HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: IN Zd Permit Number: aada�03(j�
RECEIVED
Building Permit Applica ionFE6 X 1 2x
Planning and Development Services 5T. lucle County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential y—
PERMITTYPE: Sr
Address: Yi `i fkcls)/ G` i Ir ?r��
PropertyTaxlDit G11�(ja- Cog- 01704f_9DOD[21.042 Lot No. 2�
Site Plan Name: I�j:Jnr� -�"4% Block No.
Project Name:
Additional work to be performed under this permit -check all that apply:
Mechanical _ Gas Tank —Gas Piping _Shutters d Windows/Doors
)C Electric )K, Plumbing _ Sprinklers _ Generator Roof Pitch
7 Total Sq. Ft of Construction: ( /�s Sq. Ft. of First Floor: ( 3 77 j
Cost of Construction:$ Sd, 060 Utilities: _Sewer VloSeptic Building Height: 91
Name 5�.'LQ(l4mA hani�.�/_ ,Name: q. LuQid_ UA1A--L�+_JAc Adftloi14V
Address 70 S 04 s+, Company:HA\'}Aar Lc- i1tmn64!�A
City: a i trca Stater( Address:...702
Zip Code: 149'iO ' Fax: City:. Ek_ (�Lvrrr. State: FL
Phone No. 772- 1J&q- /JZ Zip Code: 349,17-0 Fax:
E-Mail: bras& Phone No '77A-1469-1117
Fill in fee simple Title Holder on next page ( if different E-Mail 'JaSe.Q � C 5A e. ha bi-4-a4. ocol
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.
St. Lucie County
Housing Department
Date: 21 Vl Ito
Approved Bfi:�,,l lAft.A.
AFFORDABLE ATTAINABLE
WORKFORCE HOUSING
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:.
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 instaiiation as moicatea.
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, 16 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 e1�gmpt fr44qt� undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls ssign55 creegyroAomv nd accessoc�wses to another non-residential use
"WARNING TO OWNER: YOUR FAILUR0i6141ECORD(A NONCE OF COMMENCEMENT MAY„RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYAAliNOTJCi OF COMMENCEMENT MUST BE RECORDED AND
iE BE
POSTED ON THE JOB Sl FORE -THE,. IF,�,ST INSPECTION. IF YOU INTEND TQ OBTAIN FINANCING, CONSULT
WITH YOUR LENDER'OR•AN„ATTORNEY. BEFORE ECORDINGeXQUR NOTICEOF,COMMENCEMENT."
Signa reo Owner/Lessee/ContraLYof6sVlgeritfpkOWner
��((u��Y�C' tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA I
COUNTY
/ I�GI
COUNTY OF A 1 Z
The forgoing instrument was acknowledged before me
20,* by
The forgoing instrument was acknowledged before me
2E�P
this ?21X day of by
this � day of .1 .tn t�,�
Ps^^
q �
?0� T c_.caJhi/lnNn
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
Produ�c/e�d���
Produced
Pub t f �f fdgLpilc State Of Rondo
(Signature of NotarytFl
(Signature of Notary Publi 9Y 1i�Fl� s Lea Askman
onna Lea Askman
C My Commission GG 174054
y My Commission GG 174054
y A<
po, now Expi 92022
(dip
Commission No. .,n E�cpir�5eabsrzo22
Commission NNo..+
C G I
f74 /7N J
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z///19
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .I%�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: S�
Address:
Permit Number: aada�03d�
RECEIVED
Building Permit Application FEB 1 1 2070
ST. Lucie county, Permitting
Commercial Residential V—
PropertyTaxlD#: 5�102- coq-09a;'-000-c� LotNo.99
Site Plan Name: kn j a Ian 2; Jnf Block No. 6-.%_
Project Name:
Additional work to be performed under this permit -check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
k Electric 'X, Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: i v�s Sq. Ft. of First Floor:_
Cost of Construction: $ ! S°1 060 Utilities: -Sewer -?� Septic
a Windows/Doors
Roof Pitch
) � J
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name., 51- Lcu -e - is �: ��I UAman l�
(4. Lee.-- �nb�+�p}'�dfndnl•f
Address: 70 S 6�I!"4 «
•Name;
t.Ccmpany:
`�nc
Hn`j.W- " -!6y- ,g'a 4- x
City: F� . Q; er e t Stater(
Zip -Coder.•' v ','
3N'0l`Sb- Fax:"
Phone No. 77i- (J6q-///7
-Address:, .10�
;City:F�F.-;Frnr�•�s-.���^��'• Stater
24
'Zip Code: '3a) 9,t0 Fax:
Phone No-7i1-(/GN-11l7
E-Mail: Trasd�@S+iucr2herh,4�•i-,Orn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail SDSc Q k CO) Sa- 1,.a e hab;i a�. ono
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 GONSTRUC it LIEN LAW INFORMATION..
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
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 the permit. holder to build the subject structure
which is in con lict 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat re of -Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 'Si-Luc,e,
COUNTY OF �4. h LJ' ;
The forg ing instrument was acknowledged before me
The for gping instrument was acknowledged before me
this of �Tr v� a 20 * by
this day of 2020 by
110—Pday
1a
I1G1�P/Y��D iGJ wt,
J�_Q
1- g
?6be,Y4 eD, chi 1.,
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
P1rodu�c/e�dJ��
Produced
(Signature of Notary Pubicy f �Rj Fdg�iioState or Florida
(Signature of Notary Publi 9P FlgpjfJ�� Lea Askman
Uanna Lea Askman
/� % My Commit'@�Sion GG 774054
Commission No. C 6 - o� Expir�SeApB/2022
14� , a My Commission GG 174054
Com mi551on No. ?vr s,e EXP1(SW(p9/2022
GG IT
GG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. t/ 7119