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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 - 2 ® I Permit Number: 91To ILUCllILE 0 1 RECEIVED O N , - ° Building Permit Application NOV 13 2020 Planning and Development Services Permitting epartment Building and Code Regulation Division Commercial Residential St. u re County 2300 Virginia Avenue, Fort Pierce FL 349,82 , Phone: (772) 462-1553 Fax: (772) 462; 1578 PERMIT APPLICATION FOR: iWJ1-1 FL LL C - S PROPOSEDD IM'PROVEIVI'E'NT:LOCATIO'N:m h „ t'.� .g Property Tax ID #: 13 O l (go -7 co ge " 0 cp .0 Site Plan Name: LCA lC_eS y0pd Project Name: W,71-i FL LLCM DETAILED DESCRIPTION OF WORK: . ^. _ _ Lot No. ', 2 2 Block No. New Electrical Meter Second Electrical Meter v r CONSTRUCTION 1NFO'RMATION: - Additional work to be performed under this permit -check all that apply: _Mechanical _Gas Tank _Gas Piping utters Win ows/Doors _ Pond �lectric /Plumbing _Sprinklers _Generator Roof Pitch Total Sq. Ft of Construction: � �,_L Sq. Ft. of First Floor: u4LP i Cost of Construction: $ Utilities: —Sewer Zseptic Building Height: I s )-CTU OWNER/LESSEE, CONTRACTOR: Name 'Y-j<T CM Name: Mzlt-(�\l�(l� Address:3pQJ i)e.mrA-t,) L61. , Dr. S+--2.0 Company: w,-Y14 F2 L1-G City: AJ OrC_!'D S S State: GA Address: 30011 C-r*Jfr YYS Ll] &_e,IQ-, city: 1V�Gr p - .,�7 State: G� Zip Code: 3 00 -71 Fax: L A� Phone No. 901 a 7 0 Ca L0 ia-ol Zip Code: 3 O O -7 I Fax: 64V-1 E-Mail:- 40nA:11L-. I)ar11 ur(D.Iren+ww mAyvt,4 5-Phone No 3 ra) a U E-Mail j!bCc2 aLro QrA.h hYh1-WWCQvM1A) hP- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License 7'1 G If value of construction is 2500 or more, 'a RECORDED Notice of Commencement is required. "14 y 7 ) If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. \\`�' / SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: i Not Applicable Name: N4 ) I hQ00]J V,312 Address: 3no aEory16jjaIp> >(�iyP� City: A n.r hl 'L'y— ! State: Zip: ) 03L3 a. Phone �� Le `6M 1 FEE SIMPLE TITLE HOLDER: _� Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING OMPANY: Not Applicable Name: Address: City: 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 Horne 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 paying twice for improvements to your property:, A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lend or n attorney before commencing work or recording vour Notice of Commencement. Owner/ Lessee/Contractor asl Agent for Owner STATE OF FLORI,RQA -COUNTY OF )nMva Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this ;; day of 2020 by �G�a � �Q I l ►� � Name of person makin statement. i Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Pub - f FI'!!�Alli��F1°10 * r. o2owo Commission No. © E+�Ffi~ Sign a re Contractor/License Holder STATE OF INDIANA COUNTY OF HAMILTON Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization this C @ day of (2CA3 ,, nPl , 2020 by !r D�- L"A 0 0 14 'L e Name of person making statement. Personally Known V OR Produced Identification Type of Identification Produced tb _ (SigAJture of Notary Public- State of Indiana ) Yvonne M.Senesac Commission No. 0664315 i;�`�' Hamilton County, IN My Commission Expires REVIEWS FRONT ZONING! SUPERVISOR PLANS VEGETATION SEAT' URTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED COMPLETED SUPPLEMENTAL CONSTRUCTION LIEN, LAW -INFORMATION: - DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: mumemmuip Name: Address: sdoArooksfde 46 Address: City: Ammer -State: PA City: State: Zip: i9opi Plibne 8aR Rnni zip:. Phone:. FEE SIMPLE TITLE -HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name:- Name:- Address: Address:, City: _ City: zip-.,- Phone:: zip� Phone? 0 - WNER/ CONTRACTOR AFFIDVIT: iApplicatlon is h ' ereby 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. granting; h e permit'11 Id to build the subject structure St. Lucietouri makes no;representationithat is grant* twill-aut orize,th, holder which is'ih�dqfi%[Ct with dn' WplicabliAbme Owners 00.6tion ruIesj'byIaW&dt.and coventhtsthat may restrict or Ofohibit such structure .'P,l4As# Uth your Home Owners Association' and reviewbylaws for any r6WIdlons which4hay apply. V9 In consideration of the granting of this requested permit, Iclo 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult VV ILI I 1IC-_11UGA WI UII ­­­,y ­W­ 5SIgn ssee/Contractor as Agent for Owner gn@ tractor/License­'Holcler CS 5 IDA TLORIDP). COUNTY OF 6re_-r e_7711 COUNTY OF S�wqrn'_to (or affirmed) and subscribed b efore me of S�w�n to (or affirmed) and subscribed before me of " Notarization P s * cal Presence or Online Notarization 12R c a' 4a Ph! I Presence or Online v— Ph this Ljy'd7y'of iv by this of .2020 by .2020 Name of person rak7nsia terne'rit. Name of person maik* statement. Personally KnownOR Produced Identification PersonallyKnown7 OR Produced Identification Type of Identification Type of Identification Produced, Produc0d (Signa re, ota (Signature of Notapivwswc-v-- NOWY PYW saw of FWW IN C DOAn Hw=&WZXAMj MM Commission No. EXPW- Comm] i my — . . "" 02WO (Se MGM M-4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE T COMPLETED