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Home My WebLink AboutBuilding Permit Application i t d .All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED oGDate: Permit Number: � AT _... RECEIVED Building Permit,Applicati n JUN 0 8 2019 Planning and Development.Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Cx Phone:(772)4624553 Fax:(.772)462-1578 Commercial Residential PEWITT'YPE: C a .m - ,est PI�(3PQSED ,PR�tU N1`LO ME, Address:`�3 Property Tax ID#: � 1v, "" �w ( Lot.No. Project Name: FArz DETAit.�D 17SCRIPTI�N.Il; OR, sa !�{, t a w ��, ,� >� ' �� easy � z� PCON7`RCIIC7N:1tVEtRl1/IATI�N ��4w � � � � ,� u '..�..l: x k.�`� ': Utilities: _Sewer _Septic Sq.Ft.of First Floor: Cost of Construction:$ gt;;i>tz> • U V Total Sq. Ft of Construction: 'p.Wl, - ws, FLQQ[1I?LAll�f©EVELQAMEN'VWtKM T far structure`s exemp ft' tri'Bualdrri �Cad�e gj MonresidentIWNim`13ul1ding. ` Tem I31dg�/Shed used exclusiveI'AdreOnstructiOn _ Y # Bldrnvc�lveda i�dlstr�b sof el tyre F MObil'eJi aci ala or temp cc nstructi arr o rce rtY Other: FIo4. One.. ,, BFIf• g, ElOOdw*R�Y/N 1,ICY, 3 NaRlse� erliicafie w>th suppc�rtln a ttacFecf�Y/N ,Q y zap; `flax a a ah °e . .,_ pz, A I o der appllcablestat n federalpermits shall ��a�t I sect pri�ret��o�mencerrr"�r�t�ofrq�' n„ caNTticTcal�. t4, f N a m e�__.N Name: CLr-' a._vN-N0 S _ Addr�ess�'0© -G) ( St- ��-�,' -c`e- Company _CG rGtC1 e? �2rCV_A e_2 City:V� �v k- Sk• �� C_ i-p— State: F1 Address CI _10 -C % L) `3rr 2 Zip Code. `C'tSZ Fax:�,� City: ' C-tC- Stater Phone No X12 ' a ► Zip Coder-`O 1.0 Fax: E-Mail:. Phone No� 7%�— Fill in'fee simple Title Holder on next page(if different E-Mail WrQ r A ° !tee 'L.2 n(Y,i(<<cory from the Owner listed above) State r unty License Z' Q Z If`va16e 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 ofCommencement is required. yea L M�NALCQ S', CIENLAWIQf� � � : .3, .. ... »,. ... R-.. ... DESIGNER/ENGINEER: Not Applicable MORTGAGE C PANY: _Not Applicable Name:` Name Address: Addr City: State: C• State: Zip: Phone 1p. Phone: FEESIMPLE TITLE HOLDER: _Not Appl• le BONDING COMPANY Not Applicable Name:-. Name: Address: I Address: City.: City: Zip: Phone: Zip: Phone: OWNER/CONTRA AFFIDVIT:Application is:hereby made to obtain a permit to do the work and.installation.asindicated. .I certifythat no. or installation has commenced prior to the issuance-of a.permit. St Lucie Countyy makes no representation that,is granting a permit will authorize the.permit holder to build the subject structure which;isin 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 anyrestrictions which may apply. In consideration of thegranting of'this requested;permit,I do hereby agree that l'will,:in all respects;perform the work ,in accordance'with the.approved plans,the`Florida:Building Codes and-St.Lucie County Amendments. Thefollowing building,permit•applications are exempt from undergoing afull concurrency review:room additions; accessory structures,swimming pools,-fen ces,.waIIs,'signs,screen rooms and,accessory uses to another non-residential use WA. RNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to`your property.A Notice ofCommencement must be recorded and posted on'the jobsite before the first inspection. Ifyouu intend to obtain financing,consult-withAender_or-an attorney before commenciiijF rk or record ing your Notice of Commencement: - signature.of Owner/Lessee%Contractor'as Agent for Owner Signature of Contractor/License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ULIE, COUNTY OF LA nC The'f ` oing mstr "'ment was�acknowledged before me The' , oing instr ' ent was acknowledge before me chis, da 20�by this dayr 20-4 by \I 1 0� I o N e.of person'making statement. Na o person making statement. Personally Known OR Produced Identification Personally Known, OR Produced Identification Type cf ldenti ' ron Type of Identificati00--i Produced- Produced A IIA (Signa ure of - {Signature of Nota Rubli Sta�of FloriKA)3 E N•S. N I E LS E N �tP UA. KAREN S. NI. ;State of Florida-Notary Pu li Commission N °SPpYPbB�=St pf Florid Public Commission No.:. Co"' ion #GG 207484 =' Commission # GG 207484 ",�Eo,Fo�,` My Comission Expire ' June 12, 2022 M Commission. "" June 12, 20 2 REVIEWS S.OR PLANS VEGETATION SEA TURTLE MANGROVE. COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW :DATE RECEIVED DATE''' COMPLETED ev.