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Home My WebLink AboutBuilding Permit ApplicationI ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: XPermit Number:—/IYV �� - 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -PROPOSED IMPROVEMENT' LOCATION: Address: I t? " !f!L !e/C f -,, . 7i Legal Description: Q LoteL- PAv__V r— Property Tax ID 9: _-_a 491 f 03 pn5 - 031 —% Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: OETAI'LEUDESCRiPT10N OF: WORK: '� < �. �� cZ�i cue. uJ c� cZ, 1 � r�.2 s -to c ,n c.l � de • t --�.� SI,o��Q 1 I -f a � t �+ � f 1.�.�J . f �n 5< n� ► U00,644*(- lodX r 1 e'1C4e2-coe. hoSr- Liu biz � Ion 101,,�6by . CONSTRUCTION ' INFORMATION Aadiiion'al work to bortormed under this permit— check all that apply: El OHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric L_J Plumbing ❑ Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ t], Utilities: 0Sewer0Septic Building Height: EJWiVrR/i.E55EE:. City: ):::: -r- Re2C.E , F& - State- Fe, Zip Code: 34"I15 Z Fax: Phone No. '1'72-3N-- y3� E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) C01�.TM : fQR::' Name: fteS i C i&ce IPI km6ifl(4 .,xL ,a% Company: . Address• p % [4) SswKi� VY)aCJEz)U C31 �17 . City: �Irl 5 T . 1_,, C4 f- State: t~- -C_ Zip Code: &�kjy Fax:C222-�,?17q'7MU Phone No. 177- _ f State cr County License: If value of construction is $2SW or more, a RECORDED Notice of Commencement is required. £'d -1�98L6L8ZLL bulgwnld e01oy0 }salt eLt,:06 -V6 LZ 6nV r -- 1 SUPPLEMENTALCONSTRUCTION.LIEN. LAW-1 Nf ORMATION 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: I 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 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 andcovenantsthat 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 attorney before commencing work or Teter -cling vour Notice of Commencement. 0-f— Signature of STATE OF FLORIDA COUNTY OF The forgoing instru ent was acknowledged before me this o1;lbday of 20 14 by nt- 10-e 4)tAal-) (Name of person acknowledging) (Signature of Notary Public -State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No.ci- KAREN BENNETT Holder STATE OF FLORIDA c COUNTY OF 1 : La t:� �- The for o'ng instr ment was acknowledged before me thisayof�20--14 by (Name of person acknowledging) (Signature of Notary Public -State of Florida) Personally Known OR Produced Identification Type of Identification Produced L Commission No. Ck301) rl (Seal) i My Comm. Expires Jun 25, 2016 Revised 07/15/2014 +,E e07, Commission # EE 194632 QnnrleA Tl.rw .w 1. 11..'.-_, NANCY LEE LANGFORD MY COMMISSION # EE83024 EXPIRES October 12.2016 o..,ue rmrervserv+oe.aom REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ; COMPLETE INITIALS b'd t98L6L9ZLL 6ulgwnld e010g019Jid egV:06 t,6 LZ 6nV ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: • )_ Permit Number: Building Permit Application �0p 014'T Planning and DevelopmentServices I Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 (, Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential L/ PERMIT APPLICATION. FOR: To Select from dropbox, click arrow at the end of line PAOFOSED -IM-PR0VEK4ENT LOCATIOItl Address:. c7 Legal Description: c jt/e l�ky, 4 (' R br>J 'j� ' s Y Property Tax !D #: 24ovI Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION Oi=.VNORK P,Po, se(Lotc� ;2. 1%►Q5 -� tt1C-lu.d¢ t Attla 6houoe¢ ..1 -fn t�+� I knk�e.n 5� 11�- j j Wainer- IodX , 1 &)�461U0e. hose Ion lout br)y . CONSTRUCTION. INFORMATION; itiona vuor o e e orme under is-7rmit—c ec a app y: �HVAC' Gas Tank ❑s Piping _Shutters a Windows/Doors Electric L_I Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ � , a Utilities: Sewer Septic Building Height: OWNERJLMEE::. CONT( ACTOR; Name` Name: & 61c•2 I� ►l1 Address: Company: City: State: ` Address:It (" 8A+, fl- i Iry . Zip Code: Fax: city: -- -Pr. S i • ",C4 a State: Phone No. Zip Code:i�l� E-Mail: Phone No.7-9Z Fill in fee simple Title Holder on next page (ifdifferent E-Mailo from the Owner listed above) State or County License: If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required. I•'d V98L6L8ZLL 6uiquanld eolot{C isalH 899:901?1• LZ Bnd LEMENTAL:CONSTRUCT)ON LIEN LAW INFORMATION.:'-.:.','. . :. ..- 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: Applicable Name: _Not 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 County makes no representation that is granting a permit will authorize the permit holderto 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing wor(coPTet ine your Notice of Commencement. cc - of STATE OF FLORIDA COUNTY OF The forgoing instru ent was acknowledged before me .DC13 thisdayof� 20 14 by rNk- �� 'L�f Ag AJJ (Name of person acknowledging) (Signature of Notary Public -State of Florida) ��— Personally Known X OR Produced Identification Type of Identification Produced Commission No. ed ' lqI Co 3 } KAREN BENNETT Holder STATE OF FLORIDA COUNTY OF The for o'ng instr ent was acknowledged before me thisay of 20 14 by (Name of person acknowledging) (Signature of Notary Public -State of Florida) T Personally Known OR Produced Identification Type of Identification Produced Commission No. ry S d � (Seal) Revised 07/15/2014 ;�� v � My Comm. Expires Jun 25, 2016 ,;•F�:F' Commission # EE 194632 0....�_• R__ NANCY LEE LANGFORD MY COMMISSION # EES3024 EXPIRES October 12, 2016 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS Z'd t,98L6L8ZLL 6ulgwnld e01040 }sJU egg:80 b 4 LZ bnV