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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: \��, Permit Number: sA Y I Fon 7EC Building Permit Applic9 Planning and Development Services Building and Code Regulation Division County, Per ' ting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential '•` PERMITTYPE: PROPOSED I,MPR\O�(EMENT LOCATI Address: L/0 I)JSk 11�1 �•. ti�cc,• �'L �� Y PropertyTaxlD#: 230F -SDI - 00Sz-- 000 -5 Lot No.gA 'C3Sy >` Site Plan Name: Block No. Project Name: �P ,r19r_ 9�6 b,% 119FE:iTtA:IILIE::IDIID,E�S-.C,R,',I,P.ATIIO,N OF WORK: SLC i\ rn K S it /Ic C��'I F' — j CONSTR YCTION INF(D,RMATION: 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 �2= Pitch Total Sq. Ft of Construction: O Sq. Ft. of First Floor: d Cost of Construction:$ I) � 6 0 1 oUtilities: _Sewer _Septic Building Height: OWNER/!E�SSEE: /1 CONTRACTOR: Name Ft, Qrc, c.div mor•'l-',yc, A-Goc.• FName: Aviv, tt Address: 7,1 U0 he t- J u ' mpany:City: 12 fitState: 4Z. dress: •/07Z c rS I`sn Zip Code: z- Fax: City: J 4- State: /=L Phone No. Zip Code: 325 S1 Fax: E-Mail: / Phone No J 2 )- 7 Y5 -?O( Gj Fill in fee simple Title Holder on next page(if different E-Mail /`o Lk -r61Ir S /bol"1,ti /ht- G�YGh rm iron, from the Owner listed above) State or County License CCC 1,?2 a 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 IEN W N .g ATION: 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 RE TWICE FOR �SUL�T�IN YOUR PAYING POSTED ON THE JOBMSITE BEFORE THE FIRSTENTS TO YOUR RINSPECTION.NOTICE OFOUON MENCEMEO�T AT INF HANGING RECORDED AND CONSULT WITH YOUR_ LENDER-0 ATTORN RECORDING YOR OTICE O •INMEIyC-EMENT." Signature of Owner/ ss Co tractor as Agent for Owner Signatu/ofCrad6r License Holder STATE OF F RIDA STATERCOUNTY( F c�� COLIN fir• L Jc.c The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this \6 day of 5•4 X J 20 `_� by this\( day of 7Z�y\1 20�-A by nay�� R'�a.��. �e►a•�.� t��.� ��n��r 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 Identification Produced "R L L Produced 't �- t.•.; l';; .,..sem ,� `�� (Signature of Nota Pu ic-State of Florida ' ' ' Notary ) ; xi ,jSi�nature of Not ry I �c�M� ,c35+ )GG��2or� Commission No. La.�.e'�a"� ��P fat �,2 S.� c�' \��\ � ;cComrraission No. ,��Z \RE5• ``�S��I�/ � �v�atk:•. P\ gyp\ l..:�F' � ./Ye: 8 REVIEWS FRONT -?IC= �n ERVISOR PLANS VEGET101 SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.