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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S/ Permit Number: a d 4 -d1 \Co a. RECEIVES a� Building Permit Appli atioty'AN �2� Planning and Development Services ST. Lucl�CoUn,ky� �� . Building and Cade Regulation Division � �ng 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE; "•DC�r�Oli PROPOSED IMPRO MENT LIOC/ATION Address: 5-0 ri,SBM &4&`, �G. 3'1167' Property Tax ID#: YJ OA J Q 0017'000 -3 Lot,No.8 Site Plan Name:�lL�f��B� Block No. Project Name: x2.01 y DE AILE ©I=LW9 ORK: Lom A/rat epeal-A'b4 cry, /- , ,Ov* of �/1.A` s CONS UCTION INFa,RMATIO 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: q; l/ Cost of Construction:$ Utilities: Xsewer _Septic Building Height: UW ER/LE6S1S�E: CONTRACTOR: Name r • P e 0 W✓j Name: n� i Address: q1GG ar • . Company: <--i LeRiCa t SVC, %d1 G. City: or State: Address: Zip Code: &Z 5V Fax: City: ,T Ofth °�GLi State: • Phone No. 57 1- 3-5-3 -2-001 Zip Code: 3y957 Fax: 772-123.2-12191 E-Mail: Phone No_ 772-zOD-3 lir Fill in fee simple Title Holder on.next page(if different E-Mail 42 AL m Ser+i /4-A i4 C lld`i o,tom'+ 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 CONST UCTIUN LIEN AWSNaURMATJINN 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'restrictioris 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 JP SITE BEFORE—THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR END OR AN; OEY BEFORE RECORDING YOUR NOTICE OF.-CPAMENCEMR47 r Sig r Owner/ ee ontractor as Agent for Owner Signa of Contractor/L' nse older STATE OF FLORIDA STATE OF FLORIDA COUNTYOF SA . COUNTY OF !:�-,�-- LS�C_'%-0, The forgoing instWnent was acknowledged before me The forgoing instrument was acknowledged before me this day of -� �. n 20'Z� by this a day of ca'� 20a,d by 5,�..',�-111 Name of person making statement. Name of person making statement. S. Personally Known OR Produced Identification Personally Known OR Produced Identification Type'of Identification Type of Iden ification Produced L aD Produced (Signature of Notary Publ .State of.Florida), `• (Signature of,N.ota. c= tate.of-Florida) - • ••pFY6�a� DE n T ._... NNA MARIE Commission No.GE�—�t3�'?y '` mission r�tlsslo pe r -ANNA MARIE GIVENS `�? 20 L` hiY COM1JlISSION# 0220 li\`zo EXPIRES:December'16;2020 l GG 2 ; Ar "4oN, onded h �I d� a .� REVIEWS FRONT (` 1 � ANS VEGETATION SEA TURTLE INQGROVE .COUNTER REVIEW REVIEW R VIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.