Loading...
HomeMy WebLinkAboutBuilding Permit Application l Ad , V All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q :� . Date: -7-9-19 Permit Number: d 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: PROPOSED 1111PROVEMENT LOCATION .._.. . .. Address: ;�SaOD .1 Tr®QUD IS BIVJ, Property Tax ID#: 14a,,--1 oa - Ia0-7- 00 a- 0 Lot No. `3 Site Plan Name: Q1trle Kabb{NeI CA. (,yillie"n Block No. Project Name: t oh(.5neq VP_A( DETAILED DESCRlPI ION QF WORK f We-P, 1N4 u i o-P n 411 n IG -PR-_0ce LO Ak Anlat 1_ o-P Co" l I V n�y 1 -P1f_(Ie_e 'rth,5 CONSTRUCTIaN INFORMATION " .. Y W 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:$ Oq 00 Utilities: —Sewer —Septic Building Height: F DWNER/LESSEE _ H CONTRACT{3R ' nn Name William 01- hor)e Name ?C+e� Cr,_ C) Address: QdoaD ­ roqu 15 f1y'_ Company: LpWe..S Dome (e.r►ferC LLQ City: -For+ Q t-erCe- State:_L Address: ?. O. 3oX -7Z 'i`I 3 Zip Code: '349'1(p Fax: City: Orrl"io State: 'FL Phone No. Sly I- `7-! I - b(DLt-] Zip Code: 39L.8-78 Fax: '5teI--7'11 -C ) E E-Mail: J� Q i- Porm i+cl roup Pl m Co1A Phone No 5(Ql--7-71 - 064-7 Fill in fee simple Title Holder on next page(if different E-Mail m ii:2 roLj�l L©(�rl from the Owner listed above) State or County License (_ mac 15 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. „SUPPLEMENTALCDNVTY,CTION LC N I.AW INFORMATION DESIGNER/EN ._..,.. .. � ... �. ,u„-.. _ ..�,,. _ ._r,.r.... .. .... ,.... . GINEER: _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 IMPROVEMENTS;BEF_0_"'rHE TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE,sJO13 SITE� FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR DER ORJ ORNEY BEFORE RECORDING YOUR NOTICE OF QOMMENGEMENTM, Signature of Ler,Lessee/Contractor as Agen wner Signature o STATE OF F STATE OF FLOR COUNTY OF Ta(m lbeaCh COUNTY OF M In The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this_OL_day of �ILAS ( 120_0 by this__q_day of tj st—i 20_6 by Name of person making statement. / Name of person making statement. Personally Known OR Produced Identification r✓ Personally Known OR Produced Identification ✓ Type of Identification Type of Identification �L Produced Tort,kc_ ^ L– Produced (Signature ofrNo ',.r•°'�.�o+FF�u?;'4•o.0,r';. I II (SignatureOK of N a:,.'. •c,'c=Sta aq ltpg* K Nota ryPublic-State of FloridaNotaryPublic-StateofFlorida mission raMy Comm.Expires J ul 25, Commission No. ComGCommission No. 0 hx � �nBondedthrougNatalNotryAss.Bo Banded through NatonalVotaryAsn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19I