Loading...
HomeMy WebLinkAboutBuilding Permit Application (2) i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 5` .4 .trs. 'r' °`f MEMO, .V't a +�"'�°' �' I?R kcQSs © iP`QEM E.N '�LOCl�� I®a f =r . �,>;� I. ,.. , 0. i€ .� m.rt� m$ F" .`, i b. r+ ly+tyx.�+' 'k. Address: �� Si 1VP! {�X. 1�+ 3+ L.uue. 3495 Legal Description:S-Lucie- Gardens 23 36 4o Buy 3 S %i of cwT /-GESS /2p K�u1 (14. Lrn raP 3N�235 Property Tax ID#: Lot No. ,Site Plan Name: &)5An Schk\c.+acN Block No. 3 Project Name: Setbacks Front Back: Right Side: Left Side: '^Flnkv. t 1"X[D'11011 F dD DESCRIPTION QFWORK �. :t +wk r fi,K'4 ...... +v3`.«tit ���t ,+1+ :�;.��. ..t �9.1���d?+ �x1:. nr # ae:r.` . .�w, �s�,. .r�.��. a..ua,ty l� .. .,....... -,� •�`. 3f7 : 8P.zL .7. .6:Yw ... 3:T1•..4 #�f+"y`�i 7'#..n3y Additional work toe erformed under this permit—check all that appy: ❑HVAC Gas Tank Gas Piping Shutters Windows/Doors Electric 0 Plumbing Sprinklers ❑Generator Roof Roof pitch I Total Sq. Ft of Construction: S . Ft. of First Floor: 00 Cost of Construction:$ I_,LACA' p ra— Utilities: _Sewer[]Septic Building Height: SCE ;+r ;" O N�*I ,LESSEE � s W/ JJ �" YYvv Name _5LA5ac1 SG�nu�c�r�GLn ` Name: ?,abe,d- za_\\0_Lt_1 Address:—IL415 5A\1ex OcV W Company: So Ener Su�S�em3 City: R-5-k [.A ,ct"-- State:EL Address: 160 5rna\lwood Avg Zip Code: 3NG5,;L Fax: City: State:-E(-- Phone tate:F(_Phone No. 511v—415lo—Lt'S O k Zip Code: 3 L 00%2- Fax: E-Mail: Phone No..-I-77-- Fill o. -I-7Z'Fill in fee simple Title Holder on next page(if different E-Mail: SmSo�are r\erG�„C��►aho�•cam from the Owner listed above) State or County License: CV C DS to b3-1 If value of.construction is$2500 or more,a RECORDED Notice of Commencement is required. 12 P. ;1@� I IIW � `; L ,L 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 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, consultwith lender or an attorney before mmmencing work or recording our Notice of Commencement. V_ &Let— Fiva'J, V. Signature of Owner/Less e elGakractor as Agent for Owner Signature of Contractor se Hol er STATE OF FLORIDA STATE OF FLORID COUNTY OF 16e, COUNTY OF S - \Ac.ue The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 7-0dayof �MG'G - ,20� by this Zb day of M0_('GVn 20 lq by I.O Z-4-c'uka- Z(-G woxx_ Name of person making statement Name of person�aking statement Personally Known V'_ OR Produced Identification Personally Known �/ OR Produced Identification Type of Identification Type of Identification Produced Produced (S—ig�r ature of Notary Public-State S"weiv M e (Mature of Notary Public-MUSIC State of F Marie Sarah Music NOT PUBUC NOTARY PUBLIC Commission No.FFq(ZI 31 )STATE OF FLORID Commission No.FF9(2f3,7 $TATE OF FLORI A Cornm#FF912137 Comm#FF912137 Expires 8/24/201 Nc J®J� Expires 8/24/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17