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Home My WebLink Aboutcross permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/17/2020 M Eu c—m 0 ;J - Planning and Development Services Permit Number: Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Retoof Address: 5018 Sunset Blvd Property Tax I D #: 3402-608-0253-000-7 Site Plan Name: Lynn -Cross Project Name: Lynn -cross Commercial Residential x Lot No. 23 Block No. 47 view ciectricai meter Second Electrical Meter Additional work to be performed under this permit– check all that apply: _Mechanical — Gas Tank —Gas Piping _ Electric Plumbing r Sprinklers Total Sq. Ft of Construction: 1 (S-7 U Cost of Construction: $ _Shutters _Windows/Doors Pond _ Generator _X Roof, 2—Pitch Sq. Ft. of First Floor: Utilities: _Sewer Septic Building Height: Zo Name _.-...-----...._..... m ................_._..._ -,.,....,,r..,. t�S Name: 0' Address: i rk t R\gl Company: d cc tar City: -k S � Stater- Address: I/ Zip Code: a4l;kD- Fax: City: Y State: Phone No. LidsZip Code: Fax: - E-Mail:tg AQ,ow tD-vq Phone No Fill in fee simple Title Halder on next page ( if different E -Mail Q from the Owner listed above) State or County License f value of construction is 7.1;nn nr mora .-..nrrncnais..ruGlm ruqulreu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Address: City: _ Zip: Phone Not Applica State: FEE SIMPLE TITLE HOLDER: Nat Applicable N MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Phone: Not Applicable 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, l 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-residentibl 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 lender or an attorney before commencing work or recording your Notice of Commencement. r - Signature o Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S1. 1 o 5 o n to (or affirmed) and subscribed before me of P sical Presence or Online Notarization this day of i r 2020 by �n iCy I! un n- (,ro Name of persoin ma,lq'hg statement: Personally Known OR Produced Identification Type of identification Produced {5i re of Notary Public S a " 6�,ioridat IHERIFJ_ . M1' C�_1M1S510 #GG7f5030 Commission No. X�P ES: DEC 04, 2021 0ohhtough 1st State Insurance REVIEWS I FRONTI ZONING COUNTER REVIEW RECEIVED DATE COMPLET X,0 k, r". a d it I" I " Sig ature of Contractor icense Holder STATE OF FLORID COUNTY OF__ _ )J fC1 i S rn to (or affirmed) and subscribed before me of P ysical Pres cg or Online Notarization this day of / 2020 by Ago 1-d ro/%+-h Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature otary Public - Commission No. wircUMMISSION #GG16E t . EEXXPI(ES: DEC 04. 2021 B ough 1st State Insui SUPERVISOR PLANS I VEGETATION I SEA TURTLEI MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW ame. Address: Name:_ -City: Address: Zip: Phone: City: Zip: Phone: Not Applicable 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, l 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-residentibl 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 lender or an attorney before commencing work or recording your Notice of Commencement. r - Signature o Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S1. 1 o 5 o n to (or affirmed) and subscribed before me of P sical Presence or Online Notarization this day of i r 2020 by �n iCy I! un n- (,ro Name of persoin ma,lq'hg statement: Personally Known OR Produced Identification Type of identification Produced {5i re of Notary Public S a " 6�,ioridat IHERIFJ_ . M1' C�_1M1S510 #GG7f5030 Commission No. X�P ES: DEC 04, 2021 0ohhtough 1st State Insurance REVIEWS I FRONTI ZONING COUNTER REVIEW RECEIVED DATE COMPLET X,0 k, r". a d it I" I " Sig ature of Contractor icense Holder STATE OF FLORID COUNTY OF__ _ )J fC1 i S rn to (or affirmed) and subscribed before me of P ysical Pres cg or Online Notarization this day of / 2020 by Ago 1-d ro/%+-h Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature otary Public - Commission No. wircUMMISSION #GG16E t . EEXXPI(ES: DEC 04. 2021 B ough 1st State Insui SUPERVISOR PLANS I VEGETATION I SEA TURTLEI MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW