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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COETED FOR APPLICATION TO BE ACCEPTL. , I((11L// Date: Permit Number: �i�l ' O `WO -_--- -- — Building Permit Application JA I? 2019 Planning and Development Services Pemuvjm Department Building and Code Regulation Division S. r uw County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED INPRME- ORENMil LOCAT10NW. Wd' ress: 7S0 3 rrer nCec- led P pledz Cf- 1rm Legal Description: :Property:Tax=ID #: Lot No. Site Plan Name: Block No. 411 iProject Name: Setback Front Back: Right Side: Left Side: HauRIUndI WUIK co ue penorrnea unaer uns perrna—cnecrc au mac apply: _Mechanical _Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers _ Generator ,Total Sq.: Ft of Construction: % 1 0 0 �Co5tof;Construction:$ 01 DOU ei-j Sq. Ft. of First Floor: Utilities: _Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Name r —= Address: S qr 1C0rflpany, City: 71�e (�G State: City"--'. u State:_ Zip Code: Fax: Phone No. Se57707 32- Zip Code: Fax: Phone No -Mail: P1 A&AIC11e l 1 I Filee simple Title kolder on next page ( if different E-Mail State or County License from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENITT LCONSIT, LIEN LAW INFORMATIbN: 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 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 fi improvements to your property. A Notice of Commencement must be recorded and posted on the job: before the first inspection. If you intend to obtain financing, consult with lender or an attorney before" commencing work or recording vour Notice of Commencement. 0 - ignat a of Owner/ Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA c.� COUNTY OF COUNTY OF The forgoing 'instrurnent was acknowledge before me The forgoing instrument was acknowledged before me this o1a day of, 20-hA by L.lUltlAAo�_� TY`c1a,t./.r�Q_� this _ day of 20_ by Name of pers n making statement. Name of person making statement. Personally Known OR Produced Identification~ Personally Known OR Produced Identification Type of Identification Type of Identification Produced,, rcL �l)a2S Y-��VIW�Q Produced Pbic -S(' tdre of Notary to of Florida) (Signature of Notary Public -State of Florida ) Commission No. ,"•; IN `v Commission No. (Seal) 61Ikyco �No •.! '�StONSoO BUWadifyy 242022 REVIEWS FRONT PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev.R/2/17 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 Number: PiOL nt-4(en RECEIVED NOVQ 4 ?019 Building Permit Applica ion ST. Lucie county, Permitting Commercial Residential x PERMIT TYPE: Q� PROPOSE --DIM .11-09EMEN91176-GATION111111111 Address: �5?�� F6,crLC�E S j2c7 �- r �r.entC Property Tax ID#:_ 1301 6D2 D/D(OCbf e Lot No. II Site Plan Name: L4tGc t C eAsz IC Block No. Project Name: rLA4, taS'Tts�_-' rL-kr 2L,oe' A7JD Or,01�' OAJ L_C-�F SaDei 6t✓ TPfle_ &_-6 '�z1 v TD ef `>` f(z PCT-C-1 ' (LrrnF Additional work to be performed under this permit -check all that apply: 1 4 1j' ' �.. .:_ . _Mechanical _Gas'Tank _Gas'Piping Shutters, _Windows/Doors _ Electric _ Plumbing _ Sprinklers —Generator; ' , Roof: , . ; 1 d2' Pitch Total Sq. Ft of Construction: _ t S:'LY_ Sq. Ft. of First Floor: Cost of Construction: $ Utilities: _Sewer _Septic Building Height: lsrn DW N E RVE _SS E I CONTRACTOR: Name STe?rt�G� toA g uk tFLL `, '� '� Name: 5;r-&i, Iv ,I -St-• , , _ ,'. Address: TS-o3ae �b Company:' 'ss oGtgcza, 'ewe E� uL� LI_1. city: Stater Zip Code: 34 i5 ' ..Fax: t Phone No. S(o[ 5--7-1 0 1 3y Address: �771 BLc�bd.�rt7=.� �`:�cJL City: Fr Zip Code.-, 3+ ik-2! - Phone No ')')I 7_tl�- FA1•Fi Stater Fax: E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License C'GGGS ! $r73 /Dz 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. l SUPPLEMENTAL CONSTRUCTION ILIIEN I M.M1 INFORMATION: 0016 DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 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 J06"SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR I-Elli Od AN ATTORNEY BEFORE RECORDING YOUR NOME OF COMMENCEMENT." Signature of Contractor/Lic1ense Signature of Owner/ Lessee/Contractor as Agent for Owner STATE FFLORIE�Wue_ (o STATE OF LIJG1-el COUNT COUNTY OF COUNTYOFORIDAS1 T The forgoing instru I nt was acknowledge efore me The for oing instr ent w s�,��knywledge efore me this L day of OJ21.d, 20 1by this r dayof CIeV 20 by LU � UAL Name of person making statement. Name of person makin atement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produckij fi. . i Produc f Lq_E (Signature of N - (Signat lic- State o Florida Commission No 4 p�°� RENEE PHILLIPPE Notary Public,$��gppI Florida Commi i TQi4 °6m ' RENEE PHILLIPPE rSe I 1 ' °dry-P°bli�late missionM179276 My comm. expires Mar. 4, 2022 „ of Flontia 0ommissiona GG 179276 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUMCP MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.