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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S ad Permit Number: aa0(� • a aaq RECEIVED IS o' I JUN 2020 S 0D Permitting Departme ntBuiidin Permit Application StLucie County Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: F63rrw £ %'o6rEa;r' /SVSZI, scr6C&Vt-kAC-?-GA PROPOSED IMPROVEMENT LOCATION: Address: S4/03 C P7'R_a5 YWE Property Tax ID#: 34/0-V- 576t S_5'& — Lot No. Site Plan Name: ,N `A Block No. , Project Name: (2OA)re S so'-3 Roam DETAILED DESCRIPTION OF WORK: Li4 P�Ln,/r. EK.Li�YrNGr Curr�-2ti's� 5[.AB (.ZnL�I'�. �s rNSYRL-t-:tAl6_ WrniboWi5 boat oAl AAf- Etotst- 1A_ �aoj'ee�6 5CR.E6AJ Po Pst4 -ro .r,- r�dra S'dA P-60111, 7'/fE of-ir4eo- wAtiT- ro CU•r btw,J OAI New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical Electric _ Gas Tank —Plumbing Total Sq. Ft of Construction: ys9 Cost of Construction: $ y�7�9y ca0 • _ Gas Piping _Sprinklers _ Shutters _ Generator Sq. Ft. of First Floor: Windows/Doors Roof _ Pond Utilities: _ Sewer _ Septic Building Height: Pitch OWNER/LESSEE: CONTRACTOR: Name rA='rH F Roeee-* (2o..i'r-f Name: �5 Ao6C2r g/-faits Address: Sy63 01 S rC4LIf Company: SNECC Sy8C.onIT2ACTOR.. Z,Jc City: W/yr7-6 'C�—^y State:r—L Zip Code: 3y492X Fax: — Phone No. '7'7a- 3S9 -asay Address: v'—o/ S , 1hAR.Kf7' 4✓E City: 9T-, PsE ec- State: +RL Zip Code: 3y9e-d Fax: r%7a- Phone No 13 93 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail G� �y �� e�J c7 bel) So,s'(" &, A eA- State or County License C- GC b 6 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. t'r%i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: (3ouiborhj NUTeNsnlSan/ MORTGAGE COMPANY: Name: ✓Not Applicable Address: gob Dct AWAZE AVE Address: City: Fr, t6Ge E State: /--L Zip: 3g95o Phone '7'7 —oltor7-l394 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: &Not Applicable Name: BONDING COMPANY: Name: 4.4ot 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorne0before commencing work or recording vour Notice of Commencement. Signature of Owner/ Lessee/ oC niiractor as Agent for Owner Signature of ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF S°S' C—LIc-ti., COUNTYOF C� 6.000i Sworn�o (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Presence or Online Notarization this')_ day of '�J iJ ` 2020 by _,f!-:71shysical this 2 day of ayi-i � 2020 by "�keAr Yy eL✓ e ✓ �I �l�e r} �f�e l e1� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known,,!!:�'OR Produced Identification Type of Identification Type of Identification Prorj Produce :7.M°•`6a�;:. y�!!AN-DAB R '�.• ¢t✓.•"•`.•q.- ` WAND CAf�I§SfG E 18 80�4(S k (Sigriai:(jr Nota t AM16rid ) (SignafbRb .. F -3tA �%R Rida ) Gonda Thiu NoNry PuWk WMenr;Ners '••!f...•• ThN NoWyPubpe Unde'! ! Commission No. (Sea]) Commission No. ea ) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.