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HomeMy WebLinkAboutBuilding Permit Application i All APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED . Date: Permit Number: SCC `'�q5q Mimi f` �j-11W=21—MI-i RECEIVED +r s • JAN 2 3-1020 �I ---� � - � Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division st. Lucie C unty 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: �PR�bPUS�E® t_MPR�®��El1%IENT L�Ci4�TI0.N: Address:__ �J✓ ( C, e S5 �. ��� . Property Tax ID#: 2 / _ - p y � 2 '°1 7 O � �©�� � t.`®f� Lot No.�� Site Plan Name: Block No. Project Name: wDETAILED66D. ESCftIPTiiI®N ®E WORK }n� K ,g' kms. ' ^3 "a `,¢. .a i '�-x'$7 '0",} � •. �RN' 9 �naw r i &xA+-+- ` &A P1 O�(� — -Tri &'ImcilL4 4T 5A CO;NSTRIJCTtON INI= t'AN Q,RMATI1014 �� �a � � ��3a fi3dS�5 ,�t�n az��,�a�a �.. _.. �"�c�., �� ��.� �, Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping —Shuttersindows/Doors � —Electric PlumbingS Roof Pitch _Sprinklers Generator tc Total Sq. Ft of Construction: 67fo o Sq. Ft. of First Floor: Cost of Construction:$ -3 Y Q Utilities: —Sewer _Septic Building Height: y (71NNER/LESS#EE011 C®NTRACCT OR i . . � .� �. ; QT Name �I 1�14`� � �C, Name: 7 0u r cil� e Address:_ C P 5,511 , T(� Company: 5TCAL ilk .-CX) City: <r w,, C(-- State:_F1 Address:2 572 C AOYLCLt't G..O Zip Code: Fax: City: A,- C 4—y Stater;, Phone No. Zip Code: 31(9c( Fax: ,R�— 6-510 E-Mail: Phone No —aeu —52-0 — Fill in fee simple Title Holder on next page(if different E-Mail aey*-e Ere,,, ci', FW nZF from the Owner listed above) State or County License CCC- 132 (pot 2-0 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. 1 MAI PIF,LEMf TAL CC7NfST'RUCTION L4EN LA I�NF®R�M-ATf®N: l 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 IMP E NTS TO YOUR. PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED O HE J E THE FIRST INSPECTION. IF YOU O OBTAIN FINANCING, CONSULT WITH Y R' OR AN ATTORN BEFORE RECORDING YO OTIC " qignOwner/Lessee/Co ent for Owner S' of ont actor License Holder STATE OF ORIDA STATE OF FLORIDA COUNTY OF n'l� in COUNTY OF M Aa 0 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 10l day of 3 CJU 20AO by this 0 day of J 0-YI '20. by Name of person mak7OR ment. Name of person makings atement. Personally Known Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 7 WLR-- c�=�'�✓�G (Sig ture of Notary Public-State of Florida) (Signa re of Notary Public-Statile off Florida) Commission Na TP `1S1 03 (Seal) Commission No.fF ��(��d3 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 'v�z` f' �t' cr � tet s'+ �nvFyp Notary Public State of Florida Notary Public State of Florida a CarrneEa Frantantuni e F Y Cannela Frantantoni �, R .,�, , 0'7r-,;t%Vc G'`v E ` c ;spires 05 2S.1202U of v� xpires 0,/2912020 � � � � � m .r`'e,:�-A`'a�ys"a..'4-r°�.:f�'�-s�•`..f'.t`�r�w�itd'i�'�'w a