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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `'� tg( I Permit Number: 1%9 L4' O 00 411111111111111111111111.1111111111•1111111 , IS- edECEIVED COUNTY R FLOR ► Dx— PR ® 82Q10 Building Permit Applicatior�P Planning and Development Services Permitting DePo,tie1'e"t Building and Code Regulation Division St.Luce Count Y 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential J� PERMIT TYPE: •a)) s®PgS 5D 110,70'Y 1J.41N dot-}®16 .1.;'--;°-.-"=i ',' _ ,c.. .:.. 7 fa,- :,':::1.,,, Address: 4t;0 ` A\e-cf C_'rlca_C ; c,rt. T. e ,CIC<- cc, 3 s--€- PropertyTax lD#: 39)' .-5o3°-,c) k5:3-060.- k Lot No. 113 Site Plan Name: Block No. ;I Project Name: 7- 6 I I? Thr L i�U�--- .„7„' ,..4.17-7-,o T r "-'---#1):1-,-.;74.' `kms 7t 77. , ;.,: 0... 7- VAT" ., 13 iii, =1. ,at ICYV ll,C)y' 1:- t 3., r, ' 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 L/ Pitch' I Total Sq. Ft of Construction: 3'1,O�5' Sq. Ft.of First Floor: Cost of Construction:$ 1,11,Q Utilities: _Sewer _Septic Building Height: r .4 -,3Kdo ` a - - _ t, u -AClDJ. : Name 7-.._ c.),1�Qi^ e► vw.-v., Name: cc��k c r,Z. t„,,N)`a c/ / 11 Address: rte, Company: J� are_.-‘;.\<-_, Ylrs,S- Li-C :NA Address: c.t�n k City: ��c;,f C�� �n ���ti-���s , State: Address• �1_� Zip Code: 4:04 5 Fax: City: P6« SC:n,1r L -tC_ __ State:Pt.,., Phone No. Zip Code:7 ei (J 7 Fax: Ii E-Mail: Phone No 2 7 — ( c - FS ,S Fill in fee simple Title Holder on next page(if different E-Mail S h.r \,no Q(.,© s.,��c Lo c a.1" from the Owner listed above) State or County License�,CC (3J HID 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. _ — - . ,,,t.,. ..,-,..-4,4,--,..,:,..., c.t... ,,, A.. . /..,,-.4,..•c..zi,.''.. ,,, ,:,.r.'fr',_.;.-....o .-, '.V.a..; .7W"''''.' -74'.'5i;',1497-''.".°-*1.:': :1-,c,•?!...,-,A, .A.A.,:-.--.!:', 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,wails,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 WI OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." tI ,04 ( I if 14414, Sign ture of Owner/Lessee/Contract Agent for Owner Signet re of Contractor License Holder STATE OF FLORIDA - STATE OF FLORID ,, 1 • COUNTY OF 1 ti ICIAL6 COUNTY OF 1 I US–tIlTh The Anoing instruRent was acknowledged before me The forgoing instrq was acknowledgsdetiefore me this/1-'n day of CJ en 1 ,2019 by this --irlday of n 1 20 Ilby ()D CifYi U)(SUedatcrl 0 LP Name of person makin (statement. Name of person mal„ statemen Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced +Thl 4 ilik '(\(-11D3\•-Q--) .4))116ni Crj nna) (L- (Signature of Nota Iv blic-State of Florida) (Sivature of ary Public-State of Florida) oref Poi, BRANDY MOORE .01,N/a BRANDY MOOR ,Th ,....45..„ .. Commission No.a3k:2E5 % * .1,) commission#GG tringanmission No. GG1(. 23 -1* :-, ;.-epl)Commission it GG 1 8N Expires May 9,2021 )1 14' ,,,- ^sg Expires May 9,2O1 "ito;Ftsits' armed ihru Outlet Notary 3ord II 4'011fa. handed litre huOpot Notary en o0I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED I 1ev.2/7/19 I _