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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� ���� Date: - 2 '1 ' -1 Permit Number: A l RF;GExVED Building Permit Application JUL 2 4 2019 r Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie county 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _ PERMIT TYPE: PROPOSED IMPROVEMENT,LOCATION Address: Ll $3 bi. k F4, r i rcCr EL D y IC Vd. Property Tax ID#: 7_�© ' lv I `�0 000 1' Lot No. Site Plan Name: Block No. Project Name: DETAILED-DESCRIPTION OF WORK: LK i A Cl �T6'� l-Q !'� � z�c� T /y}r ��f ��L� ��1Vnti CONSTRUCTION INFORMATION,: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas.Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof I !Z Pitch Total Sq. Ft of Construction: 160. 4� Sq. Ft. of First Floor: Cost of Construction:$ dP L Z . C 0 J If s , Utilities: —Sewer —Septic Building Height: OWNER/LESSEE . ' 'CONTRACTOR: NameC �`� K*I�o n�, �7dry+� !LlVame: Address: ?-100 ���i'P4- Q.. Company: 0L. , J0/,'C� o,VJnc L. City: -F< State: 47- Address: 1071 SS Zip Code:- Fax:. City: ti N .State:t!:i-' Phone No: Zip Code: -12-1 SS Fax: E-Mail: Phone No- .3"1- 7'(111-7�.6 � Fill in fee.simple Title Holder on next page(if different E-Mail C-0 ck SO h P N Q 1% L C ti/►oSI I from the Owner listed above) State or County License CC C 13 Z 817 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 CONSTRUCTION LIEN LAW INF ORMATION: 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 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 SI E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUWE R N ATTOR ORE RECORDING YOUR N COMMENCEMENT." Signature of Own /Jetractor as Agent for Owner Signature of ntr License Holder STATE OF F RIDSTATE FL RID COUNTY O COUN `OF The forgoing instruryen was acknowledged before me The for oing instrument was acknowledged before me this qday of 20�'i rpy this 3 day of '�iJ� 20 jJ 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 Identification_ Produced tel, �c Produced (���� (Signature of to of Florida) (Signature of Not ic-State of Wricla) ELLEN Commission 9� ��Stat a ��YN Commission No. _. F Commiaalo d# °tary Public tate of FIEoN AUG r"iy Co GG 270079 0' oP, Corn rida-iy HN tober 22 202 res "inn I Y Cora �f G 27 ubiUP Y i° REVIEWS FRONT RVISOR PLANS VEGEt �°n $ VE COUNTER REVIEW R VIEW REVIEW REVIEW 2 22RE I DATE RECEIVED DATE COMPLETED Rev. 2/7/19