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Home My WebLink AboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Md 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: �RflP4SE® I ,0R`QVEMI?( T . a"� .,Address: �02 mall l dell C4 h o( !h VC4 Iff, 3 1 93�s Property Tax ID#: 3YK ' — 0 1 0 D 00 b Lot No. Site Plan Name: ( , 11, Block No. Project Name: � �� i,� `wog �--�� ' � ✓v ,� E � g . �L3E �IE`D ®ESGRIP .„IN�U�1t�C FK � � °�` 6,,,s% '` ..axn�„ �"��',,i,✓r.1�»:✓d6t_�,G..s�?�5,.�'T�'��c.��gsi�� ar� �$tR,: �r a� cobJem f a eaisTRucT�l INF(3RMAIo a a Additiy�nal work to be performed under this permit—check all that apply: 7_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $__ _Cko® Utilities: —Sewer _Septic Building Height: arocy . t � h < { tf Nr'.laa. � � ;n.. -. •,h .,�, ..._-,r, a.,"x, r� .. .. „a„ /.. < Name K(d4t4,rd L h r&vkr Name: f Address: GifK h G Company: a o 9;„City:,•_ pf�• qS�i! State: c�dress: O G� `�(v1, `Zip;Code'- Gsr Fax: C .s",: .b (` �,.. - y. � .� �Cl State: .. to .Phone.No: 9 . 3 Zip Code: E Mail: Fax: Z 7�b Gf 0 35Yo �(� Phone No �� GG "l ® Fill in fee simple Title Holder on next page (if different E-Mail l_ fl (1 a1v 6 from the Owner listed above) State or County License f 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. ((v''�� f;(n�]�t.c' (� p a th t Shkf3�' ss j 1r es: �l s `,n` u 3t€ iVQtly. TY1 } 311�►tIY r s s ' �!I t rYin a + t # l Rl IATC{� :f ,t � »` r_�';.r< 4��;ru-,.�r_- I,3 tt t tT - ..r`» �' it yy3' DESIGNER ENGINEER: - N �pap_.�� ,; ��,..,.,. .. .,v ° ' .�. � 1.. '� ,. �� was_` / of 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 YOUR LEND R-AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA • �. � STATE OF FLORIDA COUNTY OF COUNTY OF k The for oing instrut Was acknowledged before me The fo oing instru ent was acknowledged before me this day of en h 20,ZJ by this ay of 20W by 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 L Produced ;L 1�L (Signature of Notary Public-State of Ploricla) (Signature of Notary Public-State of Flo daA. ) r Miroslava Hemandez e ( fe of Florida + -L J' Commission No. C 3Sc Sep) Commission No. y 4�,,,8Seal) MiroslavaHemand c�MY Commission Expires 09121l2023 / el or Commission No.GG 354734 State of Florida �� • 1 023 —'sr CommissionNo.GG3.141 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW DATE RECEIVED DATE COMPLETED ev. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: a 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: Iaksa � nouEMEIUT Irac TIaN �/� Address: �o� M411 del,C414 e Property Tax ID#: 0 fd r 0 00 C Lot No. Site Plan Name: �Aclrd Block No. Project Name: �t—��`Aft� e � Ekd" n: C Sost, t .64 4r 16.1youu3 N S66- q10 U v 2 6at-1W t D k fit) e � C®IJ .,, Additi�anal 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: Sq. Ft. of First Floor: JI Cost of Construction: $ � �® Utilities: -Sewer _Septic Building Height: X � Wyk �O�NER l.ESS�E � CONTRACf`t' p Name ( I Name: � J r Address: qf� h L Company-; ,Y30 AS C4 o Stater &ddre,A:' o Fax: CO..'A' //S,,t/Iaeet//er Zip Code: Fax: l vb 0 E-Mail: lAh 7D •( Phone No �0 Fill in fee simple Title Holder on next page(if different E-Mail 1w 5D ( CA, � (^ Cvk21 from the Owner listed above) State or County License f f7 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. ( E`. �. € ! h i s 4 x �Ehr� E p ,s:}^cyir� +, ✓rk! 4' � ! SIF'PLM'ENE!iL C�NST3Rjl1CTIN LIEN LAIN IN 'ORMAT10EN• E � � ! E/ _ MORTGAGECOMPANY:n.,.. . � _ DESIGNER ENGINEER: Not Applicable _ t 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 YOUR LEND-ERAIWAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA c` COUNTY OF � �'�'�- e COUNTY OF —0:) The f r oing instru ent Was acknowledged before me The forgoing instru ent was acknowledged before me this 6 of Y� ` 20� by this ay of ro 20 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identificatio/� Type of Identification Type of Identification Produced ( � Produced L (Signature of Notary Public-State off lorida) (Signature of Notary Public-State of Flo da ) n r miroslava Hemandex / o ( I.te of Florida ' 35�/ �04 �� Seal) M(roslava Remand Commission No. C 3S-c Sell Commission No. dMy Commission Expires 09/21/20?�3 Commission No.GG 354734 State of Florida • • 0 1 us Ma•°' misslon No.GG 7 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW DATE RECEIVED DATE COMPLETED ev.