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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h Date: . 1/2‘.//q Permit Number: RE ClE t)1() -o MAR 2 6 2018 .-, 1M Permitting Department St. Lucie County F L CO R. 1 [? Pi ��- 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: PRCiPtiSED IMPROVEIUIENT LOCAL! M _ , Address: ?006 /3 6 l/past Av Property Tax ID#: 13O I - fo I I - G t(o-) - OoO ( Lot No. ( Site Plan Name: Block No. Ca E Project DITAILBE) DESCRi4PTION CIF WORK !� K2 11 , ��/ �(ace. d'r�Q r c�J - e iCsi-I u�c S r e datar 9) H c� c7 CONSTRUCTION INFORMATI®N? . .i., • . 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: $ c-o•o-t3 Utilities: _Sewer _Septic Building Height: OWNER/LEASSEE° j `I CONTRACTO°° rye; Name Carel ('.Jt' ( SON Name: Ac moria Address: 700 - Bei/6 i Company: A Tech, 9arct9.e- door City: For f Pr Gree State: FL Address: i(g6 c j_Pict/ .AJ - 1/46Ze)o Afue- Zip Code: 3VQ's 1 Fax: City: P51- State: FL._ Phone No. Zip Code: .3 '-/ 6 3 Fax: E-Mail: Phone No 771- 2-.5- 5'%Z Fill in fee simple Title Holder on next page ( if different E-Mail /4- !-eJ't c c rte Sb©r•s P GJ , eov, from the Owner listed above) State or County License Z634 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. SUPPLEMERIM C««ONSTRUCTI®E J ITER IU HFORMATIONo 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 represu sentation that is granting a permit will authorize the permit holder to build thesubject 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 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." ,r.... .--44...,,,,,_/Join .- -- ,/ .._€__ /_S' G Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY - COUNTY OF �— (LC OF S (.,(1 GA-Q The forgoing instrumentn �was acknowledged efore me acknowledged The forgoing instrument was ledged efore me this :Z n {0 day of r Y A l` - , 20/ by this c?,,pday of fv'\ -(2.r , 20 (7by ( 3.0 C- / YO /l O.L.S Name of person making statement. . Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced rT /L Type of Identification Produced F(— 0 (_, aI^ a q,i(rce. , (Signature of. otary P lic-State of Florida ) (Signature of . -,- • ' tate of Florida ) Commission q.44v12_ ,d "" . Seal) aiiw„ 3: 1, _Statu M , �� RYa h Commission N * fill efi Stn, , LAN Vl�r t 7i ' Com ' Fl oridaq 1,N VI,i'l ig , C�r�tmis��rldbMetmry ppb �'__,_mo My Corn n moo. 'riir'`,l'�i�', My Co. g� "0C 2 •c ° `_ 01jrciii,l .471_60,,,ick.b©. '- •"'""-^-,-.4.--,2_°-tobar 2 202�'1tAg~ ' _�. REVIEWS FRONT ,-- .� UP:•VISOR PLANS VEGETATION SEA TUR "-"W� ANGROVE COUNTER REVIEW IEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19