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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/12/19 Permit Number: 0,;5 �$a VRECEIVED • 12 U!9 _ t - - _ - Building Permit p►ppliCa$1ounty, Permitting Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xx PERMIT TYPE: Sl �PlkbPOSED MPROVEMENT LOCA ION - `v - Address: ` !� �J C Property Tax ID#: Lot No. Site Plan Name: Block No.—2, Project Name: S �8�- e 12:�o c ©Su-,`Q� DETAILED ESCRlPTION if WORK < `�X s 1�a�k- a-'e— CON5TRUCTI N-jNfORMATIONf Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping —Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: QWNER/LESS,EE.:: „;° CONl'RACTQR' Name a_ @ Name:Jose Vides Address: t 0 <' 4J Company:JosB Concrete Perfection City: e.,' -P State:_ Address:383 SW North Shore Blvd Zip Code: 9' Fax: City: Port St Luice State:FL Phone No. 2. 2'( Z 4 Zip Cede: 34986 Fax: E-Mail: Phone No7728125066 Fill in fee simple Title Holder on next page(if different E-Mailjosbconcreteperfection@hotmaii.com from the Owner listed above) State or County License25230 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. �"--��'..-.�.f:..--i:=�:�...�•'�-- .,.z'r`te"..k*-raiz.,. ,y..'�a-�.'��. ��j ::'c-� �-G.;.�-,�a-,� ..u� �.�...�;x..�.�„�r,.•_...����,^�".:`..-... _.—�_ ,a^.i^"..,-'"`�a.�,�.. 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 Nome 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 1 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 .)OB 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 O n r/Le see/Contractor as Agent for Owner Signature o Co ractor/Li older STATE OF FLORIDASTATE OF FLOgIDA , COUNTY OF ,�.-r-.1.v c%c COUNTY OF_ The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me this`d day of`�A'� 20_ by this\ day of S!t aA 2011 by Mame 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 L j) L (Signature of Notary blic-State of M OEGI 023 Signature of Notar g O NA #GG 022 . M .GIVEN ....... Commission No N " gss ber18.� +''N' COMMISSI GG 02200 �' ''-. N E Pdaicua 1 mmission No. � It]i,2020 @�r :;e Notary :v :o`eIBES. PubllcUndecvrtiteM So d dUm NOM ..N REVIEWS FRONT ONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.