HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OI I06,2o PermitNu
�;------ - �-_-�0.ECEIVED
- - Building Permit Application )AN 07 1010
Planning and Development Services ft mitting DePartm�
Building and Code Regulation Division St, Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: 1Z Gw1o�2�
PROPOSED IMPROVEMENT LOCATION:
Address: -q14% Ne}i Les 131..A Qrlser. he-nr-, F=L 31-1951
Property Tax ID #: 1-1 5 0 2 — 5 O 1 - 0 6 3?j - 00 0 /-7 Lot No.
Site Plan Name: n(r 4 41es RIA Block No.
Project Name: AecK moCiF�C0.{iorl w�k4� 310�rS
DETAILED DESCRIPTION OF WORK: „
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:
c o0
Cost of Construction: $ 2 .2� J
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C-hd64-ko n race, rooedAtts I I C
Name: 1 he.v. c C e
n#-Is
Address: 1- 07- Sr,- Uill"e GreeA Dr STEP
Company: 14-o- 5{«I
Corp.
City: l�otl S}. L�ue State:�L
Zip Code34 al S-7- Fax:
Phone No. 772 i ri3-77— 2210
Address: 320& InAojr
io l S,rre2�
City: FII-. 'Pi'tece-
Zip Code: 349'16
Phone No (772) 1160 -3101
State: T LL
Fax: (110160.31b3
E-Mail: grA�PS Ao mek,nae(c�+s o(� on a rh
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Themag Q +ro- a -Ire el . Cor'v
State or County License C(, C 151(,.26 `I
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.
Q Wc� re t((A -weal - (ON)
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION`
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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_O"N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign ture of Own r/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License-Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5 'T L U cl (
COUNTY OF S'T
The forgoing instrument was acknowledged before me
The forg oing instrument was acknowledged before me
this% day of_ rAN VArt y 20c9 D by
this Sd day of 1f/V U AP— k/ , 20ZA�Iby
J9 S (J e/AJ CL S
7we)/1AS G )E //Li E L S'
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known )C OR Produced Identification
��
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not ry Public- State,�(y6 Ida) NEILFRANK
(Signature of Notar Public- fate of Florida )
vv NSSSSON
Commission No. �s� C7/ . �,'�••��' MYCOMMISs10RAGG 01S2T
N ZIRES: DemmbeO 2020
=o�µtl
0001
Commission No.F�O/KZ%b@�n ($ 2021
a�
Oe M1�yF OadMiMUBud7elNtrtaY
`6K�irt4p;l� IRES: DeamGrs.
1h�, pPP apdedllwBR?sY
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
IL�I
DATE
COMPLETED
Rev. 2/7/19
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - (/�
Date: Permit Number: r nl /�1y
j�ECEIVED
Building Permit Applicatio APR 22-2020
Planning and Development Services ST. Lucie Coun
Building and Code Regulation Division County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT TYPE:
Address: 4y7 NPiT TP �t V,4 &f,GL l 9ff7
Property Tax ID q: Lot No.
Site Plan Name: Block No.
Project Name:
ze_" (12�aGi•�l-°� o�LC-ji ur, �'�l. '19a' d/'S1Lc �.ciG to ���S Qt•�...OG 5Y4iYS
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:$'X7l 1� Utilities: _Sewer _Septic Building Height:
Name 2 Name: GY}ti%iti"L`An-S'CHru S�rw.Gc/�
Address: �I 2/ % /✓ / vll ; ` . Company: • f�.a �oc= ce�j � ���
City: TQwSii.C( State:FL `'Address: 2�8ti
Zip Code: 34 s �% Fax: �� " =City=;.(q: Ss t tii --kp� I State:_r_z
Phone No. / 7 3 O 2, EL4Q4- Zip Code:Fax:
E-Maik nr i144S 2gM4/ ,e-6m Phone No '3�� - D9S-- G 338
Fill in fee simple Title Holder on next page ( if different E-Mail IZ e oP arm S �L-— C
from the Owner listed above) State or County License LO C- /s/,rzj 43
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.
u