The URL can be used to link to this page

Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ tom - Planning and Development Services Permit Number: Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line PROPOSED IMPROVEMENT LOCATION: Address: t a --� Legal Description: Property Tax ID #: 1_1'J r q'-74 I - C>16,( C3CjQ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: i.eft Side: DETAILED DESCRIPTION OF WORK: '-� 'h �.,,, �►- `a�S Ccs s� G�-. ✓c CONSTRUCTION INFORMATION: Additional work toe e orme under this permit - check a apply: [1HVAC E] Gas Tank E] Gas Piping_ Shutters i� Windows/Doors 13 Electric El Plumbing Sprinklers E] Generator 11 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ L l yuo S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name. eC` Name: y�= Li � ry.-> Address:ca v3 L> _f�e_s-5 C7 Company: •'� rte., .� City: :t State:i!., Address: X47' �jwnc�� ••� Zip Code: 3`-i 9 L6i Fax• city: t = .. _ !(�.'d ,fi eState: f�� Phone No. .3a5-- a ctcj - -7 ' Zip Code: 31-1ctc�z Fax: LI& c -//d 7 E -Mail: Phone No. (1 - 22' 7 Fill in fee simple Title Holder on next page ( if different E-Mail:c�1 t. -'- (-0J' L) -e from the Owner listed above) State or County, License: 1 sl =o. L.1 YVkIiLf YbYY11 ra gcouv or more, a KMUMPLU Nonce OT Lommencement is required. i Rev. 8/2/17 v , Sig re of Owner/ Lessee/Contractor as Agent for Owner SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION: STATE OF FLORIDA COUNTY OF STATE OF FLORIDA 'W � DESIGNER/ENGINEER: � Not Applicable MORTGAGE COMPANY: � Not Applicable forgoing instrument was acknowledged before me this _CL_ da/y� of _ Oc. r� ,Ger 20,j� by The far sing instru ent was acknowledged before me this day of C--TZ4 Qg— 20� by Name; Address: City: State: Zip: Phone Name: Address: City: State: Zip: • _ Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Mame of person m mg statement BONDING COMPANY: ,_Not Applicable Personally Known �OR Produced Identification Personally Known Z---- OR Produced Identification Name: Address: City: Zip: Phone• Name: Address: City: Produced Zip: 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 jobsite before the first inspection. If you intend to obtain financing, conSL It with lender or an attorney before commencingwork or recordingour Notice of Commencement. '•..,er ��` My Comm. Expires Jun 19, 2023 Bonded through National Notary AssA. Branded through National Notary Assn, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE Phone: COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED COMPLETED i Rev. 8/2/17 v , Sig re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA 'W � COUNTY OF - -,-The forgoing instrument was acknowledged before me this _CL_ da/y� of _ Oc. r� ,Ger 20,j� by The far sing instru ent was acknowledged before me this day of C--TZ4 Qg— 20� by _ Mame of person m mg statement Name of person making statement Personally Known �OR Produced Identification Personally Known Z---- OR Produced Identification Type of Identif— ication Type of Identification Produced Produced 11A'�J I rLAJ (Signature of Notary Publi ort a IKE RAY MARiiN (Signature of Notary or P -. & � MARTIN ';P/•�'''�+�;`: Notary Public • St ate of Florida Commission No. �ti� � "a Com�x GG 346354 :• �,,�� ,�; Notary Public -State of Florida Commission No. �; o Co(ftgI)n i GG 346354 '•...� ct:.' My Comm. Expires Jun IB, 2023 '•..,er ��` My Comm. Expires Jun 19, 2023 Bonded through National Notary AssA. Branded through National Notary Assn, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE Phone: COUNTER i Rev. 8/2/17 v , Sig re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA 'W � COUNTY OF - -,-The forgoing instrument was acknowledged before me this _CL_ da/y� of _ Oc. r� ,Ger 20,j� by The far sing instru ent was acknowledged before me this day of C--TZ4 Qg— 20� by _ Mame of person m mg statement Name of person making statement Personally Known �OR Produced Identification Personally Known Z---- OR Produced Identification Type of Identif— ication Type of Identification Produced Produced 11A'�J I rLAJ (Signature of Notary Publi ort a IKE RAY MARiiN (Signature of Notary or P -. & � MARTIN ';P/•�'''�+�;`: Notary Public • St ate of Florida Commission No. �ti� � "a Com�x GG 346354 :• �,,�� ,�; Notary Public -State of Florida Commission No. �; o Co(ftgI)n i GG 346354 '•...� ct:.' My Comm. Expires Jun IB, 2023 '•..,er ��` My Comm. Expires Jun 19, 2023 Bonded through National Notary AssA. Branded through National Notary Assn, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED COMPLETED