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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLf,E,INFO MUST BE..C�OMPLETED FOR APPLICATION TO BE ACCEPTED q Date: e� �,ao/y Permit Number: RECEIVED s - FEB 2 � X019 - Building Permit Application Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553• Fax:(772)462-1578 Commercial Residential ' l/ PERMIT TYPE: v a • ..z'' {$ 3`.< � 1^^ Y yG 1 k- S Y° '� ik 4 � F. t 1'l�# ! '.N T 7 i93 i'3 -. ! +R I 4 4, f Y �;f y Address: - 3 /1); - - - - - - ---- - --- -- - - - Property Tax ID#: `��© �- ©� v ( a - 00 0 Lot No. Site Plan Name: Block No. Project Name: r}<i'r�+5 r -,n•rax' n,.,�.v�x�3 7.3i'�F � .ryi� §. :..-7hx� D•ETAiLED DESCRIPTI .dN,t0 1, b.:�}F .Y ;,= �,..'_2 �ri.� ,—r'u.::..- �._�a--•--t�z:� _ i s sib. nw�'rs .a...�...— 7 T•;�i 9 �� �:�r �:. .�1� � �'-°_�}r f i>-�-='"�'•t":'�`v-z ni`}` ��/TP'/ .S !(Z/ �lr�i\.� �/a �Nt c r.✓� �•�/�y4 T/'Y/% (:.9 d � �C� /� �. /`��G "'C NSTRl1CTIQN tNFOR ATION �'ti Z", r rix r x, r PY t ) + •�f ., �z�i+a�. •'�yd.5�.ritF Additional work to be performed under this permit-check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric T Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer _Septic Building Height: Name Name: D Address:_ 3 ©� � C��vr�rr,'�/�,, Company: At City: f-'� P�P_ r C'� State:F L Address: 3 0 2 Zip Code:, Fax:. City: v1" 2 State:F—L Phone No. V— Zip Code: Fax: �4O /iyt_SL E-Mail: Phone No 77 — Fill in fee simple Title Holder on next page(if different E-Mail e- . from the Owner listed above) State or County License C 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. Y 'fir 7y hs F3 i A�{ 1V�- 8-SU -PEEMENrtAL CONSTRUCTlQN LIEN II/INEfJRIVjAT�f7 1 rt n r }� ...-, ✓;4.r.'.i"f},F...vf'aF r`i ..�_ 4;a x _a? n ice.. v Y.+..�. 5,4 MON F- - :2 - 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,l 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Signatur of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIPA_ c STATE OF FLORID COUNTY OF t COUNTY OF The forgoing instrument was acknowledge before me The fo1roing instrument was acknow_ ledged before me this`d day of C 20� by thisa.� day of F-+� ,26 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of'Identifica ion Type of ldentificatio ,- Produced Produced "r--L (Signature of Notaryublic-State of Florida) (Signature of Not taV%gl 0%RW9 #ee Q?2023 . EPIRES:December16,2020 Commission NoCi�°�-aa S Commission NO. w ThruN°ta � unden+rriiers� DCANNAMARI 0GNEN •rp'fru"•.,. OMM1SS10N G-022023020 i AIRF-S.. ublicUndennirers REVIEWS FR fs,o Zq�l3Nfi tuIOU 11 PLANS VEGETATION SEA TURTLE MANGROVE COU TAY..•' REVIEW REVIEW REVIEW REVIEW. REVIEW DATE RECEIVED DATE COMPLETED Rev.