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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `%� Permit Number: �M - " ! RECEIVE® R Building Permit ApplicationsEP 0 9 2019 Planning and Development Services Permitting 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 V PERMIT TYPE: V^-9, rc4 PROPOSES© INI'PROVMM ANT LOCATION: Address: 96 Zef Csbbfe'6&ney Property Tax ID#: a'�so" dad - d0'"1 ) - CSdd -, Lot No. Site Plan Name: Block No. Project Name:7Fnnce QETAILED DE�SC*RQPTION OF W©RK: CO STRUCTIO'N INFORMATION: Additional work to be performed under this permit-check all that apply: �l�ree _Mechanical _Gas Tank "' _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator -Roof Pitch Total�t of Construction: `2 �� Sq. Ft. of First Floor: O Cost of Construction:$ ir,otlo. Utilities: —Sewer —Septic Building Height: OWNi ER/LESSEE: CONTRACTOR: Name. 7011,Vm t-pwn Name:_ &C'e-A0'd.- �JS�ln Address: Cobble,,An< ` 01 Corn an c ,a City: %T, `/�� � State:_fZ- Address: : -'•36 Ayr Zip Code: �,.yJ7�1 S-. Fax: City: , L cvO.". •R�ire.h i'' State: P4 Phone No. "77'7- lo.7�. ,;G'-zS Zip Code: '`Z' �2" Fak: E-Mail: 6yown5 kjt) z 710 Js0— 1,2A9Q.t 007 Phone No 777'-. J- 1 '$76 Fill in fee simple Title Holder on next page(if different E-Mail 17ciI/Ic�G��GdlGrhdt SD lt,�,"pe�S�c� r,f% from the Owner listed above) State or County License 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. SUPPLEMENT CONSRUCTIfJ LIEN W N RMATION: 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 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 Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF '�;V. 1.o�-'\A. COUNTY OF S}, Ly _"\9, The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me this day of St 'v20 1 by this' N day of ` 20n by Q009k {� QyS�•'�r �g t v,d►r�1 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 Produced (Signature of Nota ublic-State of Florida) Ng (Signature of Nota Public- ORD If 1EGNEN3 1 0�3 GG 022023 Commission No. O� SON 0 020 ,�;•••� GOM SION# .,0 goor",S1 �g 2 0� cimmission No. 'a"" ' NIoU�da +a :�` No1atY 5€. A. FY��t o1aH p�yW gond Thm REVIEWS- FRONT ''�F*too SUPERVISOR PLANS VEGET SEA TURTLE MANGROVE COUNTE .. REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19