HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
�MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num R E
AV ED
Building Permit Application FEB 7 2020
Planning and Development Services Permitting Department
Building and 'ode Regulation Division St. Lucie COIL ty, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PgP,OSEQIMPCROUMENTOCATION �,a . . , � ... .
Address: §&05 spruce pr-. For 4- P• Pres fL 3 448 2-
Property
Property Tax ID#: 3 L402 - (010 -0137 ! -lp Lot No, 20
Site Plan Name: Ve oa 4,1'id-e Block No.
Project Name: a "4 s'k d,.,cc
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DETAILED DE5C IPTION"r,,,1
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping T Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator V--*Roof; Pitch
Total Sq. Ft of Construction: C' Sq. Ft. of First Floor:
Cost of Construction: $ 5X00-00 U Utilities: —Sewer _Septic Building Height:
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Name1ylQltd r Q^C cv"S17vcrion C. Name: (VA „ /tarfiN�^]
Address: q0 y Oscto la DR. Company: v+co ..s -c s+
City: Foy* 7%t rct, State: FL- Address: 32-01 SE
Zip Code: 3 KQ4Z Fax:_ City: S¢vRr+_ State:f L
Phone No. '772- 8?2 -5Su3o Zip Code:3`I9gl Fax:71i-tl 2-&Tj33
E-Mail: Sa^i rA® VQ 1 rPhone No7-12-fr7-L tru'u
Fill in fee simple Title Holder on next page(if different E-Mail ,a'rP, 4tlrao(1ir Y k.r
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.
�SUPPLE111f£N� ALCQNSTRUC (aN L I'�NLAW INFORIV�ATIQN. ��
, Z �.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _NIot 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 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 NOPCOF COMMENCEMENT."
'2ocbl foe `
Signature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contr r/ nse er
STATE OF FLO��R�JJDA "� STATE IDA
COUNTY OF Mfg 7/Iv COON F, IW,4 '//✓
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (0 day of FLS 20 LOby this day of FES 2020 by
ALDOL PO ✓&&Jt _ J 144N .M A-RT/A1 tF7
Name of person making statement. Name of person making statement.
Personally Known X�_OR Produced Identification T Personally Known,X X ^OR Produced Identification
Type of Identification Type of Identification �,.,.,
4% o ALEXAVICTORIA JUPAD
Produced Produced • `: Notary Public•State of Fl a
�P Commission 4 GG 3 01
..........A ` My Comm,Expires Jul 2 23
Bonded through National No r, sn.
(Signature o ry Public-State o F1 11 .)ALEXAVICTORIAJURAoo• Signature o ry Public-State of � a)M: _:.+_ -LAI k
• Notary Public•State of Florid = e of Flari
Commission No..(;f&3 3 P+ Commission Y GG 360013 ? <:c L;360013
/ of nal�yComm.Expires Jul 29,202 ommission No. '✓(000/3 `F(Seal)
e�:r=s.ui 29,20 3
Bonded through Naranal Notary As <votaryAs i.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.