HomeMy WebLinkAboutBuilding Permit Application Apr. 04 .2019 09:17 AM ACT Heating & Cooling 7728126250 PAGE. 1/. 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
. Date: + 9 ^ 1 CI .... Permit Number:_��VC q. j
1111111111111111.1111111111111111111111111.
: , '' ' RECEIVED
COUNTY
FLORIDAPR
Building Permit Application °Al 2018 •
Planning and Development Permitting oepartme
P St. lucre :�
Building and Code Regulation Division • Coitty
2.300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential '✓
PERMIT TYPE: Pt/G Cl-,arto� OL.t i'
, I
TPROPOSED IMPROVEMENT LOCATION: •• - •• '
Address: 5.O 2„$ &tell-mss ' b-)a.( 764F Luc.i-Q. 1
Property Tax Ib#i;aq..:1J,_-1.42 -1 ,- QOQ Lot No. 8
Slte Plan Name:£4cj,1.,� { e-g.3, - td— S 4 J 0.n«,,et CI k ,, Block No. 6,5
Prolect Name:_ _ • . ..... •
DETANLED D..ESCRIPTI,QN,OF1W.�OR1<; , ., .l. l
PIC C'�gn3e. OJ+ l e, 1 1 k • 4 1 ;►'► 1 omp„ ?a Icc,1 0e. Ur'r-t- II
14 sit 10 key 1-, rt,
y±7i"c;C.ye4S'e1Qoor*1 -- ,F jwre.ViiCC
CONSTRUCTION INFORMATION;, , • , . •
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 Floors j
Cost of Construction:$,St 5x0 • Utilities: _Sewer _Septic Building Height;
OWNER/LESSEE: CONTRACTOR: 1
Name (Q,- I_ ..'(thee Name: ,,�c�,,,nd-hn- 1 n/Af'.rS:o.1
Addre s;- -•, . .,r, .... 5►.,,_ -. Company; A 414 . 14—.4.3 'n C c o i 1 ' ,
City; '. 1'11'
.l
`' r' :d.. ,_.7 14.4` State:` Address? , 21..'LV.RI.' ';5,; h,. 9Z,A; -ilk 1.
Zip Co;e:.,;•04:01•• ,.., ,•Fax ° 'I City . L.ar:.''e,'�:: ,x';,. :State: F L
Phona1No.i.1' ... 3!-f..7? ..... s. Zip Code:3 1453 -Fax: I it
E-Mail; . . Phone No fill--.$J2 -- (...050
Fill in fee simple Title Holder on next page(if different E-Mail •, !..d r , . r, L 1' c,
from the Owner listed above) State or County License GAc i/19:Lf otp .. 'i
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
I ,
n _ _ II
Apr.04 .2019 09:19 AM ACT Heating & Cooling 7728126250 PAGE. ;2/ 2
r
y� ,� .Z. },� y:, .� ,rpt�' w c ., ` .,,
1t1. , ‘'.,.;),i,'..'',4 ;9�y' t n iQ�,i, QJ `Vn ,w lit� .r, , '`),,,,,%,.'.�,•. L'wn ,,"+�. .s,.,..„,,,.. . ,-. .1.'01—
,.,. ,,.. . ,- .
x . , �1y !;,.. 1.;. �.` ' i E'?, .i. ,.i ..:5,0'N i l iE'! g .,,'N7 .,N'StRPgi':4S
� : 3f�N81_r7:A+5:.9�. '� �_ .�.; `� Y ,`$;:�'S �k1"r:,� 9 .,a.,[ � � ;w�`'' .'[ a'•�;�'. �'_,,:.:�• T�,.,,�'
!4e � {'I�.e� "Sr`lq t ��,k�t•" .t. '� S..i., �e. "`y. ,�S^r hi) �A.. YYA....t��Z 3, ..ryrti�:.,�.Li... -4:-.':! ....,n�k..Ft:y.i4. n.}.r ..�:j:��'
DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: , Not Applicable
Name: I Name: _
Address: ,-. Address;
City: State: City: _ ,State:
Zip; Phone Zip: Phone: !'
FEE SIMPLE TITLE HOLDER; , ,Not Applicable BONDING COMPANY: _Nat Applicablie
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. II
- St.Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is inconflict with any applicable Home Owners Association rues,bylaws r an covenants that may restrict or prohibit such
structure. ease consult with your Home Owners Association and review your deed or 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 11
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
WI. . YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT."
.r
-Ignat e o Owner/Lessee/Contractor as Agent for Owner Signet re Contractor/License Holder
•
• E OF FLORIDA TE OF FLORIDA
- COUNTY OF - t:i-S4.-.LLt ,- _ COUNTY OF Rrit Si- L././t',.e. . . -
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me '
this„ ,day of a-pAj .- ,204 by this ', �d�ayy of
r; ( ,20,11, by
,.
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced identification Personally Known Le"- OR Produced Identification i
Type of Identification Type of Identification
Produced - Produced ... .
(Si :a ure of Nntar Pull -keridnAiL-44-
MOOto of Florida.) • nature of N
4 .. JENNIE KNIGHT�'��" a.0 " 4 JENNIE K IGHT
Commission N ISSIoN0035511 Commission No ?'I ''E MY COMMtS$IOI S t3Sst 1
EXPIRES August 17,2021 , „ . EXPIRES August 17,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
` COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE •
RECEIVED i
DATE v
COMPLETED I _
ev. `