Loading...
HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMI%Lc i ED FOR APPLICATION TO BE ACCEPTED - Date: Permit Number: 1,10 ar !i � [E' J y Elf, JUL 2-1 2017 Building Permit Application PERMITTINv. St.Lucie County, FL 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: Address:. ,7 2— �'© 03&70 v67- E�C-ZEL 7�a2 . �ip A;�7 s,—Z c'c rE .�L Legal Description: 45&-507f,cT z z— 3� Z 19,tg1Z-( Al /Z 6-3 W- vE Property Tax ID#: �a L Z — 6c,9( — ©o t j - pv 7 Lot No. ! Z Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: F(•v ar. ati O C"?'0061 r^s /tc ,.0olee-i� ,q O 7 «-! /!- l� Additional work to be pertormed under this permit—check all that appy: _Mechanical Gas Tank _Gas Piping _Shutters Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ aO67— Utilities: —Sewer _Septic Building Height: Name Name:_ aG Address: / /ldii;�T /L� Company: t;�,w Fyvor—i 7?,c 7 � L City: State:_ Address: 1� Zip.Code: 66 3 7 Fax: City: State: A=e Phone No. ?-0 3 09'42 Zip Code: 7 u g 3 Fax: E-Mail' /L-t�Q21-1 10 Phone No 7 7 Z z i If// 1 Fill in fee simple Title Holder on next page.(if different E-Mail r3 f ���`' �� g-C ^ 'from the Owner listed above) State or County LicenseLEC /s n�6 Y If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.- I DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City:filo 5 L v c mac= State: �= e— City: State: Zip: y 9s Phone 271- 3�5 a eq 3 ci­z 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: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 recording our Notice of Commencement. Signature of Owne Lessee/Contractor as Agent for Owner Si nature of Contra clor/Li cerise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF s - _" COUNTY OF The forgoing instrument was acknowledged before me The forgoing ins'trumqnt was acknowledged before me this Q.k day of 20 11 by this_day of 20 11 by o 4�S1.A� �,► fin,i (Name of person acknowledging) (Name of person acknowledging) gna ure of Notary Public-Stat of Florida) (Signa ure of Notary Public-State o Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced �Ja v•.��• No LAb,1AHN :,; ��°:" Notary p �hp4rti'k a �: tarvp 3� o• �t�r Commission No. :� Acswl , io-State o;�,� Commission No. -; � My Comm(Seal)- v ): :,, . '•,'kOC FLO O• L,O ExpireDec z0 ++o� rus ;;4a`'`` Commissions fie`" +nnu•� Be R1mISSlon#F 1 7�.� �— Bendedthrn,,,,ti ,_.. F' uuy nNat, onalNet ar » - -- uh•„, .. REVIEWS FRONT ZONING SS ERVISQ�F ln_''PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW. DATE RECEIVED DATE Q r. COMPLETED ev.