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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST/BCE COMPETED FOR APPLICATION TO BE ACCEPTED ) Date: Permit Number: / % 0S) 7 Building Permit 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 PERMIT TYPE: C P r-7/GL7 2 t9'Y,) . OV 2 5 2019 Permitting Department St. Lucie County, FL i, PROPOSED IMPROVEMENT LOCATION:, I Address: 1 O o Property Tax ID #: Site Plan Name: Project Name: _ 905=D0 Lot No. 60 Block No. DETAILED DESCRIPTION OF WORK: -7—f,a-r o-OP %(-CIOA roo C-rr.-d Rnkckce, WoA-lip g rVo.� p �0Is+ V1yaUJOOd Q-p�b r04 � r`ma�e- -i 4 - -J( 1 r n i i'1 u4..((S ) OJA PC'�I�CrLTi-1 G AD\ S�1o.t--e r t n Ko-W 6aAk . OpckaAre Ic �k�(� n -t- (�c�+ks CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters �( Electric Plumbing —Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction---$ \ a Soo. Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE- t" TCONTRACTOR: Name bc)UZ S c5'a W �.2.5 Name: \ A 1.1e,1 G u ], rrl a h r Company: Z�r 4r-V Czyi s4ru Address:ltA-1 knaS wov Address: LO(P 3 ("k-o1k� 17r•61rj City:State:FL Zip Code: 5-, O Fax: Phone No. Sto 1 3Sa 3g33 City:RoyOj Polrn mach State: IF — Zip Code: 33 LA 1 \ Fax: Phone No Sic k `A 3 to E-Mail: A s S9 (o) q'r a i I - c-orv-N Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ayNI Ci r } 1 CQ) 1\4 meki t , Cam State or County License C t; C I S l'-I L- io S 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 CONSTRUdVA LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: �tv 6Q0.r'an0 F.S. Name: Address:'-2-92 Sussex GrcAr- Address: State: FL_ City: State: Zip: 33ys8 Phone Sb 1 31DI S3 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable Name: _Not 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 is in %tle Home Owners bylaws which conflict with any applic Association rules, or and covenants that may restrict or prohibit such Please Home Owners structure. consult with your 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 W11TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." aq_'� � Z24-- Signature of Owner/ Lessee Gontratis as?Agertffor°oivn ignitur of ntract / ce se Holder STATE OF FLORIDA �I STATE OF FLORIDA COUNTY OFN �/a/�� !i COUNTY OF tq )M Ll9f�I i The forgoing instrument was acknowledged before me this ay of 0 V. 20by The fo ding instrument was acknowledge before me this7day of /V6 V 204 by E-'lj-F'cu)nL �vwjes• Mt' 1n el iuv0/1_ Name of person making statement. Name of person making statement. Personally awn OR Produced identification Personally Known OR toWentificatiiffilyA.KgAN Type of Identification Type of Identifi atio I . - Notary Public - State of F or Produced �_ Produced a fig: Commission # GG 0304 �•,;o�F�q,.My Comm. Expires Sep 28 2 ignature of N ry ublic- State of Florida �jl,$ (Signatur ic- State of Florida) Commission No. >'•••. AUDREY(SMMPHREY Commission No. (Seal) •;�t MY COMMISSION 8 GG 300817 19 A - S: March 6 2023 °%F2,;��;q,".•e- onded Thru Notary Pu !ic Undewitcr: jy REVIEWS RGISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: , _ 2 2 v Permit Number: Building Permit Application 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 Residential PERMITTYPE: FCAh>V1 L r C C tiP O PROPOSED IMPROVEMENT LOCATION: Address: fP t Property Tax ID #: —05 — 00— 490 Lot No. Site Plan Name: Block No. Project Name: �04w f�� &�, bfA C f DETAILED DESCRIPTION OF WORK: INFORMATION: Additional work to be performed under this permit -check all that apply: X Mechanical _Gas Tank _Gas Piping _'Shutters Electric _ Plumbing —Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $%QQ Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: 4(/ e- Address: Company C [ City: State:_ Zip Code: Fax: Phone No. Address: City:. Zn VA14YAJ Zip Code: Fax: Phone No -rjb, y�9 Stater E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E- Sate r County License 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: I Not Hppucaole I MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable Name: Name: Address:_ Address: City: City Zip: Phone: I Zip: 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:' &7,), ('51-- &4 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature C tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA / COUNTY OF COUNTY OF_ &/&ZA & Ul The forgoing instrument was acknowledged before me The forgoing instrurJr pot was acknowledged before me this _ day of . 20_ by this day of JA&aA+-c i/ . 202Qby CLzri= 32.OAD� l Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced Deukm Licem Q (Signature of Notary Public- State of Florida) (An of Nof ry,r�i,' ' ��-Q M15H1i i+'. EJINRES:OcOoEpt23 1 Commission No. (Seal) Commission No ?:��• 5oM M°1d►, �Ileo --�.�1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. 2/ i/ 19