HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ZDD (s
RECEIVED
: r
Building Permit Application JUN ® 5 2020
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Countv
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ?C
PERMIT TYPE: -
PROPOSED IMPROVEMENT LOCA tON;
Address: 1z304io G•A- FHL.6, -PSL fif_ 3445
Property Tax ID#: 31i L5 -10-1 G2 LS oc-o S Lot No. L3
Site Plan Name: Block No. `E'Z
Project Name:
DETAILEt3 DE-3 RIPTION 4F WORK:
J��t= a�7-tE�iVC � �C--�i� � �cUl--•1 1�-�=�a'L-f�+�(c/o.t�lti�
C®.NSTR+UCTION I�NFC7RMA ION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing' _Sprinklers —Generator I•Roof Pitch
Total Sq. Ft of Construction: `-te'LD Sq. Ft. of First Floor:
Cost of Construction:$ t 6,[ Utilities: —Sewer _Septic Building Height:
MWEN,ER LE�SS1rE: CONTRACTOR:
Name 9a 3o-2T-� {.4y+— Name: STEy�Iy C,�S[ �%H C,e�ec
Address:_ 9014 9 Company: ('A-�ob�&Ltd:
City: j (_ State: 1✓ Address: ?
Zip Code: 3Lf1'i,5--2- Fax: City: 'r(— Stater
Phone No. 1-7Z -3` C> (.'7(o ( Zip Code: _-!5-qq5'Z Fax:
E-Mail: Phone No `Z7,- -904-?
Fill in fee simple Title Holder on next page(if different E-Mail�'�S�ox�C��,av
from the Owner listed above) State or County License Gl-CoS�71�OZ&�/
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
SUPPLE ENTAL CONSTRUCTION LWORFAM011FORMA ION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 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: Y R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP EM)ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT BE RECORDED AND
POSTED ON�Jn
SI"EFORE THE FIRST INSPECTION. IF YOU IN D OBTAIN INANCING, CONSULT
WITH Y AN OR BEFORE RECORDING YOUR N F COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co or License Ho-Mer
STATE OF FLO I STATE OF FLORIQPt
COUNTY OF k COUNTY OF [A-94
The f goinginstru ent was acknowledged before me The fing instrument was acknowledged before me
this dayof 2 by thisday of , e 20_60 by
ever) C`d6)wg1 i Q 5 even Ca-iko . 0
Name of person making statem n . Name of person making statem nt.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ide tification Type of Identification
Produced I Produced
1
"IV
( ature f Notary Public- e o or Si ure o(Notary Publ -S ate o
I,<A� CATHERINE JIMEN Z 2 mag+ n� CATHERINE JI EZ
�otar p �m ission No.0: Y)al?13 o. Notary public,Stat o lorida
Commission No. a'tl = �S a y ublic.State of o' = Con?mission#G g 213
Commission#GG 921 13
E4v rr:,m
ex, sr ".7`c mni. xo b 8,2023
rA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.