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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