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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr�'� � Date: J� �02C7 � Ri;.F[aihNumb r:�©4.L'i;/l 5 FEB 2 U 2020 - 10 ,. ST. Lucie County, Permitting12"�1�L "J BUilding ermi pp ft-iCatio Planning and Development Services Cr �r Patin Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)46271578 Commercial Residential PERMIT TYPE: PR19PO5E0IMPROVEMENT LOCATION: Address: 10S ��f:F/JVJ06b (LIQ Foo!-r pfr-4oF rL :3glSl Property Tax ID#: `'7©I�C� • U jj a©i(/• Lot No. Site Plan Name: Block No. Project Name: (,PJ- D TAILED DESCRIPTION W V1lORK: ViOb L-, <,v�,� �. r bN SouTR s06. oFr?oP�i S" 1 OIQ 1=A61- s�a� 7 �JCz zN:-d 1;k�sr c, 9%"Lr(AE Sig' ON N-W10 Q1'Pr. SFOW FSI rFd'r AAD CO STIR YCTION 1NE RMA�FION: 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: S39 10Sq. Ft. of First Floor: Cost of Construction:$ Z,50(' 00---- Utilities: _Sewer _Septic Building Height: �f NO"NER/LESS?I=: CONTRACTOR: Name Coif t( Name: Address: %_05- Kj�NWOdb Kb Company: :.: _ ...<..:.:._..:....,>.-,. City: FL)el- AIFQ Cr% State: rL Address:,,' ' Zip Code: SLK( Fax: City: State: Phone No I�T*�z)S32- s l? Zip Code:- Fax: E-Mail: CUP t( S1,,-f LL !� �r�/WA-L .LO/1'l 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 CONSTRUCTION IEN W I'NF0 MATION: 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 tbat 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." Signa r er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ST OF FLORIDA � J �C STATE OF COUNTY OF FLORIDA COUNTY OF L Pr— The for oing instru ant as acknowledge t�efore me The forgoing instrument was acknowledged before me this day of 2 by this day of 120 by I me of rArson making s a ement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifipt-ien Type of Identification Produced L Produced .41 (Si ni re of (Signature of Notary Public-State of Florida) KAREN S. NIELSEN ,�,,pY P(,B�� Commission N =a� ° ;State of Florid Jklfry Public Commission No. (Seal) _* ommission GG 207484- 9rFOF f1.0 My Commission Expires - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.