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HomeMy WebLinkAbout20200415124718412All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 1 Permit Number: �J I J ` W. , fig 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 G� PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: �DciL)`> H v�fle nt. "V701�- ,Ii@$c->° Property Tax ID #: j'AO'G Site Plan Name: Project Name: C7 c DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit – check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing2 _ Sprinklers _ Generator Roof 1� Pitch 1 Total Sq. Ft of Construction: Sq. Ft. of First Floor: pa Cost of Construction: $ ��%�Q� Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 7 lotC Name: a, I e �ct� Address: y�� qU ltl2 �Cs Company: C q QAU i c +JiR.�9..A6cW�( City: °��(k )�','�2>SC� State:- Zip Code: ���rQ� 2, Fax: Phone No. Address: vy� �'v City: Zip Code: �Z�b(}` Phone No Stater(_2� Fax: E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail ©0 QQ ° v C State or C unty License CJ ak 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 INFORMATION: FRONT DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 WIM NUR LENDER ORA ATT NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signatur�,of Owner/ as STATE OF FLORIDA, COUNTY OF Limue Co:; A4 V The forgoing instrument was acknowledged before me this day of y s� 20ZU by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced 11-l" e t L, c", _(�p A (SignWre of Notary Public/ State of 11=4 (Seal) Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF,-`% U' au' 0vin4/ The for oing instrum ntas acknowledged before me this day of I 20ZZ by Name of person making sta ment. Personally Known OR Produced Identification Type of Identification Produced / of Notary Pu bli State of Florida ) n No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 �.�..�_ r_ JOHANA HERNANDEZ PpY P(,9 O,5pRY PV I� Qd, 'ut}s a e of Florida _ �9Notary Public -State of Florida Coryimission , `�G 332111 =k Commission # GG 332111 My Commission Expires 9F ,^Q My Commission Expires