HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
tat r, I
F L A R I B A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-3.553 Fax: (772) 462-3.578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential
Address: t 3 I 0 C aP tnt 144 %/4E-tt K D . 4T JP) Ot-c.C— . �i.._._s3 4q St.sw _ -
PropertyTaxlD#: Z313 " 123--`0003 ,O -0d- Lot No.
Site Plan Name: 5}dell Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK: I
L - dV C 1: Q T70 t),tJ 6CK(4.D0 10 aW V _ use .
I CONSTRUCTION INFORMATION:
Additional 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:
Cost of Construction: $ -) O Q
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE;
_
CONTRACTOR:
Name be—pcg .
Name:tur@sz- M...
_
S�(��.Lr� •
Address:
Company: Sj.s.�L IMotI,..',�
[Zn•
City: LZ „ _ State.'J
ZIP Cade: 319 4 S Fax:
Phone No.—777-- Z y S- N73 3 7
Address: I31 p [fpj cn
ti o.ee,t� 2ql
City: 9�E: p :K4_- -
zip Code: 3 T9 `f S
Phone No X -2A!j
State:
Fax:
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E -Mail I 11
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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E -Mail _ 7>+ 1+nk4h., +5) ��-•�i�I ., �---
State or County License nL,tJ4 ite- V�51aL.-t(cL-4vI
__
P4WA_ 4--61- (_
If value 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: I
DESIGNER/ENGINEER: Not Applicable
Name:
Add ress:
City: State:
Zip: Phone
MORTGAGE COMPANY: i/ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: /Not Applicable � BONDING COMPANY: ✓ Not Applicable
Name:.
Address:
City:
Zip: -Phone:-.
Name:_
Address:
City:_
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 1 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
WITM YOUR LENDER QRAR ATTORNEY BEFORE RECORDING YOURAOTICE OF COMMENCEMENT."
Rev. 2/7/19
Signature of Con actor/License Ider
Signature of caner/ Lessee/C Tactor as Agent for Owner
STATE OF FLORIDA
STATE OF FLO IDA
COUNTY OF A�
COUNTY OF �,li^®
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
this � day of I "t '' 20 It by
this � day of 1 .201L by
Name of p on making statement.
-
Dame of perso�i making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identif'i tion
Produced
Produced !!'l
YN MCNAMARA
_ l
; •� .: BRANDYN MCNAMARA
(Signature of Nit, _ i
;sa�� EXPIRES November 27, 2420
{Signature a No a aE)CF'IES N+mber 27, 2020
•:
..,"+•,
Commission No. ---(
Commission No.
I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19