Loading...
HomeMy WebLinkAboutBuilding permit application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 231 RECEIVED; Building Permit Application Planning and Development Services JAN 17 2017 Building and Code Regulation Division PERMITTING 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C unty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: - , p'0-M-7SE ('MPR01/EM�ENT L®$ ATIDN r � ... - 6"r... -�.�.`��`�� Address: Cc Sk e-,F-c- 3g9k0 Legal Description: �e5 P" �e-,Yx-Y&-k'uv�' I ke,&2 0 kot Cr (M7V 331agN4C6R 370y- ,33fo', Property Tax ID#: 3394 00 0015- 060-g Lot No. C Site Plan Name: Block No. Project Name: i G, w, Aw? ✓v Setbacks Front Back: Right Side: Left Side: N �b T �LE© UE SCR' PTI®NV110R ��K� }` �t �.' 3F'`x ''w 'j `�'�S'„' r.r CO °STRU I:�.htr'.Ba..t a J5'.E!.•iR,due+ ::Ott.L-q3, LN_,N lFN-K z�O . �ffl�)L.itiona wor to MG orme un er t is permi -.w check i la a apply: pp y: E1HVAC n I- s Tank Gas Piping _Shutters Q Windows/Doors I n Electric _Plumbing Sprinklers 0 Generator Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ _/ S• �� Utilities:�Sewer[]Septic Building Height: I R+y� EE P i" i u� 1 OV�/tN;Efi/LESS ,C®'NTRACTOR w Name w Name: Robert Zrallack Address: I t 13-q2-&r, Company: Solar Energy Systems City: Voc State: f Address: 160 Smallwood Avenue Zip Code: )0$(o Fax: City: Fort Pierce State: FI Phone No. 10;La Zip Code: 34982 Fax: 772-466-7937 E-Mail: Phone No. 772-464-2663 Fill in fee simple Title Holder on next page(if different E-Mail: vpsolarenergy@yahoo.com from the Owner listed above) State or County License: CVC056637/9057 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. yC� U PL�E L ONST t�l°CT'0N III AW INIMR I'O I ow Mum 4 e, DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicablle Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: J Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. i 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 exempf 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 j commencing work or recording our Notice of Commencement. 2d4 �AAU­ I 11 s _Signature of Owner/ a ee/Agent Signature of Contra /License Holder STATE OF FLORIDA�� � f . � ' - STATE OF FLORIDA , COUNTY OF �T l�Jl� t? COUNTY OF �k L{A.11f"t e The forgoing instrument was acknowledged before me The forcing instrument was acknowledged before me this L�tiay of �co_r-%u o-rk 11 20 by this I�1 day off 20 1-7 by Robert Zrallck 1 Robert Zrallack (Name of person acknowledging) (Name of person acknowledging) (Si nature of Notary Public-!State of Florida) (Signature of Notary Public-'State of Florida) Personally Known ,/ OR Pro*1nti,.fi,%,on Personally Known OR Produced IdentificationType of Identification Produced e�—lfilusi Type of Identification Produced is PUBUC Commission No.FF41213`� STATE OF FLO IEMmmission No. rr-VI2 f37 STATE OF FLORI Comm#FF91213 Lamm#FF912137 Expires a/24/2 1 Revised 07/15/2014 i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I i