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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: lJ 1 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE ✓,L�JI �, �v�-roc W C 5`-A �+�'i� ic"8''''€`'t*� .�,�,-:;�-.� ^�cpl-a--`-?'r', IN r �_+_:r.�"x`Ih�.,5'.�.c.F_+C-. Address: Q(20 ) S I'V014J uz.✓rn UA- 1-t&t- I-11c"L 'Y-10%- PropertyTax ID #: 351 %-sd 7— ®®0 1-1 - ©QC?- I Lot No. Site Plan Name: Block No. Project Name: 13i1N� ('� `blrl Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: i()6q Sq. Ft. of First Floor: _ Cost of Construction: $ i s5 Utilities: _ Sewer _ Septic Name 'gagFc'-f ifi4(ffe,( t-`L Address: V0 CAI S [ .6JW A,*! 1."r`" 13 eL City: r4gt P/ &'%C tc State, ' t' Zip Code: V ci � -�- Fax: Phone No. 7-72— q �G — r9 C 7 E-Mail: -)-34 i 4 'r,L'4' /V -'14 tN• (U ^' Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof Pitch Building Height: Name: 6OL4 ti LA/.' v&, t Company: D&L 411 v63'-) t0-t 1 " Address: C/ S'95�,AiFlt-is 44AC� City: 13ct4L L4 State: FL Zip Code: 3` S 7 Fax: Phone No E-Mail Cd4,,, �u���+Fr v� 7/CyN S/ t✓Co - , State or County License ::f l Z6 0 E 3 Y If value of construction is $2500 or more, a RECORDED Notice OT L,OmmenGe1ncnL i.� [cyuil— If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. .,.l DESIGNER/ENGINEER Name: 1�,'XAVPa p Address: 3 City:T r Sc'-� I Not Applicable r i T S MORTGAGE COMPANY: Not Applicable Name: Address: cr4 Lj City: State: Zip:Phone: �+ State: Z13 O n� Zip: Phone 71�2— FEE SIMPLE TITLE HOLDER: Name: Address: I City: rNot Applicable BONDING COMPANY: ANot Applicable Name: Address: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDV'IT: Application is hereby made -to obtain a permit to do the work and installation as indicated. I certify that no work or installation h s commenced prior to the issuance of a permit. St. Lucie County makes no representa ion that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicabl Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your HdIme 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 plan);, 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 YOUR PAYING TWICE FOR IF�NER: YOUR F IL YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND T'�1 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT POSTED ON THE JOB SITE EF'ORE o _ I .- . IF YOUR NOTICE OF COMMENCEMENT." WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD11MG Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was ackno\luledged before me this _ day of , 20_ by Name of person making statement. Personally Known OR Prodced Identification Type of Identification Produced (Signature of Notary Public- State o Florida ) Commission No. (Seal) Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of , 20_ by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida } Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED .... I SEATURTLE MANGROVE REVIEW REVIEW r rr— '9 Y'fi s RtQN 1lkiJ�tRTf a �Y L 0> ti q �, .kt.tN�ill ,t^.J-.e^. �' ...�'�! � ���'T-,i u��Y �+�/��' Sy V`_•y�•`-�q,'��`±4 _j`t3,�F Y�y;s'f;. DESIGN _,' INEER: _ Not -Applicable, MORTGAGE COMPANY: x Not Applicable Name: GranrieldArchitects Name: Address: 1663 NE. Jensen Beach Blvd. Address: City: Jensen Beach State: FL City: State: Zip:349W Phone772-283-6032 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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°foltowing 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 attornev before commencing work or recordine vaur Notice of Commenrement_ S' a r o ner/ lessee/Con ctor as Agent for Owner SiFnatulrelbf Contractor/License Holder STATE OF FLORIDA t�Gl a STATE OF FLORIDA S�- COUNTY OF o u COUNTY OF L,(� Get SWn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of ysical Presence or Online Notarization Physical Presence or Online N tan. zation this day of 2026 by this 0 day of , 20 by Y�, � �a Name of person making staterrient. v Name of person ma mg statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificajiw Pr duced Produced MORES EAD ��"""� , E L L E N (Signature of Notary Public-5 drl'dJWCOMMISS10 GG g j�°o `s-rAJI61A(cEirhr g-tFV-1 is Commission No. �: e; EXPIRfS:August 8.20 4PpP,. ThNNoFeryPubliC =�a ommission # G 2700 9 ion�ifbP�` MYGStnhols,l, n'OXpi�eal REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.