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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUIT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: (n� 1n7 rtrt RECEIVED 01To O , DEC. 0:9 2010 p BuildingPermit Application.. . . p p Permitting DePartmene St. Lucie Cb Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PER 11T APPLICATION FOR: AWtA10L)n SC( �lJ -CNGL0S0RC W ITli CDIJCCZL L Address: 19 $ N WILD QUOL CT PALS i'T`l RL 21-SS-0. - Property Tax ID #: i LI2G MIT- DO 19 -600" 8 Lot No. Site Plan Name: Block No. Project Name: SULLE IJ 1,3GL0 r>VnA Wk 1 O CP0 Gi;Z£..1 U s�YTlvt�lflCDo.SGtf� L 5L9�1� 53` /kiN3z> 1tSSSLI 1.31_�� New Electrical Meter Second Electrical Meter, Additional work to be performed under.this permit.- check all that apply: _Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors,. — PoAd _ Electric _ Plumbing -Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: so_ Sq., Ft. of First Floor: Cost of Construction: $ Z ! 000 Utilities: _ Sewer _ Septic Building Height: Name P DO�GLS P©L.SL LI Address: I 13Q Ili _ i n1 r 5[ CT -- City: f�&i m C L`C j Fl- 3'��gi� State: . Zip Code: 31-IQaQ._— Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Company: EIMEOS 5C6U1-l`J ohh J P'LQ L Address: 29SS S L G 6LFNND Dot City: P. Sa 1 Stater_ Zip Code: 31A I �;Fax: Phone No 9171 - DOB G E-Mail FIiUO'_'�S0f7- State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. qgl I ME MORTGAGE COMPANY: _ Not"Applica ble Name: Address: City: State: Zip: Phone: DESIGNER/ENGINEER: _ Not Applicable Name: Filkk3L L_)LLCbt I0C.. Address: I0184 13ICTMAfLL 16 i W I I'i City: Poa �;—G L0Gt- State: F� Zip: -?_� LA Phone r Tn_ �' 9$�116_ FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 insiauation as rnurt_aLeu. 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 au 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. Inconsideration of the granting of this requested permit, I do hereby agreethatI 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 acces'sory-uses to another'non-residential 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 Countv and posted on the lobsite before the first inspection. If you intend to obtain financing, consult with IVrWer or an attorney before commencing work or record our Ivotice or wmmencernerrr.. Sig-r7alflulk of Owner/ Lessee/Contractor as Agent for Owner signa of Contractor/License Holder STAT OF FLORIDAQ STATE OF FLORIDA ) _ COUNTY OF COUNTY OF ', �•�LC� t° S rc rrto (or affirmed) and subscribed before me of Swop to (or affirmed) and subscribed before me of ysical Presence or Online Notarization Ehyslcal Presence or Online Notarization by this day of lip n _ 2020 by this day of J�oP4 . 2020 Ott-4 e r I In o �y er, Name of person making statement. Na a of person making statement. / Personally Known OR Produced Identification Personally Kno OR Produced Identification Type of Identif i n Type of Identifi ati - C. Produced 1 Produced (Signature of (Signature of Nop ubl'c- tote of Florida )� AUDREY B. HUMP REY MYCOMMISSION 00817 Commission N' ; r' ._ (� Y?�'• t„w AUDREY B. MP REY ; • •���:;.. �� . Commission No.t = MMISSIO 300817 RES: March 6, 7023 Bonded Thru Notary Public Underwriters ;K =, c��?��; EXPIRES: March 6, 2023 111UUU ffffu Nuldly ruuffi;I ors SEA TURTLE REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE - RECEIVED DATE — - -- COMPLETED Rev.5/6/20