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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION! TO BE ACCEPTED �^ �q() Date: f ' S'a„1 5 Permit Number: - l`✓ RECEIVED s, o.L.(.Ni a - JUN 21 2019 Plusldin►g Permit Application. Planning and Development Services ST. Lucie Count , Permitting Building and Code Regulation Division N 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: N a10 e 'V &AA NA6 AA PROPOSED IMPROVEMENT LOCATION; Address: I S IL, L-A L 01— &_d t. N-4VAT P' WE ' VL- 54949 Property Tax ID #: I q o7 5- L 9 0- a d MZ LI Lot N Site Plan Name: Block Project Name: laot..Lp, VAC'E DETAILED DESCRIPTION OF WORK: YkX tx� °i V1 S`t-r�i/i(' `i l bU! .CMLG1_1- V::APAI L,4 flLC%J I.- 'YlC�: CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank —,.Gas Piping _ Shutters Y Windows/Do rs ✓ Electric J Plumbing ISainklers _ Generator ✓Roof ' Pitch Total Sq. Ft of Construction: Aq Sq. Ft. of First Floor: -Cost Gf Construction: $, Rgb i O60 utilities: %/ Sewer —Septic Building Freight: r OWNER%LESSEE: " ` CONTRACTOR: Name UESxr--A Ws 6a (k VWL.Av,1% Address:. 614 _i1 SM,&G Gut _(;LA%4. , Afli. 510H City: (40N'rA ',MYW S State: FL. ZlpCode: MI-55 Fax: Phone No. o?&9 - ?Jib - W IUV f-i'Jla;l: 1no6��d�sl�es��; 5A 11am"Nt Can Fill in fee simple Title Holder on next page ( if different from1he Owner- listed above) Name: cornpany: LM Address: "` ►�V1 �� City: St-64,9rfth Stat Zip Code: �;Iwg Fax: `�`% -5 o Phone No rlrl;2- 5S9 - 5-94. E-Mail I .'rA ' FL, - 5c) Ll State or County License C CX1 8; I SCE j If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required. I, 1�,�1•y ,YAN t :•Srtfl''.il0_1 q i.(h .r. �.�',.,r. ,. .. yA• , �.A, - DESIGNER ENGINEER., •. Not Applicable MORTGAGE COMPANY: Not Applicable Name: Sm -trk - e-lz w Name: Address; 1 Address: City.L State: City: State: ZiPhone_i"f,2- 53- - b' 1 ` Zip: Phone,. FEE SMPU SITI F 140LIM •NEE Applicable DONDING COMPANY: .14_ Not Appl Gable Name:, Address: Address: City: city: Zip: Phone•_.. -- Zip: Phone: i OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation is indicated. I certify that no work or installation has commenced p4orto the issuance of a permit. S L cffd Count make no rep rp a Cation that Is granting a ermit will authorize the permit holder to build the subject! (tore w Ic�i is in oni�ilet wit �i any appi ca�le Homd Owners Assoclpation rules, bylaws or and covenants that may, restrict or pr hl�it such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appi, . in consideration of the granting of this requested permit, I. do hereby agree that I will, In all respects, perfofrm the work in accordance with the approved plans, the 51orida Building Codes and St. Lucie County Amendments. The fullowin$ building perm;!; appilcations are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses ta/another non-residential so „W AiIIINJIM .TO 9WIW.1P; Y011.10 FAILURE TO RECORD A NOTICE OF COMMENCE MiIY RE$ULT iN YdUR PAYINC TWICt FOR IMPROVOMiENTS TO YOUR PROPERTY. A NOTICE OF COM . EMENT MUST BE RECOR1<iED AND POSTED ON TMS JOB SITE BEFORE THE FIRST INSPIECXION. IF YOU D TO O AiN FINANCMN , COpIBiJlT +sa.XAe!si s.s any. AN. ATa!<!►oar ,agr,nuenl 1rm. i7r •OF ice." slgnature of Owner/ Lessee/Contractor as Ag t for owner SIg are of ontractor/License Holder STi�T>lw 4F 1=I,r71Rt A 4 Y.Q. STATE, F FLOICID► Q,t COUNTY OF COUNTY OF ' n to vow e f r Ding instru ent was acknowl dge before me I'' The forgoing Instrument was acknowledged before me 3 by s day of 2Q by this day of, j �1rw.� , 20 •f ma f person making statement, N/)rjonally Name of person making statement. A Known OR Produced Identification Fersonsily Known_ OR Produced Identification Type or Idenilftcatign •ryp of idcritiflcation Pr ced ,.,,,,,, Pr used CP6 o�UA ( sture of'Notary Pu ,, M.FAPC�YNrIrO (g aturo of Notary Publlo• State of to •M,r =.= g 8510ldi�(;Kili88M M.PAPC m Ission No. }'` hipmission N ei�� EX� Fobni y 11, 2021 =, • • • COIVRYIiSgltk! P QQ • 'I � Fd6Npry 11, Dow 111ru tiaau� Pu6No tHgarwdNal 111. l REVIEWS FRONT ZONING' SUPERVISOR PLANS VEGETATION SEA.TURTLE MANGROVE COUNTER EViEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE (� ' RECEIVED DATE: COMPLETED eV. \'*vO(t - dt•�(o L /E d E665685ELL auoo 'DaVi oaxv 66:6•C 6ZOE"""Unf i 1"SUPPLEMENTALCON STRUCTION LIENIAW. WFORMATIOW.., DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Y%5N1 Name: I Address: 1%A4!5 AA-1 Address: II City: 'S�ffijl ftvt ::State: V-L City: State: Zip: 52qJB Phone 'IM- 599 - CA,* Zip: Phone: FEE MPLE TITLE !OLDER. V Not .Applicable BONDING CO-MRAINY: _N& Apbl cable Name: Name: Address: Address: City: Ci I ty: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installatlo'n�as indicated. I certify that no work or installation has commenced prior to the issa I ance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject, U II which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or pr tt1hr1bC1ttu;ruech structure. Please consult with your Home Owners Association and review your deed for any restrictions which may app 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 ai� I d St. Lucie County Amendments. IIIn —1 1 30 - � I . -1 1, ---. _ :-- - nAA;44-., the fullowing builditig ptervellL applications -..- dlt:!t:A%=lllV1 lfullf ulluctsullyr2d full %.ulli-ull=llf-y 1cvle".luwlll Quul--t non-residential se accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to a other non-residential se "WARNING TA nWNER.' YOUR FAILURE TO RECARD A NOTICE OF COMMENCE MAY RESULT I PAYING iwiei-,F-D—R—[M-P--R-O-VE"M-ENTS TO YOUR PROPERTY. A iOTICE OF COM NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU khD TO 9JBTAIN FINANCING, CONSULT II 2 IC�%nWf 1% AM. A-irTrammy. vrvm !MC. TnELD T1 F nF I-1cma x Harnon II :5iinaturi.6f�c�vi6e7�r-7/-.L:6-s��ee/���C���-2ntractor as Agent for owner Sigh-91-ure of ontractor/License Holder III - =W STATIE 0�-FLCJRIUA- FLOR"'it I COUNTY OF I COUNTY OFIII The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of 20 by this day of, lorvq- 20Jby nn II Name of person making statement. -Narne of person making statement. itPersonally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Tly of Identification Produced P r uced � � rA I I II (Signature of Notary Public -State of Florida ature of Notary Public- State of ll,10#4-) Commission No. (Seal) P .. 4ESSICAM. gt. Commission N e I COMMISSION #GG5 - EXPffl-ES: Feb muiv, 11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA -TORT E wyrumuq MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATEII I RECEIVED DATE COMPLETED ev. 217]19