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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��1�~La Permit Number: RECEIVED Building Permit Application JAN 2 9 1011 epartment Planning and Development Services Pe pCountyty Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 40-1578 PERMIT APPLICATION FOR: 'PRC7POSEDyIMPROUEMENT{LOCA ,I 47 y ; ' " ' ` V ,,, " rid'.... S Oc -'n Pri'ti uf4 Ito S ASPn IeGLh rl 3LIC1.S 7 PropertyTax ID#: �5©�'-�d�- u0��,'� Lot No. Site Plan Name: Block No. Project Name: ,A' YC,C_}�r,\ a�� ores . drW,,JJ . ��- ��sa a 4C New Electrical Meter Secohd Electrical Meter CONSTRUC;FION INFORMATI Additional work to be performed under this permit- check all that apply: , S,,Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 75-oo. Uy . Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE ONTRACl'OR " Name &C born, L +6- H L. Name'. SC-6 «�CreGk TC�NIG � r Company. � - Address: 9550 S Ocec,n ��w_, Q -110 City: State: FL Address: '501 _ttJ, CLt. ` Zip Code: _ cgf'57 Fax: City: UNC2 State Phone No. SQ Cl- 9),y -113cI Zip Code: 33 Fax x -5q E-Mail: Phone N -rJ SCI Fill in fee simple Title Holder on next page ( if different E-Mail C7 from the Owner listed above) State or County License' 5 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requir d. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 7a5h1 e�-)� 2101-0619 .t DESiG ENGINEER: of APp ira a MORTGAGE COMPANY: _ Not Applicable - Name; Name: Address: City: Address: State. City: �� State: Zip: Phone Zip: Pllone: FEE SIMPLE TiTLE HOLDER: M _ Not Applicable BONDING COMPANY: ,_Not Applicable Name: - __.,. Name Address" _ Address: Gty: City. - -• - Zip: Phone: Zip; `Phone: OWNER/ CONTRACTOR AFFiOVIT: Application Is hereby, made to obtain a permit to do thwwork and installation as indicated. cerdly that no work. "Installation has•commenced prior to the Issuance of permit. no tics permit holder to build the sub)ecty�r� ure ran covenants that mav_ restrict or proUl such In consideratton.of the granting ofthis requested permit; I* hgreby aree that I w64 in all respects, polatm the wbtk In accotdantewith the approved plahs, the Florida BulldingCodes and St. Lude County Amendments The follwMng bulidlrg permit appllcdtlons are exempt from undergoing o full toncurrency review: room additions, accessorystructure., swimming pools,.fencess wells, signs, screen roams and accessoryuses to another•norrreddentlal use WARNING TO OWNER: Your failure to Record a Notice of Irommencement may result in paying twice for Improvements to your property. A Notice of Cor MOncement triust be tecorded in the public ecords of St. Lucie County and posted ondheiabsite before the first inspection. If you Intend ULg jfthriffiancing,-consult signature of owner/ lessee/contractor as Agent tar owner 519nacure or conuaaortucenm none. STATE OFfEARi9fr• " JSTATE ONWRNW COUNTY OF COUNTY OF MA% - Sworn to (or affirmed) and subscribed before me of S2rn to (or affirmed) and subscribed before me of Physical Presence or online Notarisation Physical Presence or Onllne.N risation this, Z0 day of f.�-r"` • * by this ZS day of J!'�I�' . 207Vby Name of person making statement► I Name of person makins statement Personally Known OR Produced Identification Personally Known OR Produced ldendfleetron Type of ident_iflCadoqType of ide—nt-lflce�to�n Produced Srf-a ProduoedzY�- . rfl (Sgnature of Nothfy Public- State bf. Florida f (Signature of NoTery Public- State of Florida } Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW' REVIEW F All APPUCABLE INFO MUST BE COMPUTED FOR APPLICAMON TO BE ACCEPTED Date: I __ - . T1 Permit Number: ~� " .Q - — — 9 JAN 2 8 2021 Building Permit Application Planning and Development Serok'ou Department es �- ' orrtent _ onnty Building and code Regulation v►vIsron Commercial Residential 2300 Virglnla Avenue, fort Plerce FL 34982 Phone: (772) 462-1553 Fax: (772) 46i-1578 PERMIT APPLICATION FOR: QQ': ."' .'`o�- 4 ' '•. n•L. .r . "'I•''•iS- {. :'kJ.+ir"o•a,'•p 1�'•r;^'F4r• MSY '1`' Address: 41+59'0 S Oc,;,,n Pktt Vain Ito , je nse In &ech, F/ W95 7 PropertyTax ID #: Lk50a.-Le0(_ OOt4 - pW-C Lot No. Site Plan Name:' Block No. Project Name: �.•: w' ♦ 'vy :-•1 �,SP'S.,�• s�.} ;. •o.�+, }..A'I; gA, ,;. .,•.d. C'1.� . al'.'•a, CRIPiT.i FVI Qj jC.•;;•�J; 1. _ +` .,;;: �.;;;:' °� ._'�• ;�J+!.:U•. 'L"•..- .. .. .e•... a.. •�91. ':.d•'Y... .. ..v.d.:. ... .��. {.:::A. _ �t'w-CU,:�°."_ .. "� �sr -'��,.'-' New Electrkal Meter Secohd Electrical Meter °C(N'•5'FI3 Y :II �!r : C r'4!L,�,T+ �----- -'--"bit. ,.. �..; •d: ,• i t -.: w• 1►.tli1 t. �iJ. i'a:•^^• , .. I .1 ...•f, 1'7...� �r'. O. r i. p . lad ;�' •.�,k. t, :r•. �:�:.�:il -- ,h•A.'J•. , ^ 1''y'� .f , •t ►: 'l� 'b: .. �., ,}}««aa. �•_,.. •.k ..... _�_1.I-•v] �_�u••)''u . �':..a!a.''.. Additional work to be performed undbr this permit- check all that. apply: Mechanical _ GasTank _ Gas Piping Shutters Windows/Doors , Pond -_, Electric _ Plumbing _ Sprinklers - _ Generator +Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of Rrst Floor: Cost of Construction: $ 7500- 06 Utilities: _ Sewer _Septic Building Height: � /N:G�S-E4'� •',+ 7'�„ +• s� ' d'.�"ti ' I :< � N.. 1. .'4.: .r �J. •.i -ti <' 'O�TR'L1 :. r'�i�' o •T � ,�` 't •.1 0. 5:.. .•1 a� i;.a a •r•' fit.•.• •:.r•' I 1'M'i:e..�.r �...e .�� Name i- WbOK L Name: GO cl�. - -- Address: 9550 S Oca,n r U -110 Company: _ City: DenScn i�ic�h State:; Address 3 r Zip Code: _ �yas7 Fax: City: VC2 State Phone No. Zip Code: 3 3 Fax 1 -eg" E-Mail:J?wrbdc�,�b°rn(�? i►ga:l .se,N. Phone N la _.5 q FIR In fee simple Title Holder on next page ( If different E-Mail CD from the Owner listed above) State or County License. 03 11r value or consvucoon is zsuu or.more, a necaRuto Nonce or commencement is requir d. If value of HAVC Is $7,500 or more, a RECORDED Iyotice of Commencement Is required. h1 0 c�.bo rc� m cxc ��n L rege�cy � I ���'( r 4• J' 'lv'•1-:+e(j� �.;_�; aacs •.;_� �::.«.�a'e';:: ,. •�:. }1 .��`��. 4v1'sy, I...aFydy•l�tiyc�F•. :1.'` v.::—�.•.� i'H•.s•:i., ft�1 �F L:.1 r 1 i.E �.y�.J�,�..�j. ail I��:f`�5�-:!. -•, 1 c.fi2 �. � N' � h���'if {: 73_..� `L!i:. .41.���Ah•:'�`•F'L�� 5+.1..v-ii�i: 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 Count makes no represent tion that is granting a permit will authorize the erm It holder to build the subject structure which is in conflict with an pplicab�e Home Owners Associatlon rules, bylaws or an covenants that may restrict or rohibit such structure. Pease consult wytt�i your Home Owners Association and review your deed or 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-resldentiai 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 ecords of St, Lucie County and posted on the jobsite before the first inspection. If you intend ancing, consult with Ipndpr nr an attnrnpv hpfnrp cemmpncina work or re brdlne vo ommencement, _ _ Signature of Contractor/License Holder ' 3 5igo®ture of Owner/;Lessee/Contractdr`as Agent for Owner STATE OF FLORIDA STATE OFFt6RlB f`'''``'�'" 7 '""` WO COUNTY OF COUNTY OF as g 1R Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of _ Physical Presence or Online Notarization this _ day of . 2020 by 'e ehysical Presence or Online N tarization this "lS day of Jd^'' ""'4T 202$ by IS% LN Name of person making statement, -� Name of person making statement. Personally Known OR Produced Identification_ Personally Known OR Produced Identification W-s_ Type of Identification Type of Identification Produced Produced 5,E+-�'�- (Signature of Notary Public- State of Florlda } (Signature of No ary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. b/b/Lu