Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �-n=,77) Permit Number: M91 a 19 1 • MAY 2 4 2020 - - - Building Permit Appli ,ation Planning and Development Services r' ;;"E ';'?+; i','? ;a; , _; ris�H j_ Building and Code Regulation Division r r;,_ fv. �_.; r9L 2300 Virginia Avenue,Fort Pierce FL 34982 y lel ' Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential-�(- PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: fv IV W ��� �JL%7,_e �la�r►1 G��� �L ij rfl� Property Tax ID#: L/'�yJ ���©" ©©�6 ' Otto '-� Lot No.�. Site Plan Name: Block No. Project Name: DETAILED.DESCRIPTION OF WORK: ,�7� �y�u/ ���,zvC►2�FtZ C"U�c�2trly-r /�r�D ��(I� CONSTRUCTION INFORMATION: s. 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: Sq. Ft.of First Floor: Cost of Construction:$ �` �� Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name elii G Lf _ Name: J 66 4.> 1 -b� Address: ?Jf:L fv`-' 1'14Z-�_7eL 01:�/D Company: k! -C �L City: )0134—L State: Address: e/'/2/ �C rid ✓.�N,.t o Zip Code: Y l y oFax: City: � Stater Phone No.�/�� . G/l J �S� Zip Code: 3 T! f7 Fax: 771- -14JII Z3� E-Mail: Phone No -2 2 2- <3 ef -2-4s, Fill in fee simple Title Holder on next page( if different E-Mail 3I 2= z7.0,6k 5 y-6 A&/. C-oq from the Owner listed above) State or County License C O (e (ti 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 CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: I Name: Address: Ad d ress: City: i State: City: State: Zip: Phone I A Zip: Ph n FEE SIMPLE TITLEHOLDER: _ Jt'Applicable BONDING COMPANY1 COMPANYNot 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." =FLQRIDA Owner/Lesse ontractor as Agent for Owner =EOF ontractor/Licens older J&h.jA LORIDA COUNTY OF YY �r ll� COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this L2 day of I'h�,, .2 by this_1Z of d 2l a by ••,Name of person making statement. ' 7 Name of person making statement. Personally Known OR Produced Identification V Personally Known OR Produced Identification J Type of Identification Type of Identification Produced - Produced OBIN GRAVES JState ROBIN GRAVESTMic- tate p° Notary Public,State of Florida votary Public,State of Florida Commission#GG 964759 Commission#GG 964759 � mm.expires Mar.23,2024 (Signature of Notary Publ (Signature of Notary P ��rrat�--g� on a Commission No. C � (Seal) Commission No. ��a�!Dq (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19