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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: "` Permit Number: / "� • I✓ \ (J f RECEIVED _ Building Permit Appli ation JUN 12 2019 Planning and Development Services g p Permitting Department Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL Phone: (772)462-1553 Fax: (772)462-1578 CommercialJ-- — PERMIT TYPE: , (o I-e-Cy �' i CAL, PROPOSED IMPROVEMENT LOCATION:: Address:_133°1 Co Mom;A 10 rcl e F+IJ,eroe .�F l_ , 34G 51 Property Tax ID#: It '535 Lot No. Site Plan Name: 11f, S Block No. Project Name: 1�1 1 1-FI S DETAILED DESCRIPTION OF W©RK: InSAullc0lon 0-i= of co mlm-erc%Gl -Foins CONSTRUCTION I 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: GG Sq. Ft. of First Floor: Cost of Construction:$ NU3 Utilities: —Sewer _Septic Building Height: OWNER/IE-6'V@ CONTRACTOR: Name l Name: SUS I f'YlQ,mz Address:-1300 CO mrnerel G[ CI r C le Company: l&YICrI e I f City: E-T I�Race State 1 L Address:1�u?j3S 5 W t 4VE- Zip Code: 340151 Fax: City: ffli CXYYI I State: Phone N�'rra 332-•5-059 r Zip Code: 1�(0 Fax: E-Mail:Shiku n, Yin I I FIS • C�QM Phone No [--30S 2(::��D ' A-fq 3 Fill in fee simple Title Holder on next page(if different E-Mail 0J[aU e1,PCjri C Wrx/I U a yid 1�Q�(r- VIM t from the Owner listed above) State or County License Lcl ;IM��j 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. 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 AF.FIDVIT: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 FINANCING, CONSULT WITA YOUR L ER.OR.AN ATTORNEY BEFORE RECORDING Y R NOTICE OF COMMENCEMENT." Si hat a of Ow er/Lessee/Co tractor as Agent for Owner Signa re f Con r or/License Holder S TE OF FLORIDA. STATE Of FLORIDA COUNTY OF iCL(`nt COUNTY OF Crim-0-i The for oing instrument was acknowledge efore me The forgoing instrument was acknowledged before me this day of 313M by this Jk4 day of 30(V- 1201 by f �,j Fs�s ���r►�ne`z- Name of person making statement. Name of person making statement. Personally K w OR Produced Identification Personally Known � rocluced Identification Type of Ide tifica to Type of Identification Produced Produced TY-0%. e Y1'�li2t'iC�Z �>�crmb-r;rA t� Z �� . J atu Notary blit-State of F 01 ary Publi -State of ►�' Notary Public$�a of Florida Y a n pp((;; Notary Public of lorida Commission No. Yn o My Anamar si Me nt�ssio No.G�����0�1 ;� aR) Anamaria'R Men n ez Ex Ces 04/0 ron y My Commission G 3 589 Pw a Fxpires 04104720 3 +�j00 Expires 04/0412023 REVIEWS_ FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED Rev.2/7/19