Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LQ D-3 Date: /• "/. Permit Num RE Awl% LED gED JUL 16 2019 Building Permit Appli �e tion Department Planning and Development Services g par tment Building and Code Regulation Division St. LUCIe COU t)/, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential L PERMIT TYPE: Q J PROPOSED IM'PROVMY, ENT IMCATION: C Address: q q 0 (SCk Fri- Ptp,r-rF-I_ 2)g.9�2 Property Tax ID#: � � — �5�i e- l'1fX��� Lot No. Site Plan Name: Block No. Project Name: ©iETAIl.ED DE=SC« �IPTItON O(�F 1NORK: rx -`"l �rM �fl�1 `11� /Y,-� tIJ�'TY, y2 14IA/ CONSTRUCTION INF©RMATION: 'Additional work to be performed under this permit—check all that`a'pp'ly: -:,Mechanical Gas Tank Gas Piping `_aShutters _Windows/Doors t Electric _'Plumbing Sprinklers ?i ;:; :_; `; .Generator _Roof Pitch , Total'Sq: Ft',of Construction: S:q.-Ft. AFirst Floor: Cost of Construction:$ 4T90 Utilities:=; : : :sewer; _Septic Building Height: OWNER/LESSEE: �i CONTRACTOR: h_r Name �l i'i�J't t���l�r�'I�le_ Name:' �63YS�lLLJf�� Address: 0w, er ,b,3 S- Company--1pst C,b d�_lyi HVA-6 City: ��rF �tY�rr State"fl . Address: �u77_ AAAI An��� C,�' Zip Code: '�3qC1 Fax: City: LiG+i- State:_6ji Phone No. 717,- 7—lb " 09Z5 Zip Code: L/,(Y Fax: E-Mail: Phone No, ` 777 --9L1a' V 3-73 Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State o Cr or License (1 �,1 1 7:5 5 t 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. SUPP'LEM -NTAL CONSTRUCTI©N LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name:. Name: Address: Address: City: State: City: State: Zip: s 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of 0 ner Lessee/Contractor as Agent for Owner Si nature of C ntractor/License Holder ''''' STATE OF FLO ,;;,,�'s*••"0,;; STATE OF FLORIDA "°",;o,;;;•• ' COUNTY OF �L 'r ` ' COUNTY OF g a The for oing ins t was acknowledg d before The for oing in u ent was acknowledged before sl 0 0 this ay of 20by �g this .� day204 by i m R x n a Er w 2 �� � l/V ��1. �•J• c� � Z = Na of person making statement. m me person making statement. G `> 7�i p w P sonally Known OR Produced Identifica � sonally Known y�OR Produced Identificati w S Type of Identification c Type of Identification Produced w 2 ''1 Produced C3 V (Signature of Notary P Vic-State of Florida) (Signature of Notay u c-State of ori Ja Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.