The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEu Date: Permit Number:V PECFn/ED A , - � � SEP ?:®101g Building Permit Application per mittin Planning and Development Services St. Lu ice ePar ment Building and Code Regulation Division 2300 Virginia Avenue; Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT L©CATI©N• Address:. - % AJ A �o9!4- %�P—r� FL- 14 4149 PropertyTax ID #: Lot No. 02 Site Plan Name: Block No. Project Name:' 0 N1 �� Mad gR?`— dETAILED D �5C�Fi�1'P aN • F O �" ��G� ��iZu�; � , •�:�:�.� ��=P >Z . D�=Greoi2 a� CONST UCT N NPOR {O Additional work to be performed . under th..is permit — check all that apply: Mechanical _ Gas Tank Gas Piping _ Shutters _ \tVind'ows/Doors Electric _ Plumbing %Sprinklers Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First .Floor: . Cos Cons_truetio;n $, �T �� F20. Utilities _Sewer _;Septic Building Height ' '' V Name VEk) E%" Jd AhA' 4_70A1 CLE Narne: Ircly Y� 64 /� Address: rI T_ �, : � cgl Company:.4r Q' - City: %I/l!/,A /1iG/ . _ = iState.,, l L Address:' 13366 Zip Code: '� Fax: ' '!' City.: rlyy P.>.., Phone No. � %al `. cjC.�<• `" p .�� TJ •� 8 Zi Code: Fax: E-Mail: -Phone No � s Fill in fee simple Title Holder on next page (-if different E-Mail V- 2G� � p'�" °O•` � 3 from the Owner listed above) 'State or.County LicenseIV 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. :;: X DESIGNER/ENGINEER: MMW3 Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City. State: City: State: Zip: Rhone Zip: Phone: FEE SIMPLE TITLE, HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDAVIT: 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 �6uilcl the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that mqy restritt,&Iprohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictiohs'which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects-, pq'eform 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 N OTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN �IFIINANCIING; CONSULT ,w WITH YOUR Lf NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Contractor/Li rise Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF AW STATE'OF FLORIDA OF 1. T ing instrumentwias acknowleclg,� before me i�Aa� The f oing in'st as acknowledged before me IL this day of 20 by this ay.6f 20_& by Na e person making statement. Name of person, making statement. Per ally Personally Kno%dh -OR Prod6ced Identification Type of Id Wi coftimliss000cDaDSWIdentification. ion # GG121936 Typeof Ide5'0f1ca:1' Pro'duced e- CvnirhSept 97 9021 produced B o`nd'ed__th"rU Won Noll*` (Signature of Notary Public -State of Florida eft '.(Sigh%fifre, lic he U Commission No. �(Seal) Public Florida -JIo.tary�P,*blic' G GL 21007 9 ission 1W §ion E00, ol MV7, 22, 2022 REVIEWS •3, FRONT \.ffiNIOS -SUP`ER,\(ISQR P-9ANS AIC(5 EkTA'T 10 N.' SEATURTLE MANGROVE COUNTER,` ..REV(E\A(';,., -A LVf W-' *EviE REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev. 2/7/19 A N,