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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: 112. IMPROVEM I L�CATI©N: Address: 717 S ��P Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: DETA�IiIED DERSCRI MT,IQN 01=WORK: , Gam' 9 C�NSTRUCTIQN IN�FORM TION: 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: 16("0 Sq. Ft. of First Floor:. Cost of Construction:$ o2 VM Utilities: —Sewer _Septic Building Height: Q ;ER r: CQNTRACTOR: Name, G 5r L a srs 10 Name:Address: TSF 41 d4d �E ha,ea' Lif Company: lJ�d%c�%��L�l City: State?_ Address: Zip Code: Fax: City: StateA Phone-No. /7/-2- U 7 Zip Code: (7, Fax: E-Mail: Phone No y 0932 Fill,in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State County icense 16 5!2k 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 0 6OO �y SUPFLEME 19TAI ORNSTRUCTION LIE LAW IN �5 MA ION: 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 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 Y R LENDER OR AN ATTOROIEY1 BEFORE RECORDING YOUR N F COMMENCEMENT." Signature of Owner/Less ee/C tra r gent for Owner Signature of Contractor/LicensP,4older STATE OF FLORI A. STATE OF FLORID COUNTY OF O� COUNTY OF The for oing instrum t was acknowledged before me The forgoing instrument was acknowledged b fore me this /5day of o�. 20&,by this�day of / 20 Z�y Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification�/� Type of Identification Produced � ZI Produced .O p� (Signature of Notary Public- tate of Florida) (Signature of N ry Public-State of Florida) Commission No. (Seal) Commission No. (Seal) m= !lIIIIt1 �\ C 3 to T REVIEWS FRONT ZONING SU E � PLANS VEGETATION SEA TURTLE M Q COUNTER REVIEW X, cD m REVIEW REVIEW -REVIEW ° m DATE a'O in „ N' �7 RECEIVED iv 3 0•o rrnn ,�,X T DATE - n — 0- 1 W COMPLETED �� eV. -�m nNi0.w `0 CN C (n 6 0 V F)* c PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building& Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 RECEIVED (772)462-1553 APR 15 7070 FILLED LAND AFFIDAVIT Permitting Departme�" St. Lucie Count, I, the undersigned, am the owner of the following described property, :?5(a'7- 7o/—d6/5L--- aoo-. o (Parcel Id#/Legal description/Address) .L®T/r/ o M yao3—qv for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code,I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property Owner Nam lease Print) Property Owner Signature Date STATE OF FLORIDA,COUNTY OF C/1 �` to C)e- ACKNOWLEDGED BEFORE ME THIS DAY OF J�ptrl 20 BY Df A nd—V J. &(�SS;VX WHO IS PERSONALLY KNOWN TO ME CO)OR WHO HAS PROD CED / D AS IDENTIFICATION. G � f rSIGGNtALTUR OF NOTARY PUBLIC TYPE O PRINT NOTARY 1T V `, –)S DQr//COMMISSION NUMBER (SEAL) ASR ALEX DE SOUSA Jr SLCPDSD Revised 04/11/2011NOTARY PUBLIC STATE OF FLORIDA Comm#GGIS7288 Expires 11/1/2021