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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�� Date: 4- -2 1 9 Permit Number: l C1 0 �v� `COUNTY .' sF`r.,•,90 10�y L 0' l' 1 D. -- 4cP 60 7j? Building Permit Application %;h;�6)n1 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 �I Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 1. PERMIT TYPE: ,PROPOSED IMPROVEMENT LOCATION: Ir p /y Address: 1 log QIUfllO LUfv fQ1V 0(e1CC IL 2jL'I„IsJ i Property Tax ID#: OHO\ 'U I O ci 5 ` COO 3 Lot No. au Site Plan Name: Block No. I q 9 Project Name: L�W i DETAILED DESCRIPTION OF WORK: 0 C W 5/8" NNI Plywood to all a gab/ es, Attorf�moat LU 1 10-e, 1a ` f 1 �S �.Ct,�K n a i l S ( LI I I o n peieffitiorand U tk a -\--10,L e- ( JO J-- V20\-1 t ik A i VI r---yrN ---\--ry v - 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 Floor: Cost of Construction:$ 1 a 0° Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:. .. ;'.. CONTRACTOR: Name at—VIy LCUJ1Name: lin1 crlctei siynith ,{ Address: M,09 r �,Urno c/. lane Company: CeitiFied Prim inium rWm do.Ucw City: ft-2f I nice State:f L Address: 10�(r-F commute CQftc( u.Zip Code: —i ct sI ' Fax: City: de ow t i Ov1(1 State:FL' Phone No.`"11c),- cr1 I t -011q Zip Code: QCt 5 8 G Fax na-0as-8�{?cl E-MaikieCt tiMady`4{C3© Q .O no.a\.COM Phone Noll a- a�l�-�)(9-8B , Fill in fee simple Title Holder on next page(if different E-MailCCOvcCiCL )OiaG\2*mai\ .Co from the Owner listed ab Ove) State or County License Ce-C 15 a 1 ?' ii 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. 1 1 1 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 represu sentation that is granting a permit will authorize the permit holder to build thesubject 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Con ctor s Agent for OwnerCO,01 MMEre o4CorYtractor/License Holder STATE OF FLOSTATE OF FLORIDA r , T COUNTY OF IIA< e, COUNTY OF - ADS ) k L L/-il The for i instru ent was a nowledge before me The forgoing instrum nt was a knowledg d efore me this? of 20 i by this day of 20/ -by 74 ic.,1442 .__) , „1„._1—r-ti , Name of person making statement. Name of person making state ent. Personally Known OR Produced Identification Personally Known 1/ OR Produced Identification Type o dentification Type of Identification Pro. -d Produced kfIc(Signa ure of No Public State of Florida) (Si ature of Notary Pub ic-State of Florida) �����3 ce Poet, SHERI L.COOK f Commission No. '� # �_y- �MYCOMMISSION#FF:,.Y.•); mission No. �,q,4,(-0530:1-P.°-geal) SHERIL.COOK . ni. Ar :- ; MYCOMMISSION#FF 99465. EXPIRES:June 22, 120 * =i_ 9l0 OF f0 Bonded lieu Budget Notary- '.-- m�lFOF fL0c�% ded 1Tw Budget otary Setvio REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.2/7/19