Loading...
HomeMy WebLinkAboutBuilding Permit Application ,J All APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 429 RECEIVED Building Permit Applicatiori MAR 17 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: � l 0/:) PROPOSED IM'FROUE�M "Nl LOCATION " ~ - Address: LoS 0 Property Tax ID#: o —co 1 Lot No. r Site Plan Name: Block NoSj—Z( Project Name: tri r®lam Q���YYI�t f'1 DETAI!LE�D ©ECSC«RIPTI©N OF WORK: Link- , ocI _ r CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: �n C� _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Cq V Sq. Ft.of First Floor: Cost of Construction:$_6290�1. 6 Utilities: -Sewer —Septic Building Height: OWNER/LE1SSEE: CONTRACTOR: YTIn 2S Name f�- Name: t' J7)1 e-L LCQ U`.)i�.l�1CJ�-, Address+ V&I,LV de- 0c up ries+- Company: ' ETI ( IDY City:l StateEt AddressQ8 ,'57 WJE :1ZV Pr:�v� Zip Cod Fax: City: State:a Phone No. Zip Coded IL Rq `-7Fax: E-Mail: 5� 00 Phone No��a—Q93 Fill in fee simple Title Holder on next page(if different E-Mailferm i+,S O�gn i E.IS!P:e)o(-P-Co YYi from the Owner listed above) State or County License Ak- ` Q2e ' 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 LIEN LAW_IN'FORMATION: 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 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 .DOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YQJM LgXQER0fJN ATTORNEY BEFORE RECORDING OU9R NOTICE OF COMMENCEMENT." Qh \. ignature of Owner/Lessee/Contractor as Agent for Owner Si nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLO A COUNTY OF A1\ `rtl�1 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2J S"`day of --SAf 20 2D by this(( day of I`�ILtifC � .203C�by Name of person making statement. / Name of person making statement. Personally Known OR Produced Identification ,/ Personally Know_OR Produced Identification Type of Identification Type of Identification Produced VL-DL. Produc d F,xlr t g 2o2il �'� y, Ai:cisJ.Hill' NO YNOLDS p% NOTARY PtfE I �,NOTARY PUBLIC • _STATE OF FLORIDA _STATE OF FLORIDA (Signature o tary Public--State of F!b : °� orn nature of Nota C , atpireogr 12022 '�cE 14" Expires 31291, Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.217119