e' t= Signature of Contractor/License Holder -moo,, STATE OF FLOI� - "�; STATE OF FLORID �, COUNTY OF COUNTY OF $ X- 1 .m s The f rn CA r ing instr m t was acknowledged_before s�o o The forgoing instr e t was acknowledged before me o m this day of 20by Z m' this day of 20 by z o �F se P Name of person making statement. Name of person making statement. a o Personally Known OR Produced Identificatio �N ersonally Known OR Produced Identification �N Type of Identification ype of Identification Produced roduced (Signature of N ry Public-State of Florida) (Signature of Not Public-State of Florida) v U 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 Rev.