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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 o(i '000J _ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: 'Address: Property Tax ID #: 3 q19 It Y 000 Lot No. _ Site Plan Name: Block No. 1 Project Name: .I J ` Nws(\ � c Yi C©NSTRUCTIDN 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: to 0 Sq. Ft. of First Floor: Cost of Construction: $ C Utilities: —Sewer _Septic Building Height: ClUVNER/LESSE R: Name m6m Name: dS h e 11' Address: 7A 4 141 P6 Company: mf�w.ef+ar.ai".?�.'`i:i s+`.4,,•3+�.,<-:.:.•;" City: Mate: Address: ZipCode: :,. J �,; ' .; '� i, ,, -' ` ' :° '' 'r :` :" Sus stu"10j 'a".4, City: u5tate. ,Fax: 1-,{. ��, .1� � ., iCi.'flio—, .., Phone No. tr• . '1' •k.J y Zip Code: 14} r,�, .r,, 9t Phone No �% .%�( �,g1 _ i:•�&, y E-Mail: „., Fill in fee simple Title Holder on next page ( if different E-Mail State or County License 31090 from the'Owner listed above) 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. 7 jlr// s! SUPPLE E TAL CONSTRUCTION LIEN LAW hNFORMATI ,, DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURAK"I'E)E_ OF COMMENC NT." 5ign2e of Owner essee/ ontr ctor as Agent for Owner ig ture ontractor/License Holder STATE OF FLO DA c STATE OF FLO DA COUNTY OF COUNTY OF The forgging instrument was acknowledge before me thisL-6%�iiay of �\ 20� by The for ng instrument was acknowledged me this �day of 201 Cl' by _�,-��sL�Jh a1�9•-2_�� Name of person Imaking statement. Name o a person ming statement. Identification Personally Known 41/OR Produced Identification Personally Known,I1_-----OR Produced Type of Identification Type of Identification ro ced Produce (Signature of Notary Public- State of Florida (Signature of Notary Public- State of Flo da Comm' sio.rl,J�m„ eal P"e<,-" RENZ RUB ) Commiss' n "�P$'% cENa CORENZ (fFeal) ;= l,o�►f` �: ; :Notary Public State of Florida r �2 .°". Notary Public - State'otFlorida` i + - REVI g o ; MM155i U11 IF IF IF RM 1°mm. x�I� #�►�. 202 `r pERVISOR PLANS Co �%E4 �k�TIOfV EX ireS Feb 7, 2020 �EA TRTLE NGROVE ,••• REVIEW REVIEW I REVIEW DATE,, - RECEIVED DATE COMPLETED ev.