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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ) q •� '�l ' �� Permit Number:R 'E E;3of' - Building Permit ApplLPermitting R 5 2019 Planning and Development Services ment Building and Code Regulation Division ®epa 2300 Virginia Avenue, Fort Pierce FL 34982 J CID countyr FLPhone: (772)462-1553 Fax: (772)462-1578 Commercial j PERMIT TYPE: FRCOPOSED FMPROI/EMENT LOCATI®N: Address: l '� �oC/� (� • S J .Y1'77-f7_ Property Tax ID#: 3 4 L — rO /i�D /0 Lot No. Site Plan Name: Block No. Project Name: DETAILS© DE-�SC«RIPTION O'F WORK: Z; , 3 CONSTRUCTIO INFORMATI©N: Additional work to be performed. under this permit—check all that apply:' Mechanical _Gas Tank _Gas Piping Sh'uttei-s _Windows/Doors Electric.: _Plumbing _Sprinklers 'i Generator, Roof Pitch Total Sq. Ft of Construction: Sq. Ft.;of Fj_'St+Floor: Cost of Construction: $ Utilities: _'Sewer`= Septic Building Height: OW N'ER/LESSEE: CONTRACTOR: Name d -M A!4L:E . 2—/i Name: "4-f'10 5--Cn 460sr7q Address: 1 Lf _ OW (�/T ;J company: OAS 010 City: Ay �—��.}`R State+JV Address: 3 --' ✓ �SXXI, Zip Code: � �_ Fax: City: b 4 .,/70 dJ t2t5!?' Cf State: PhoneNo. a,qq 6 p ,rQ Zip Code: 3 3 Lio2/G Fax: E-Mail: Phone No S6 3 0-0 Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License 4-C /8/ 6,6 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 CONSTRUCTIQN 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 OW R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY. A NOTICE OF CO MENCEMENT MUST BE E AND POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU 1 TEND TO OBTAIN FIN AN N., ULT WITH YOUR LEN OR AN ATTORNEY BEFORE RECORDING YOUR NO O COM MENT." Signature of Ow er/I- se ontractor as * ! ner Signature of Con /License Holder 00 STATE OF FLO STATE OF FLORIDA � COUNTY COUNTY OF r' OF g x� The forgoing instrument was acknowledge efo o The f rgoing instrument was acknowledged this 'tday of M 49 20 by this day of-M) V-O--P- 20 so = lcr) o 0 - ��� 1 C Name of person makings-- Name akingstaName of person making statement. Personally Known OR FroTucqd Ident fication/ Personally own OR Produced Ide i ca ' Type of Identification Produced Type of Identifi ion Produced tv 1 (Signature of No Public-State of Florida ) ignature of Votany Public-State of Flori ) 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 2/7/19