Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO,BE ACCEPTED G Date:, ! / Permit Number: a\ RECEIVED NOV 0 6 1)19 Building Permit Applicat On 5T. Lucie County, ftrmitting Planning and Development Services - Building,and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1551 Fax: (772)462-1578 Commercial r Residential PERMITTYPE: Apn 0o4 � F'OSE�[� 1 It�1/f�MENT +CATI® Address: 2.70 /1L!/1�' I�S U ly� 0en Sen t3—eA PropertyTaxlD#: ` . �/fid"D4D -2- LotNo.27� Site Plan Name: jft#les Block No. Project Name: )__70 IL D DNCRk(PT tJNl W lNUR Com l&�e , eMol," 1~0 n 1, r-enova/ a _ g D s ' r»m� )-e %Horne n /0/'a` ,.a.- `"Om )0 vL°rr►4,� CC? 5a + NQW,R.M X. rd.@,N. 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: O IYO Sq..Ft. of First Floor: po Cost of Construction-$ 'I/DO.oa Utilities: ewer _Septic Building Height: 6 ,Name A16-Ofs '9✓7 APi',Dr.jfes LL Name A r< h :Address:<. r /lr /� L�'rnef�t7n� � Comp,any,. clri`,.'. ° t�i 0 h f✓�,' ir;C: City' L✓iIM6n�li7 state:�E Addres�sc''66/ G)S/lPncP� S�- Zip Code /log. Fax: ,_city <✓C✓7S�'nlL� state:�L• Phone No. Zip Code: 3/937 Fax:,? E-Mail: Phone No ,77.2-Z4O " 37/Jr" Fill in fee simple Title Holder on-next page(if different E-Mail �G�otknj Y- '-7% i7-4 c'- � yd�o0 c0M 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. EME� AL aNST {t1 1©N LFN LAVA 1 RMA Q' 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Le see/Contractor as Agent for Owner Signa ure of Contractor/ icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MuTl N COUNTY OF Mr,,r-tjk The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this�day of (AoVk O ZA 20 til by this day of I�oVi Wp aT 201a by ��WA 54;4 � 50 Name of person making statement. Name of person making statement. / Personally Known OR Produced Identification Personally Known OR Produced Identification V Type of Identification, Type of Identificatir Produced (, I f &V �.I Produced }=(_ o,,��r,'V� f5 llUc a a Z NICOLE SUE BET.; (Signature of Notary P blit-State ofS- L't' NOTARY PUBLIC (Signature of Notary Public-State of'F NOTARY PUBLI rSTATE OF FLORIDA r —STATE OF FLO 1 Commission No.( (�� Corr,m#GG350731Commission No. (ika-3 6131 o Comm#GG3507 1 NCEIExpires 7/1/202 �NCE19�� Expires 7/1/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.