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HomeMy WebLinkAboutBuilding Receipt ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Num Building Permit A Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial RECEIVED 1 MAR 2 4 2020 Permitting Departrr St. Lude County Residential _L.,.'/ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III Address: Legal Description: 2 Property Tax ID #: ktic a Site Plan Name: Project Name: l%/6 ' Setbacks Front nstoalo-hoffi , Right Side: 1— Left Side: Yi'►at 1, Lot No.= Block No. ADDRIonalworKIDDe errormeu unuer Lnls Per[n1L—LHULKd11 dppry. ❑HVAC Gas Tank E]GasPipingr _Shutters ❑Windows/Doors Electric 9 Plumbing []'Sprinklers' Generator 0 Roof Total Sq. Ft of Construction: r� 13M Sq. Ft. of First Floor: Cost of Construction: $ SC 0 Utilities: Sewer Septic Building Height: V1i ONER(,�ESSEEx„ : z,E.Rx Name ri Wmes Name: Ala n Address:_`�J Company: b %W City State:' Address: _ Zip Code: Fax: City: State: Phone No.� 1- �y�D Zip Code: r �i�is � Fax: E-Mail: Phone No. `719-3-10'110 0i� p Fill in fee simple Title Holder on next page (if different E-Mail: rltrlfjnal /1Yl lie Iyndk y l it Q from the Owner listed above) State or County License:1.0-I 11211rS'1 Q If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. Y OfiWM .y, t t f A IYWe P (.a"Y f liw4. "5A L 6f�N.hb t t � � .lM$.'k � 4-'f4`S.y�al{j4'f �3' �4 "` f+ �' �. �+ N "�i 4F �Wy✓li .'. � SU�PL MENTAL GONST 11GTION LIEN�LgW INF�R1VaAT)OT1 <tx�f , ,y "` W x . i� "� �, �kk•i ._v4-� "5 .f� ti� M.�! a e �.f£§` yt .a Yrl kt^P.ei°i�2�.� Y Sa �'"tii'�rc: f f� ' :F � —0,tib DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: 1 State: ` City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in convict 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefore Lessee STATE OF FLORIDA COUNTY OF Signature of Holder STATE OF FLORID 1 , ' �— COUNTY OF �yl�► The forgoing instrument was acknowledged before me The ing ins eqt `v cknowledged-bbefore me this _ day of . 20 14 by this May of W `20�by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Si nature of Notary Pu c- State of Florida ) Personally Known OR Produced Identification _ tersonally Known ' OR Produced Identification Type of Identification Produced I Type of Identification Produced Commission No. Revised 07/15/2014 (Seal) Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: —��- .2d'P1� p Permit Number: Building Permit Application _ Planning and Development Services V-D Building and -Code kegulation Division Commercial Reside itial 2300 Virginia Avenue, Fort Pierce FL 34992 Phone: (772) 462-1553 Fax: (772)462-1518 ST. L.ucle County, Permitting PERMIT APPLICATION FOR: Address: Property Tax ID #: Z/`t ©- 729 00D1-4�2493 7 ' Site Plan Name: S` ��✓ Project Name: 462t4 New electrical MeterX Second Electrical Meter Lot No. Block No. Additional work to be performed under this permit- check all that apply: xMechanical _Gas Tank —Gas Piping. _Shutters _Windows/Doors —Pond Electric X.Plumbing _Sprinklers _Generator _Roof Pitch Total Sq.-Ft of Construction: - �I1"✓8 Sq. Ft. of First Floor: o ,0 i Cost of Construction: $ ��od " Utilities: _ Sewer %Septic Building Height:, 5 `"MK $:/'uRY"iYst42 ji dL-1`3'.d i.i ib+•}l.. b t.%c i-4`... Name r-�CisQ-' �`"" .-+ �GL/ Name:- ;90AJ4LP _%� Address: �%� -./ Company: Q,�✓0/�Dle a©Lt>/1/%Ll0/3/I�NQ91L City: /=, >t/ "i//LLE. _ - state: /*� Address: %ZDS' 45RiIJTW (�La9,fZ�A City:F/9�Tf I�Z�� State: Zip Code: Fax: Phone No. 9 1 7 r J� 60226 Zip Cade: v Zi96/ Fax: E-Mail: 1'ID PCR6Y-,tj OGInA)z. i eww Phone No Fill in fee simple Title Holder on next page (if different E-Mail11,V45 (l a/T �vo 2r in /F�li/L [S/!(2/YLFSI�' State or County License 1 1'1 11011 from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is require . If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. f, MORTGAGE COMPANY: a' AR _ Not Applicable DESIGNER/ENGINEER: _ 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 obtains permit to do the work and installationas 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 Ipnrfpr nr nn attnmpv hpfnrp rnmmencine work or recordine vour Notice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owne Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF 5,41A-C-r- /. U .iz� / tr STATE OF FLORIDA COUNTY OF SA/NY iJC,/� Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or_Online Notarization Physical Presence or_Online Notarization this _ day of 20_ by this _ day of 20_ by . Q0A/71 LTri L.. 7,3AajAi -Tiz Name of person making statement. Name of person making stateme Personally Known OR Produced Identifica 'on Personally Known 0 re'Pda Type Id i at i °i!`°;° f A Type of I Y Italian Produc ...a.W—^----�-� of Produced- F .,, - t:� C' __- y'ie.xC'.,�9si ELLE HN =State N VAUG@"� Cry m%SS% CG?j Pr, 0 2 F o of Flo' ? k (Signature of NoJ s Sr�ir�fil4ytdaCjG 27pp79 ° (Signature of i�nbifc-053`3a iJaf Fkyrjda,}agp p� ®ctobAi sg ^Expires m OF COUNTY COI ^ liiE;iii P• RS Commission No. i022 Commission NoBUI nlNr: t'.. -�nrj�i�,,,�(� A 20000509�9392 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE', COMPLETED Rev. �)/b/LU - "'M