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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f I Date: ®� �� ' 1i01 Z Permit Number: ^_� C—)3 _ :.;- n Qo (Z l Lca,rn Building Permit Application C �' s7JT 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 15 354 N aog y&iVe , wr q 9 -4� (' (JzAC-ll/-, d1,7 Legal Description: LVT 9,9 e I! E—MIU COAST Al eAm4 , putr &,"r_ z& a i 1 OA 1WovatA (8 F aA, y a gaz p4s . LU► Go' !' Property Tax ID#: q'2' p 1 ^ 0 o ,° D D Lot No. n Site Plan Name: ` S(tia 60 A?T AAPAILle, Block No. Project Name: ,A-i-rlc,".r ,Al.S`l n"a_ Setbacks Front FS® � Back: 2-7® � Right Side: M.3' Left Side: 61 I DETAILED DESCRIPTION O'F WORK: V1 CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit—check all apply: ®HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors Z.Electric ® Plumbing Sprinklers Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: '1600 S . Ft.of First Floor: 3 i (50o; t It Cost of Construction:$ Z25 U D® Utilities: _Sewer E]Septic Building Height: 1 q rq OWNERAESSEE;: = : CONTRACTOR: , Name M, ArTr9 XT Name: NJ ZiaiL Address: 19501 01. U44A -# Company: City: �U'T k(Lk State: Address: Zip Code: 3 3 I $O Fax: City: State: Phone No. 305 " 748 ^ 39 4A Zip Code: Fax: E-Mail: l A i t. com Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner lilted above) State or County License: 1 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1 ' Y ROW SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: AILCU 1 , 1 C Name: Address: (-I- Address: City: J State:_�L City: State: Zip: b Phone: 56, 1 - 7'41 -8904 Zip: Phone: FEE SIMPLE TITLEHOLDER: -�ot Applicable BONDING COMPANY: Not Applicable Name: S�i'i1� � ®IN Name: Address: JAddress: City: City: Zip: Phone: Zip: Phone: 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 re Cording our Notice of Commencement. s Signature f Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S-r. UAL If, COUNTY OF The forgoing instrument was acknowledged b fore me The forgoing instrument was acknowledged before me this day of lftr- . 20 -by this day of 20 by C4,rN P4+k46AJC (Name of p on acknowledging) (Name of person acknowledging) (Signature f Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known J< OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.J75 04,105 ' (Seal) Commission No. (Seal) NIII III JW" .; MY COMMISSION N FF 067057 Revised 07/15/2014 •. EXPIRES:December 11,2017 Bonded Thnr Notary Pubrn underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW R VIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 1 INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II Q Date: 0.�— 9.p ZOI� Permit Number: J_1 Q `4 U Building Permit Application MAY 18 201e Planning and Development Services Building and Code Regulation Division PER',' ITTI G 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C unt by, FC Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION fr Address: b15 354 N toi 09105 W-r R 9 - � Legal Description: tcT i g.4 TmA:5,_Au cowr At lz f wl, , aAr &yK 2i ? (err 1 5 1 3 A A lA l P"U C "S 0"r IT w e a_� Co U& t? Property Tax ID#: 50 0 D a ®0 I ®' I Lot No. 0 Site Plan Name: TI Sta.2F CoATT A16LPA4LK Block No. Project Name: AA-4"I—lG(M-r 9l0"6,0_ Setbacks Front :?Z 0 Back: 2.70 t Right Side: 1 Q 3,b e Left Side: (O9 I DETAILED DESCRIPTION OtE WORK K y K CONSTRUCT ION'INFORMATION Additional work to a e orme un ert —checkispermit a apply: ®HVAC be ❑Gas Piping _Shutters aWindows/Doors FIElectric [XIPlumbing Sprinklers Generator 11 Roof Roof pitch Total Sq. Ft of Construction:_ 4i D I O S . Ft.of First Floor: 410 I O 1 at Cost of Construction:$ �2�r I�®® Utilities: LJ_Sewer O Septic Building Height: I q—' OWNER/LESSEE CONTRACTOR t t� r Name LAW ll6 'Ct"MS C Name:_CgEC'4:q L_. G_�1,��►ITtI-nJ 0 Address: 19501 UJ. tp"fn GL44 Company: GF L,"T*r-J y or_ur"iPht r=� 6124A I L C City: -Rki(LA^ State: Address: OM SW SQ(.LA TO.11-tJ S LAWE Zip Code: '3 1( 9 D Fax: r' City: I jX14I Cl-ry State: F Phone No. 05 Zip Code: 34-2Q0 Fax: 772 - 597 0W.5- E-Mail: i+tav►S R,i CoM Phone No. 56 I — 71lb — Q9 G I Fill in fee simple Title Holder on next page(if different E-Mail: aJ I' • GD YI'L from the Owner listed above) State or County License: D 619 8 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION - DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: 11 1n5Cq1U14_ , 1 C Name: Address: 211 .y, Lf(� P3f1. - F'- Address: City: Stater City: State: Zip: D Phone: 156 - 0413-n 9 001 Zip: Phone: FEE SIMPLE TITLE BOLDER: -, Not Applicable BONDING COMPANY: Not Applicable Name: YAIA.F- ks ®lam Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 re(:ording your Notice of Commencement. s Signature 4f Owner Lessee/Contractor as Agent for Owner SJgnatLje of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 9'r. LJAC-t f,_ COUNTY OF ST• Lf1t Ct �� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this (,7 day off Ir� 20 fby this �9 day of MAY 20 by (Name of p on acknowledging) (Name of person acknowledging) (Signature' f Notary gPublic-State of Florida) (Sig at a of Notary Public- ate of Florida) Personally Known iL OR Produced Identification Personally Known "C" OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Ff 0&_h95/ (Seal) Commission No. FF I9 (Seal RyanSm Slattery NOTARY PUBLIC W COMMISSION 8 FF 067057 FLORIDA Revised 07/15/2014 •, g EXPIRES:December 11,2017 Camrr FF194/45 ,;F'f.rN` Bonded Thor Notary Pubre Underwriters 10 Expires 1/29/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS