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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I: -- RECEIVED WIN mmlmn"3� Building Permit Application JUL 3 0 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSEDIMPROVEM!,ENT LOCATION: Address: 1 cbp. Legal Description: *JeAr\c\,e -6 �g�. s� A e].o __&,C_sx_ QACce� 13ol �- Property Tax lD #: y�0a -+ O\� - iS� -OO D - a Lot No. \3� Site Plan Name: ��\�eS `�'a1,�c� Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Moa3N." CONSTRUCTION INFORMATION: AdditioDal wor to De e orme under this permit - c ecL�'H� a app y: C GprTank ❑Gas Piping _ Shutters ❑ windows/Doors Electric lJ g ❑S Plumbin ❑ Generator ❑ Roof Roof pitch prinklers — Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $� Utilities:Sewer ❑ Septic Building Height: OWNER/LESSEE: CONTRACTOR; Name Or c1r mow— Address: '�r3`k$ �e�t-S -�+.> City: `,rQA-\SQ ire StateRL- Zip Code:_54-\ 15­1 Fax: Phone No. - VPk Name: Ao ^ e ail` Company: Address:74 City: f �� 'Alewee, Zip Code: '5 fQ rjj� Phone No. 7TL �LL��l E-Mail:. 0& ." 70�iyeJ State or County License:C,& ✓ � #41.e State: Fax: ,z 2 Z A-0 . Co 1W OD 5'7©6 E-Mail: +2 -471% Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable. MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: ?AcL)C_,o. C.1r Address: City: !�— State: V— L City: State: Zip:3y,6°% hone�3801 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 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 vour Notice of Commencement. I !A),Izn a. /_,� A r4& Signature of Own er7Tessee/Contraofor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� �c.�.� COUNTY OF�-- The forgoing instrument was acknowledged before me The f r oing instru ent was acknowledge fore me \X by this � day of 1.a 26Arby this day of 20 • T M r �r> S Name of person making state ent Name of person inking statement Personally Known ✓OR Produced Identification Personally Known •/ OR Produced Identification Type of Identification Type of Identification Produced Produced Signature of Notary Public- State of Florida �, STELLA M. HUNTER (Signature of Notary Publ'ic,�"£ Flvida) otary Public State - of Florida ssion # FF 180552 No. :N . Q: M) a- My �.��������, STEL MCommission ommission No. PaYP�'•, 0.9, Notary Pu ,,oP�, omm. Expires Jan 23, 201 Bonded through National Notary Ass �; '2 ° "commission aE « n . s� "oMy Comm. Expir�Bondedtnrougn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGET E PU_k'TT MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 177-7 RECEIVED DATE COMPLETED tev. 8/2/17 ALL APPLICABLE IN 0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ,� �(� ��� Permit Number: 4b(0 - O 43 Building Permit Application L 17 2018 Planning nd Development Services I Building an Code Regulation Division Lucie County, Permitting 2300 Virgini venue, Fort Pierce FL 34982 Phone: (772) 2-1Y�ildential553 Fax: (772) 462-1578 Commercial PERMIT APPLI T[ON FOR: To Select from dropbox, click arrow the end of line �1 a PROPOSED IMPR EMENT LOCATION: Address: _ Legal Description: Property Tax ID #: �i ll - �'j�i _. _`yy,_ Lot No.o Site Plan Name: NCA,\\- s -Kr \""k z Block No. Project Name: *V.3 e_- % V' law_ii Setbacks Front�0 Back: Righ Side: Left Side: I DETAILED DESCRIPTION OF WORK. f; �t'J<�Gr L�; J� �J C�Ov�� �� av� 0 � 'p► M o .�14�r ��l't`�t � - 05c CONSTRUCTION INFORMA ON: Additional work to/,) under this permit - c a app y: 11HVAC k Gas Piping _ Shutters a Windows/Doors Electric g Sprinklers Generator F Roof Roof pitch Total Sq. Ft of ConsS Ft. f First Floor: Cost of Constructio��� �� Utilities: S er E]Septic Building Height: OWNER/LESS f: CO;NTRA OR: Name \3Oa VN w Name: \ Address: e. BLS Company: City: State:TkL Address: 6 S Zip- 3`k��� Fax: City: State'C- Phone o. NO �� Zip Code: "l�� Fax: E-M Phone No. —no) - 3 - " -1`3 Fill n fee simple Title Holder on next page ( if different E-Mail: e. Ac - vg.Y. M •�e- f m the Owner listed above) State or County License: G - if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPOLEMENTAL CONSTR:UCTtO LAW I,NFORIVIATION ,, 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 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 andcovenantsthat 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencina-work or recordinl? vour Notice of Commencement. re of Owner/ Less(e/C9fibveWlas aIt for Owner Si ture of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF 5 L" , COUNTY OF S•d Loci c, The forming instrument was acknowledged before me this Q %::)day of Vc\ A�-1 .20\T by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary P f.\TPqPe ,of Flor_ LA M. HUNTER r * r'�s Notary Public - State of Florida Commission No. •= Cok�ilon # FF 180552 My Comm. Expires Jan 23, 2019 Bonded through National Notary Assn. REVIEWS I FRONT I ZONING COUNTER REVIEW RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing instrument was acknowledged before me thisaS day of \N\!nt! , 20\% by Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification Produced (Signature of Notary P lid �''�pf F�ori ` a* *4 s otary bllc -State of Florida =• . . •: Com{�ssi # FF 180552 Commission No. "r "o; �y Conlrtlires Jan 23, 2019 j' Bonded through National NotaryAssr ` t UPERVISO S REVIEW R I REVIEW PLANS I VRE EWON I SEA REVIEW TURTLE VEWLE I MREVIERWOVE ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION ' Address: Legal Description: C Property Tax ID #:Cx»- Site Plan Name: Project Name: Setbacks Front Back: Right Side: t Left Side: DETAILED. DESCRIPTION-OF,WORK:Ze Lot No. Block No. CONSTRUCTION INFORMAT N ; Additional work under t is permit- check �HVAC Gas Piping a apply: Shutters QWindows/Doors Electric Sprinklers ElGenerator E]Roof Roof pitch Total Sq. Ft of � .] , Sq. Ft. of First Floor: Cost of Constrl1 C7 Utilities: Sewer Septic Building Height: OWNER' ESSEE:. °. CONTRACTOR: Name a'au� Name: Addr�ssP�3`�� �_�_S� Company: Address:` \�� ': City:�'\_b`n _ State L- City: \��i1` � \� State:"=ZF� Zip Code, Skc:y � Fax: Phone No. 'lJ "' r� Zip Fax: E-Mail: PhoneNo.�`a-c�—c��-�� _ _� Fill in fee simple Title Holder on next page ( if different E-Mail: ` �S State or County License: from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL�CONSTRUCTION LIEN LAW `INI=ORMATION. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: A Address: City: Zip: `3�A kS•1 Phone RS�?— State: - L-) City: State: 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 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 1 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before rnmmonrina Wnrk nr rprnrdino vnur Nntirp of Cnmmencement_ Signature cf O ner/ Lesse tractor as AgeVwrier Sign a of Contractor/License Holder STATE OF FLO A STATE OF FLORIDA COUNTY OF COUNTY OF `� �c�, Theorgoing inst ument was acknowledged before me The forgoing insent was acknowledged] before me \ thi day of 2d� by this�day of 1CN� , 20 by Name of person making statemen& Name of person making statement Personally Known �� OR Produced Identification Personally Known f OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public State of Florida ) Commission No. .LLA M. HUNTER ommission No. STELLota `'-. A M. .�MHUN�TERWary Public - State of Florida - •, Public - State of Florida `N ;, •E N c' + Commission # FF 18 Com REVIEWS FRONT z ZONING Jan 23, 20 SUPERVISGR 9 n. PLANS w;Eovv. VE �, MY Comm. Ex fires _gAeFU&T Vola J E COUNTER REVIEW REVIEW- EVIEW REVIEW R DATE ' RECEIVED DATE COMPLETED Rev. 8/2/17