The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT All APPLICABLE Ir FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED INPROVEMENT LOCATION: Address:5(Ola ono-"`il—b a7(�— Property Tax ID#: 3El 1�7 io r�( �� Lot No. i Site Plan Name: Block No.20 Project Name: ` V ( DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: 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: Sq. Ft.of First Floor: Cost of Construction:$ I c,LD OL, Utilities: —Sewer KSeptic Building Height: OWNERAESSEE: CONTRACTOR: Name ��lZt n\w o ou�� Name: A t(1 IL(A 4rylt Address: ';T( 0 KI Oc�1W.Cjtuyz_ Company: v hlV�i (n City: � IL' Stater Address: 0 � �E Vi `� Zip Code: t q� Fax: City: sT Li)ck S ate: Phone No. "0_ (-J CJ i I LA Zip Code: __�_i G 5 3 Fax: Q1 E-Mail: t�l Phone No C 1 L•. Fill in fee simple Title Holder on next page(if different E-Mail 1 C ` from the Owner listed above) State_or County Licens�.i — L G c1(}. 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 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 irtspeCtion. If you intend to obtain financing,consult with lender or an attorney before commencir} 'work or recordin Notice of Commencement. Sign re of wner see/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA._ COUNTY OF G7C L 0( COUNTY OF- �i l_�C_L The forgoing instrument was acknowledged before M2 The forgoing instrument was acknowledged before me ., this day of 201 by a this�day of :Ft5��> = 20j by Name of person making statement. %o o z Name of person making statement. cl N N Personally Known OR Produced Identificako o Personally Known OR Produced Identification c N Type of Identificatio m Type of Identification3 E D. Produced Produced 41 !;N (Signs re of Notary P `lic State of Florida j .,ti' (Signature of N to u lic-State of Florida) Commission No. 1 (Seal) Commission No. t' � I6T (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. WATER Comm ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982 SEWER RES NAME METER SZ. MIF ACCT.# IRR SECURITY DEP SERVICE ADDRESS SERVICE FEE SAME DAY FEE LOT BLOCK SUBDIVISION OVERTIME FEE METER INSTALL. BILLINGADDRESS 'I'L CFCIWATER FPUA CFC PHONE# .,,,--MOVE IN/CLOSING DATE CFC/SEWER GUAR.REV. This application hereby request and authorizes the Utility to render water and/or sewage dispos services to the premises described above in accordance with the Utilities present or future rate LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to p,. the Utility promptly for such services in accordance with the established rules and regulation $ TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER I------ SOCIAL SEC/ SIGNATURE FED ID NAME OF SPOUSE SPOUSE SOCIAL SEC. OFFICE USE ONLY j DATE RECEIVED� CASH, CHK# RECEIVED BY' ST LUCIE UTILITIES DEP 2300 VIRGINA AVE FORT PIERCE,FL 34982 02/06,12019 12:42:52 CREDIT CARD St, Lucie county - PCIS VISA SALE 02-06-2019 12:43:26 16477/4718 Card 4 XWXXXXXW0777 MOORE STANLEY Cho Card: CHASE VISA 5612 OALMETTO DR AID: A000000O031010 FORT PIERCE ATC: 002E FL 34982 ARQC: 787AE0594DBB7F54 Amount TBndered: 521 .25 SEQ 4: 6 Amount Paid', 521 .25 Batch#: 1071 Change Due: 0.00 INVOICE 6 Approval Code: 07561A Thank You ffilry Method: Cho Read Mode: Issuer User JO: MURRAYA SALE AMOUNT $521.3 CUSTOMER COPY