HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
'Tr ILUalE
�5 `5z-
Permit Number: a/06 -03W
Building Permit Application
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
PERMIT APPLICATION FOR:
CoNc�2Ere R6Srol?An cN T C0M1hoN cacrA NT5
1—
riuuress: 77'1u �.cH Vc 3y95'7
PropertyTax ID #: isOL- 5,02 - oozo-000- O Lot No.
I
Site Plan Name: Block No.
Project Name: OCEAAIA I WoHTN
CONC-Rere-f4rMR*n0,V ro ce/yn.,ok azmeyr JJN►TS 203
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ C),000.00
_ Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
} h \ 3t� '�,t7 -F+li ; f "T iYS �1 �� 4y � �..
01JVNE V IESSEE 1{ f F {k „ ?, �,�F
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r.:- S JS n t d tirtf%
`COIVT�RACTOR
Name LAvRA &Uyy
Name: &vBERT STARK
Address:_995/O S. ocegm 1w. # Zo3
Company: STRUCTURE - UN
City: Tovsw l3EAc a State: -6-L
Address: & 26LL
Zip Code: 3c/9S"7 Fax:
City: �9EECH6 36E State:LEL
Phone No. 7-7z Zzq Soto I.
Zip Code: 3,4q 7 3 Fax:
E-Mail: 13resSi irS-6/ 4 Y&R, co019
Phone No 772 2is, BG3l
Fill in fee simple Title Holder on next page (if different
E-Mail S+ arAurcow QP Ito , .cov►t
from the Owner listed above)
State or County License C GC Oyl 0 3
IT value or cons[ruCnon is [Suu or more, a KEcvRUE17 Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENT ►1 CONST CTfON Lf IUD L P [NFORMAFTION "r�r�r ' s� �}
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DESIGNER/ENGINEER:
— Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Ggly) ENGINEERIN(, '
Name:
_
Address:2oa Sv.i oaEA iN
13LVy
Address:
City: STu>P►�T
State:L
City:
State:
Zip: MAR Phone -1-IL
t2o Got
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.
1 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 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 lender or an attorney before commencing work or recording your Notice of Commencement.
of Owner/ Les es a/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ tJ -e. COUNTY OF X7, ZvCie
Sw
yorn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this � day of NAr0= , 202� by this _ day of 1744CIy . 2020 by
41 be-( t �a-la n r-Aly
Name of person making statement. Name of person making statement.
Personally Kno OR Produced Identification I Personally Known OR Produced IdeWtification
Type of Id ification Type of Isieutication
(Signature of Notary Public- State of Florida) (Signature o=*N,,,npumi.
11ag of fondsCommission No. d l (Seal) Commissionnnell GG #drf)
22
REVIEWS FRublIC s g PMMSO PLANS VEGETATION SEA TURTLE MANGROVE
COU Em®sw nrV�1'2�N e.
REVIEW REVIEW REVIEW REVIEW
RECEIVED
COMPLETED
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date': 3 Z Z Z ( Permit Number: (�9
I - �__' o •- .. rt`:. RECEIVED
Building Permit Application MAR 2 3 2011
Planning and Development Services
Building and Code Regulation Division Commercial Residential P �ti ng Department
2300 Virginia Avenue, Fort Pierce FL 34982 nfi�
Phone: (772) 462-1553 Fax: (772) 4624578
�PER MIT APPLICATION FOR:
p.
,x ��+ranvur. �pw,rt-Iwl'CfY
I LV4H 11" 3111 � ' '€ �
Address: q q
L{ 0 0cea1,81
n ri vc g en
yys17
Property Tax ID #:
If 5 0 2 S O Z.
- O (1 �j - Q o 0
Site Plan Name:_
Oe euN :L
NDJ'.-H
Lot No.
Block
Project;Name:
LofA CVeT111 uNd �'wt G o QtAAirS � ,
C v vk t,�,i D a ^ r[ k S
New Electrical Meter • ^ Second Electrical Meter
ivy r:rcuu iilUlyzllV_t-O,R'INIATI'O;N } { � � , ' � ^-
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ winzlOws/Doors _Pond
_Electric _Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq.i Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $
Utilities: _ Sewer _ Septic Building Height:
ii n
Name ' .1 N
Addr:M92��
r.
City:State:
Zip Code: Fax:
Phone No.
E-Mail: ,
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: r H o Qb rC v o
Company _C,& gf Qes {oy b y (jot d L
Address: f 5& Lufindw (<<) opt't g
City: W o t Pa J A i5 e4 C State: R-
Zip Code: 3 1401 Fax:
Phone No
E-Mail
State or County License�6
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.
SUP LEME'.NTALCONSTRVCTION LIj=N LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Address:
Name:
Address:
City: State:
City: State:
Zip: I Phone
I
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _!Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Name:
City {
Address:
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 certify1that 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.
I n 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, f you in to obtain financing, consult
with lender or an attornev before commencing work or recour N�nmmPnrPmPnt
- 1
Al, '64, 1, rSignature of Owner`/ L ssee/G n rector as Agent for Owners
Signature of Con actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF fD�. t jjQ,('e—
COUNTYOF MAftTiQ
Swornito (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this ��day of mQ 202d by
Physical Presence or Online Notarization
this day of 2020 by
sibdn
1—Y
Name of person mak ng statement.
Name of person making statement.
/
Personally Known OR Produced Identification 1/
Personally Known_ OR Produced Identification
Type of Identification
Produced 1-
Type of Identification
-r544 p
Produce
Oil GROM&SKY
JA it 49"
114- � lic - State of Florida
Aftfture of Notary Pub i lorig fission # GG 235740
(Signa+ ure Not ublic- State of Florida
Commission No. (Seal)
'••..,,OFf�; .�` My Co m. Expires Jul 8, 2022
Commission No. ann ed th h u ational Notary Assn.
i
REVIEWS
FRONT
ZONINGi
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW;
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE;
RECEIVED
DATE.
COMPLETED
ev. 516/2-0
Florida
My
/il 012024 012671