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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� Date: 5 Permit Number: LRECEIVED 31 2019 Building Permit Application Planning and Development Services eyMy, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential — � I—PIRMITTYPE: PROPOSED I'MP omriENT LOCATI(�3N Address: -7 K3/r, vi �`p LA V GIiTL PCL- Property CLProperty Tax ID#: �42-4 7102- 00 169 ®0001 Lot No. 9 Site Plan Name: Block No. Project Name: DETAILED DE�SCR+IPTION OE WOR+K: '�b IQ c' bV �=xc s cty C-r SSL{<N�Vc� GlN 2 C !z P c ("til, till-��LyC-S CONSTRUCTION I'N'FORM ION: 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: 461V bf:) Sq. Ft. of First Floor: Cost of Construction:$ l D ( 3czo- Utilities: _Sewer _Septic Building Height- OWNER AWS-56 : CONTRACTOR: Name &1,6PgQ0a_ araC-r(i%c2d Name: 5i-t U4;F h4 CA; -ra1136c�_ Address: Z X 56 IkoaJ s c-10 I, iL c-ig- Company:�C&sn:[o City: State: EL Address: 3-7Z l t� `�Ate►E Zip Code: 3!f'I5 Z Fax: City: Qct State:_J�L Phone No. `�-)7 &'11 Zip Code: 34S g-z- Fax:7'7Z 1AL k E-Mail: Phone No -n'2- Fill "3ZFill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License 66:!'�095_773 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 C©NSTRUCTION LIEN lA1N 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 thepermit 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 IMPR MENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT M T BE RECORDED AND POSTED ON T J TE EFORE THE FIRST INSPECTION. IF YOU INTE�TVTAIIII14 FINANCING, CONSULT WITHYO END ORA ATTORNEY BEFORE RECORDING YOUR NOTI EMENT:' ign re of Owner/Lessee/Contractor as Agent for Owner Siglasrure o actor/Licen er STATE OF FLORIDA STATE OF FLORIDA COUNTY 017_,S-1r. COUNTY OF S-)r,�-Oe:1Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this"a�day ofVv,%csy 20_a by this3�_day of 'Ntid.A 20� by 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 Identific tion Produced z Produced Ty (Signature of Notary Public-State of Florida) ,..,JSignaJ, S€ c'o'FFnrrda)� pYGVe�O• DEANNAMARIE GIVENS Commission No O7- E � ( NNAMARIEGIVENS sot;•••.,� , 0 c,G02201' 022023 imm gJpT1 0•���' Se i) MY COMMISSION#GG 2n20 } c c ver 16,202 EXPIRES:December 16;l±wdt a's'' F O:' BondedThruNat tyPub%Und erwir ers�' o? Bonde 1 REVIEWS FRONTUT ERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.