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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED Date: �,— L� Permit Number: l _ Building Permit Application,s�''tE1 �®r� Planning and Development Services �eAd,� Building and Code Regulation Division o�n��Pn� 2300 Virginia Avenue,Fort Pierce FL 34982 / Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: ��U✓�?�I f7 PROP©SED IMPI�0IIDM ( LOCATION: Address: M I R P Property Tax ID#: ot C� 1 — 0 S Lot No. Site Plan Name: Olaoge Rl OSsom F,,r,4AQS C7_ir51 Block No. I Project Name: DETAILED DESC««R+1RION OF%0=- ren �C U 4AD to voi-c") a, Ck z_/1 e. P--'l GO cl L9 ICA j?,-r C®NSTRUCTION I'NFOR� T10N: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric VPlumbing _Sprinklers _Generator _Roof Pitch. Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 0?, 060 Utilities: _Sewer /Septic Building Height: f} 0WNERf 155�SEE. 11 CONTRACTOR: Name �(�QZ0.r %madn r E++. � Ani �orrP55 A: Name:' Address: [610 Co m a(A d 0 G_\J E_ t Company: City: �Of� D1 PCC.P State: �Y Address: Zip Code: 3L1 Q 4 Fax: City: State: Phone No. __71 7a , 2 G I7)2- 519( Zip:Co.de: Fax: E-Mail: Phone:No Fill in fee simple Title Holder on next page(if different E=Mail.. 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. SUPPLEMENTAL CONSTR CTIO LIEN LAW IN�URMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: .P.9P Address: Address: Ko(ol wd(4644 4A 0 . City: State: City: wPS� i, IpciI &PCCki, Stater Zip: Phone Zip: 332/0cl Phone: goo--7,Y(o • 247?b FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: l/Not Applicable Name: !F/eO0'Zor kmaLf �,scami lfrt Name: Address: f(,P !n (m ra/i a dry n v C Address: City: f-o(4- {oi��CP City: Zip: 3y628Phone: ??2- 529 ' 6Slow Zip: Phone: OWNER/CONTRACTOR AFFIDAVIT: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 thepermit 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." Wature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA � STATE OF FLORIDA COUNTY OF C,C) L.( �' r �; COUNTY OF The forg ing instruilient was ackn wledged,before me The forgoing instrument was acknowledged before me this ay of A 0 by this day of 20_ by Name of person making statement. Name of person making statement. " OR Personally Known Produced Identification _ onally Known OR Produced Identification Type of Identifications (e of Identification Pr ced w LU duced I� a zoo 1t1 41 N Signature of Notary Pub' State of Florida) m� ignature of Notary Public-State of Florida) Y c g8`�1Q �� (Seal) ) Commission No. e - mmission No. Seal a � V W REVIEWS FRONT ZONING SUPE PLANS VEGETATION SEA TURTLE MANGROVE E EVIEW REVIEW REVIEW REVIEW ;: COUNTER REVIEW RE DATE RECEIVED DATE COMPLETED ev.