HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPL ED FOR APPLICATION TO BE ACCEPTED
Date: G Permit Number: " y D'a
V E D
JLL�7 1 . RECE1
Building Permit Applic tion MAR 11 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 t. Lucie Ce u nty, Fl_
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R l; lai .
PERMIT TYPE:
;PROPOS"ED lNPROUEMENT'LOCATION,; a
Address: z/r '75"2i --7 V9A A-:4,
Property Tax ID#: 0 CJ 2— Go d' 0 _ Lot No.
Site Plan Name: :5 40 A_ jA &C Z:11 D> Block No.
Project Name:
DEtAILED DESCRIPTION OF WORK
�d ✓+y't�� S' D J�7✓ Sa 4
Gam'
CONTRIlCTION lNFORMAI"!ON
a. SCE
QL
Additional,work to be performed under this permit—check all t'hats-apply
'Mechanical _Gas Tank =Gas Piping 'Shutters _Windows/Doors
7
Electric -: i't Plumbing _Sprinklers ' , Generator _Roof Pitch
Total-:Sq Ft'of-'Construction: 156 Sq.;Ft. of First Floor:
Cost-gf;:Coristfuction:$ �, 10 6• Utilities: ',.' -Sewer,, _Septic Building Height:
01NNER/tSSEIE CON?RAGTOR
a'
m e Name:
Address: 7_5'2, 7cz(GA nJ 45y Vompany: ,Jd Z7' yzu el y0
City: 5 .rugs State:'lQ Address:��'b
Zip Code: J� Fax: City: � ,��a�- ''�IiO State:
Phone No.7Z--2_- .322 -- 14�( Zip Code,-?J(f Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License v�
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.
SU PLENiENTAL CONSTRUCTIQN 'f LAtN INF�7RMTION
.�
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:
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 Associatioh 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
commencin ork or recor ' o Notice of Commencement.'-
Signature of Ow er/L sse /Con+actor as Agent for O r atur o Sig f Con c r/Lice a Holder
STATE OF FLORIDA �£+�»' ' STATE OF FLORIDA
COUNTY OF :a COUNTY OF is
The fgrgoing instrument was acknowledg-1 befo e The fqr oing instrument was acknowledged bef rg trre�""
this day of 20_ liy g this / day of 20/"?•b
_ o m n c
Name of pers n making statement. Name of person rdaking statement. ao
Personally Known OR Produced Identific Personally Known e'___OR Produced Identif
Type of Identification Type of Identification
Produced Produced
(Signature 6Motary Public-State of Florida) (Signature of k6tary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
�ev.9/26/18