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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j �\\ Date: Permit Number: ' `o%4 ' V a3 U RECEIVED • Building Permit Application APR 0 9 2019 Planning and Development Services Permitting Department Building and Code Regulation Division St,Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: c Address: o, u ,eu PUOQ t'� e 7S Property Tax ID#:- 57- 701" ©0��- Q 0© - Lot No. f Site Plan Name: Block No. 3 Project Name: DETAILED DESCRIPTION OF WORK: �e yy�IC 0 2,�(;J � S�1•�-1 �5 � � �-e [,J� /U•t�J ��j, N� �T 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 f/i Pitch Total Sq. Ft of Construction: �5� Sq. Ft. of First Floor: Cost of Construction:$ 6��• Utilities: _Sewer —Septic Building Height: LI) OWNER/LESSEE: CONTRACTOR: Name A-J• K- Name: o / I}r+t Address: got I( �, g: J�Rft Af4 Company:pec 4* • W ' A �- •t-, , C City: /�,Q,* State: )O�: Address: Uql E(A)• MA -`e JT 5' ;'- Zip Code: 34(q5-01- Fax: q� City: PO�.� t+ State: rl, Phone No. 33 0 - ,3 07 - c�(0" `I Zip Code: y �� Fax: �— E-Mail: `kLGA•�old(� y� • o-r-, Phone No (77o� aha`' S(�'�{ Fill in fee simple Title Holder on next page( if different E-Mail R 0 y (� N� @ yrr�= from the Owner listed above) State or County License SCC (33�3a 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 POST ON THE JO SIT EFORE THE FIRST INSPECTION. IF OU INTEND TO OBTAIN FINANCING, CONSULT WI UR LENDE R ATTORNEY BEFORE RECORDING Y R NOTICE OF/COMMENCEMENT." I VI-/-12/1, 4-��- Signature of wner/Lesse Contractor as Agent for Owner Signature o7`ontractor/L-iense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFC,-1 ) l COUNTY OF Thing instru t wls knowledg efore me The fo g instrume was a cnowledge�efore me this i day of 20 by this day of 20 by 7 t0 ro vim. C'1z G-a cl PLO ss Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known ✓OR Produced Identification Type of Identification Type of Identification Produced Produced Notary PUD41C State of Flaioa Brandon Smith .M� Notary Public State of Floncia _A' 'th .---dSR SFRA (Signature of ota n teg� d ✓! 2021 (Signature of Notary C Ya Neeufif *ion GG i 37433 a. Expires 08/23/2021 Commission No. (Seal) Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.