Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 40 19 I Ict Permit Number: L90/- vD-,C , AIMMINONIN.N1M1.1.11111111l' : 1: i " RECEIVED C ` I`i-r]+' ` APR 0 9 2018 Building Permit Application Permitting Department Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue,Fort PiercelFL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMEN LOCATl®N . ° ° . . . Address: N. N. g 'l s-r Property Tax ID#: a°i(�- coo - 00781" -O00-Co Lot No. Site Plan Name: Block No. Project Name: OG J'i*FLED DE @RIPTION OF WORK° _ . / c kJ/ it 01 ±1-e- erota 144. AOUS-e ACCO C©NSTRUCTION INFORMATIONo; . 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: $ v)0 00 Utilities: _Sewer _Septic Building Height: _ OWNER/LE-381D. mom CONTRACTOR? Name /O S BG7lS+l'E"I Name: Address: 2UO N. + ' -thS7 Company: City: Orf- Pi rCZ State:FL Address:_ _ .. Zip Code: 3 y % --/ "7 Fax: City: State: Phone No.(7 7; ) (p 7 d - OC Q-g-cr Zip Code: Fax: E-Mail: 1/as'1S'hch f7 Cynni l•Co Phone No Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License 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 - aPPLENEGML CONSTRUCTIOa MR RAM IRIKEIMT ®Ng 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 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)FOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." - �, Sigriature ner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY COUNTY OF OF The forgoing instrument was acknowledged before me The for ing instru ent was acknowledged before me this day of ,20 by this day of 20 C7by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known I- OR Produced Identification. Type of Identification Produced Type of Identification Produced tD- �(I (Signature of Notary Public-State of Florida ) (Signature of Notary Public- to of Florida ) Commission No. (Seal) e,, �;. ELLEa\AUGHN Commission No. �• �� State of F orida-Notary Public ^' wi Commission #GG 270079 Ilir.•.• a .. ` - October 2, 2022 rte,_,.__� REVIEWS F" -. PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19