HomeMy WebLinkAboutBuilding Permit Application 1 11
All APPU L N M BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: i Ro 5----ut-to5
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VONMENNINeffiffffifir Building Permit Application MAY 16 2019
Planning and Development Services OormIttIng 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: Fmce
•
PROPOSED IMPROVEMENT LOCATION:
Address: I . 0 ree Or itrce, FL 7349g2
s
Property Tax ID It: 3403- 502- 0205 -000 -)2.
Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
. —LnStall rt.lk) Te.nce Co -f-te4- tont pri vac
204 LF — / ,,-4-k_ se..-f cc o-S 01 7
CONSTRUCTION I
INFORMATON:
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:$ 2000
1 Utilities: —Sewer _Septic Building Height:
OWNER/LtSSEE: 'CONTRACTOR: i
Name 14 sP-5. Z. L C... Name: Fran li i C eykahie r , pin
City:
'2_yd i 5 1,0 -5,,t ,,,;--t S ( Company: Aire arag .yond Devei0pInq
city: an 1 CI' . &e .e State: (L:>"-l-- Address: 10 1 SW gioAra Ave,
Zip Code: 3<-/c f y ;Fax: City:RirtS4.LUQ State: Fi-
Phone No. 2,31 - F39 ..--3 S'Cir Zip Code: 34q5 , Fax:
E-mail: ,2/'SPS , z_.. I& G 1'IA pAit ,c tr---- Phone No NT/2-Eq - 61'59 11
Fill in fee simple Title Holder on next page(if different E-Mail aboveaA e,yoild.+ran4itPqmaii.
from the Owner listed above) State or County License CBC 110/144 \-,0 COM..
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
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: z,
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: 'f
I
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 hascommenced prior to the issuance of a permit. 1
St.Lucie County makes no representation that is granting a permitwill 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: 1,
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: YOU' FAILURE TO'RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR - • s 3,.;2 TO YOUR PROPERTY. A NOTICE OF COM , - r 4,... s•i MUST BE RECORDED. AND
PO a 1 i i SITE BEFORE THE FIRST INSPECTION. W YOU ` , I _i BTAIN FINANCING, CONSULT
0 :1'4' OR AN ATTORNEY BEFORE RECORDING YOU'•- ' ' • OF OMMENCEMEN'G"
/ i _If
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Signature o 'Owner/Lessee/Contractor as Agent for Owner Signature of Co.or/License Holder
STATE OF FLSTAE OF FL
COUNTY OF ORIDA JI. t , r C 1/� COUNTY OF ORIDA S-F. L„n+e
The forgoing instrurp t1w acknowiedg efore me The forgoing instr t s acknowledg efore me
this � day.of ! 11 Uv . ,201.1 by this l Wday of 1 I ( ,20 11 by
Frc Thi0 a, hicrfror lie Cha -her
Name of personmaking sta ement. Name of person making sta merit.
Personally Known OR,Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced - Produced
A
(Si: ature of Notary Public-State of Florida) (Signa ure of Notary Publ - •x- • .
,:r REBEL A:WALL J i
Commission No. Comm G 034755 ,
Commission No. • �gB yVAO, 4 Expireeriiiferiiber29,2020 '
• • :;, Commission#GG 034755 ,o Bandeau Tree&hwn10031$.7019
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Pak. iGgtrene�601ESb37019
REVIEWS FRO• � . . - - ' • - - ' PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW ,
REVIEW
DATE
RECEIVED Ij
DATE
COMPLETED 1 . _
1ev.2/7/19