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HomeMy WebLinkAboutBuilding Permit Applicationc,yt •'�� . ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date:, Permit Number: l °01, • �� V ■ Building Permit Applications Planning and Development Services PERWT"1:: � Building and Code Regulation Division St. Lucie County. FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _ PERMIT APPLICATION FOR: I To Select from dropbox, click arrow at the end of line Address: _ vl .�C("PO' .� 6k ' Legal Description:.kT , S°16,01VeIV aglT yw 44r�H,e114=, 4,yegwj Jw Afr l 3,5, /�JQ4/c Property Tax ID #: ��%%� "�li�— dOU,i = OmU .-Lot No. �5 Site Plan Name: _ Block No. :t Project Name: ` Setbacks Front 65,a3 • Back: %30,S ' Right Side: Left Side: re14 — dow w4y - srzmc S sr i•y ��ittiyiona workto be D rtormed under this permit — cnecK all apply: LJHVAC LJ Gas Tank ❑Gas Piping _ Shutters E Windows/Doors _Electric IJ Plumbing Sprinklers Generator L'�I Roof Total Sq. Ft of Construction: 2611- S . Ft. of First Floor: M6 Cost of Construction: $ /ypO,o�►,cc Utilities: Sewer L_J Septic Building Height: /V �� n r y$. �iPk,. FI $ 4E.� �"' k' �q,,.4 K.4•,^ V 4 %... l '�. iA` Ci {}�! R�" �3 i £..,...,� Y {d+°^s..j N Lk O Ili, E1, LESSEE r ax Y' S �F � (�{e t 1j 11 '' �'T � ..,�t Sb i�ti�s''P5 � Mi :�„k: '(: ✓'4 } �• P 3y iij I r �{ ��.1 �':���}'� ,e t 9 I4 U ".c'£«'. ' A'�'�Z5 4 .. "!V'1.� ,K ..',•vf.. raa:.��.�ei�?i.�''�.�^.:bk:e'�:�P>x1+*n,..:Y.Ir .1..v. �..� �: sit uv Hi.l�i?Mn1�,a�i".�,=t.�.�'.i.�s#'�:Ot., .?, mC�..i.1,r, sk, F; _.n ..Li Name ��Y©C r D° �f�ia.+ Name: 44Y©E 4 006v 'Address: -45- A(W Company: City: �•?! ����c E State: �L Address: -OC %✓W G'�4Rrr��17�n Zip Code: J��/Sj�3 Fax: City: ,�oQ- S;_ 1 4y_c State: F� Phone No, Zip Code: AW' 3 Fax: E-Mail: Phone No. 77Z-dui- E-Mail: L 8�:i�so�nf• hi Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: If value of construction is 5zsou or more, a KtLUKUtU IVOLIGC VI %.Ununc1N.amauL KZ ­yunc � - s , t' Sl 1 hy,'4il rXl JC Not Ap !,,;Address: City: State: Zip: Phone: MORTGAGE COMPANY: Not 401149 Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Y Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phoi e: 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, w0s,'sighs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure t%i 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. IfyUu intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature f Owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA �ti-� COUNTY OF COUNTY OF The forgoing instr ent was acknowledged before me 01- this 1day of I — 20 141 by Q T►` o _ 0 { (Name of pers n acknowledging) -4:6 -Qor% t% �S� (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced The forgoing instrument was acknowledged before me this _ day of 2014 by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. ,.�''iirA�o, (S al) L1�gHAH q NGRA GQm'' fission No. " (Seal) K s� Notary Public - State of FI F ride „N.+es ec 20, 2016Off Commission � FF 177299 l + Revised 07/15/2014 Bonded through National Notary aee� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROV �4x �, I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW a` `4 DATE . . COMPLETE INITIALS '1E'41TM`