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HomeMy WebLinkAboutBuilding Permit Application i I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (C/0_//� Date: '4—e -(q Permit Number: ( it/qi O OTO -411111111111111111111111111111111111111111,.�,-,,., ^ .. ..111 ,.1 RECEIVED 4`Wki, 1{ F' " 17 APR 0 8 2010 F 1- o R 1 ra Building Permit Application ermitting Department Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ` Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential lx. .PERMIT TYPE: f...ENte PROPOSED 1MPROVEME.LOCATIONn qq Address: 53 ID fhf�tZD 1 jJ CS. C Property Tax ID#: I5lcam go\-- DW 000I5 Lot No. it Site Plan Name: Block No. Project Name: II MAIM DES1RIPTION CIF ®RK° t,1,1) l '—`31 DOD . CONSTRUCTION.INFORMAT1ONo . a. Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors 1 Electric _Plumbing _Sprinklers _Generator _Roof Piltch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ l SOD Utilities: _Sewer _Septic Building Height: © S�S W ER/LEE s °' ;.' . .° CONTRACTOR° Name CQL ( ,,j4ALL r� Name: Ai- G, Addr s::�j`® £1 -t �ra')EG . Company: ) E() M i ,�,.® City: , F grE, State: H Address: r �V. c�0 CV J R- _ Zip Code: 34901 / Fax:City:F� State:Fl Phone No.r �a.,I {��)l"1J Zip Code: <3-R53 Fax: -- EMail: ' Phone N. /'i %�'�3 Fill in fee simple Title Holder on next page ( if different E-Mail 7 t'-';"6' 3e mAIL CiNtl from the Owner listed above) State or County License 2-71-N5 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 I ZMPPL MIEETG,1 C*®NSTRUCTI®II B UM CNF®RMAIKr 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 ITS ' D ON THE • : BEFORE THE FIRST INSPECTIO IF YOU INI END • : :TAIN FINANCING, CONSULT WI"H YOUR END: • 0 ' • 1 ATTORNEY BEFORE RECORD + r YOUR N 9 1t E 9 �a NCEMENT." Sig ature of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA CCOUNTY1 OF C Lac ,� COUNTY OF �,U�.C�I� The foXgoing instrument was acknowledged before me The for oing instrument was acknowledged efore me this 6 day of Prpfr ,20/ by this day of RCP.- , 20 byVPA' MrI her) MnA,6 Q,fJ Name of person making statement. Name of person making statement. Personally Known OR Produced Identif}' ation Personally Known OR Produced Identification Type of Identification Producedass p�J Type of Identification I ProducedQ�p 'v e , i (Signature of Notary Public-State of Florida.) (Signature of Notary Public-State of porida ) Commission No. (Seal) ,,.$014', (c„ ' �,NIFf m .. ELLEN VAUGHN... Commission No. ,o1vn oei, I LLEN VAUGH ,�Parn�a., �r FAA ;_ of Florida-Notary •ublic ?x°��<ocState of Florida-Notary Public t s c Commission #GG 27.079 un '- Commission #GG 270079 1l ••� • ,,.II, """�� r l04 io Oeto.er 22 2022 _ October 22 202 L_ REVIEWS FRONT "e 1 1 ;i v'.t:;.:w .,. :;4,a-°'NS VEGETATIO YT'.` ,�.�: 4=Y:- ,,i-. Q; COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW' rc REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19