HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
Date: \"� , � ' Permit Number: '
D
^moi" ,J FEBX
w ��i ``� 3 2019
Building Permit Applicatio T. Lucie Cownty, PgrmIttlllg
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 Residentiae�,_
PERMIT TYPE:
q vy.es�s r s . €,,`_
PRQPQSEDII � tt31lE1!I, N��oCaYlon� bAmTIQt , �
Address: ,c�F� W At— ye- RDc+t �5k' 1 �
Property Tax ID#: ,; �`_A ' � ��`� Lot No. L4
0
Project Name:
.�'�
� xtr'�� �3�,�+�'��4��
DETIPi; Ri�'TiQN { R$WORK� f
�t-, .. .s n � m ., a`. a
�a X�l
l�h�� C-k G��c �
ts/,`!�ate-- � fir✓'r h a'� +�'���' x ti ,� �
�L`4N5TR�t��,�iQN�I[Vlxl3 lV1gTION i a`���'�, �°�k�$a#�� y��`g�r�a� `�e'ks'�1� rh �lh�fii�'��3'� � . ¢J✓sd i€ �a k s�rw=n �{ 4w � ,��yy�ri��«„°',
Utilities: _Sewer _Septic Sq.Ft.of First Floor:
Cost of Construction:$ �`A-ZDC' Total Sq. Ft of Construction:
y ` , .0 t.'r, �'r'�.F t� 'x�cx.Fr'` t P"" t.... '''..L� +r"?' 'Y ,a`,as�.ey4ce ,a .s:.
f 0 P I i? 1JELGP(1�EN PFR 1T�for structures 1- rom Buil I !WfU r tha�ar�e�in the
s, tr: €'sL"q '' " ° xz� ',Ii ° `a$ :_ rwv '*-t'='' r .m
L A-; '• 'hE :{ .rj• a s, �' s� 3c 4<�
�1'o d�Pl in ari. r s��
TxP9a a•L 5`�.. � ' € %3' d a 7. pj �,� nr r}, - 'r ,
� '.r, y� ir'�' f € �sU�'3e ✓ ;
�^�� {� u ✓�d,"p �s -a
i, a8 a a t -
¢Nonresic iag54 wmrBo lding; r Tem B�dg.,l hetl us cls+ i�rely r construction
"i r 9 Zt >£s Y avtY�,. ai rt.f } {v if Ys wr
` ob31�e/tVt tl tdfor}tet» � construction10 ce ' � B dg , l red h`dISTr�.ib)'o mleCtr1ci }n M
MUM
,3"s➢'tr��' trtdw 3,�, 2r 3`a �' f r s
ohel ��� Flo Zoi i3FE �Flody?V N <I y ,
�..
I o Rise i~ri Moatw thAsup Otting'`at attac�ted;t
e ffin�
�✓9'1,`
1 ,ab �. :i is 3 s•,,.�i 0 r j 'ah Ysd« s
All°o'#her+e ;ab�e stat xand fed ra perfmrsisha$1'Ilbe�vbtai �
d p igr to �ammencer ►ent af,j t ".
.r xa3 gar i� �I Y
f ;M �Ya�-.'g y �rr � $�' ,'':.:sj", ',d : ✓'4 g4' '`.
1.��.A��7. in.�z r2Y,�i"i.it'�3+a�Y+:_.t;x.,'"F",r✓:. .,'w&d�z� ;?<,3.�'"�,.:.r75 ;,2°C} se- «:R u�=, a r.0 ":-' �.L.rd '1�._"`3. e r.Y,. .S&s°. .< .. .f,. ,.i.?S,ry».sa.'°-
.r.�. Irl• a w *t
(�WN�R/L S EEr �° xis t r � yr h CO f7RA�Tt�R �� __okw,
a..0
Named V7� CLIJCLfz�-� Named--t��,
Addrs:kS9 W Ps�r1r�`7�-'�^''L Company: \ � �r2>>
City: t�'� ' 5- IC State:�-A Address: 5c12-� cGY`�S
Zip Code: , �S� Fax: City:' r 4 5cA w i _ LC-1''- State:
Phone No— ��2=GI 1lP Zip Code: � --Q& Fax:
E-Mail: Phone No-7 — % • -J
Fill in'fee.simple'ritle Holder on next page(if different E-Mail Cts C r �u u2-C� V rY7
from the Owner listed above) State C my Liednse X25
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.
' �. �✓�S� & �'-+d�-alb ir9 ,T'� a 3 .4'"C a,t
SUPP NT1'LC01tSTR CTIONLtEN I.AWINF�ttMATt(?N�� K a m , '
:Fr e£ +h; °. rr,." .� . fix.. . :.. hip
DESIGNER/ENGINEER: _Not Applicable MORTGAG PANY: _Not Applicable
Name: Name
Address: ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEESIMPLE TITLE HOLDER: _N pplicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: P,4dne: Zip: Phone:
OWNER/CO ACTOR 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-recor-cliour Notice of Commencement. --
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR4 A STATE OF FLORJQA
COUNTY OF . LV C\Qt__ COUNTYOF
The forgoing instr ment was acknowledged before me The forgoingjttstrummtwas acknowledged before me
this �S day 0 by th's— ay of 201 by
ill 4h d`M�b' 0 A V)
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifi tion�
roduced V Produced
_k NS
(Signature of Notary Publi -State of Flor' (Signa a u �RfCd®i tr
21i"1.6,10
M �pIENS 3 ii : :et'E''•. MY COMM ber 16,
Commission No.. b
DV
Commission 2 2 ,t+ Commis o{. _� � publicUnd hunter ;
,P,,ht~.°. r•,• MY C0 :Dumber 16, mets = c`- Bonde
a
���''oFS;°•` Bo e
REVIEWS FR .•. SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CO REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1/9/2019