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Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �'17 LLUCUR L 7 'I Up KKKU-16-1 7"N'qRL;L11Mr"""U1"ILff)" 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: Vd ..i;g gg"" N Aciclress:� r7 By-00 ff G rd 6 Property Tax ID#: 15-_705- 01 45-00c)-6 Lot No. Site Plan Name: Block No. Project Name: ..."Q X_ elo e e It kIp- re!r-)d LOP a( 140 Khgem 5 40n �ECX t0VW h0-Aer New Electrical Meter Second Electrical Meter x, KA t A aka at Add ltlPna I work to be performed under this permit—check all that apply: \/Mechanical —Gas Tank Gas Piping Shutters Windows/Doors Pond —Electric —Plumbing Sprinklers —Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer _Septic Building Height: I CONTRACTOR: Name Name: r-0 Wlo Address: 836io1io- or-cjr Company:iSro.54-f-vulnar l iA_ City: (4id"e- State: F Address: sb' Zip Code:3qq,5—z- Fax:77 q0-q7-7,-7 City:Pr,-r+Y, .1A ft) -- State:—UL Phone N o.71'7Z—3%—q"}� Zip Code: 3qq5?, _ Fax: 27-1_:,-�-22 E-Mail: WPS,5M(t,0nacfi)CyM(-1- Phone No 1 10-`3q 0 Fill in fee simple Title Holder on next page ( if different E-Mail 6WQ55f7Wnn from the Owner listed above) State or County License 08 q 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. .' �• 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 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 our Notice of Commencement. Si f Ow r Lessee/Contractor as Agent for Owner natiqye Cont(ac or/License Holder STATE OF FLORIDA STATE OF FLORI�tG�� COUNTY OF 7ri�l�Cf`t' COUNTY OF SwoT to(or affirmed)and subscribed before me of Swo,r+�to(or affirmed) and subscribed before me of Physical Pres nce or.Online Notarization `V Ph sical Presence or Online Notarization this day of 2021 by this day of 202 i oy ros,5o to n J 44rq U. 60,5s r n n Name of persoA making tement. Name of persoh makings atement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced . '1--- C, Q. 2^ - (Signature of Notary Publi (Signature of Notary Publi6,0 =1;ry Public State of FbtWa P Notary Public State of FlomCommission No. S�� CYa(�@ossman y isua+GGi8908i ommission No. C_ ss�or+a M1d� ErpireS 05110 22024 j M es 05 GG 58306i • ror" Expires 05it0r202a i REVIEWS FRONT ZONING SUPERVISOR ! PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: OB I b 1;w2..1 Permit Number: L-:L.."� Building Permit Applicatior Planning and Development Services Building and Code Regulation Division Commercial ✓ Resi 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION Address: 420 St � Fl.. 3009 Property Tax ID #: 9410A - .2 Z/- - bbd - 7 Lot No._ Site Plan Name: I- 0c., C ILjnn Block No. Project Name: s'�'. :-VC.I C. AQtk,.r t L.l rh 1ZC-P AcEMemT .d 3 Ale- ym i,-S DETAILED. DESCRIPTION�:OF WORK: C0-4C6 ;eooF 'Ibe l� IrZT LA Alc, `Art) 1 3 -- 4(4E 4 Toy/ /*Q . Z_,5� SEE R- 7.5 //a kw ' IEU 2 IS A IZ. 15 ibA/ Fk-a — // �VE6P_ /z 73 A<A/ New Electrical Meter Second Electrical Meter (Affidavit required) 1"CONSTRUCTIONINFORMATION:' Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ ��4 . DO Utilities: _Sewer _Septic Building Height: i OWNERAESSEE..:: .. .CONTRACTOR: Name :3VA_0CyL C_00t!� Name:- JohA 1,. L.Jcd9h Address: 9,30 ) I/1f4,rA11A AVE Company: I'r'ou,lc (�.S• City: FT. i?icacs State:F6-• Address:Z88q C-04-Pro6k9- UAV Zip Code: _gqgWFax: City: M.ro,_AAAre- State'; Phone No. Zip Code: 330z5 Fax: E-Mail: Phone No "786 -/Z3 - -5�5& Fill in fee simple Title Holder on next page ( if different E-Mail J AA456 6) I QANE . Cowl from the Owner listed above) State or County License F(OR.tp A CMC.i2�" 8�3 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. DESfGNER/ENGINEER:. �.,. Not Applicable - � •' - Name: MORTGAGE COMPANY: � Not Applicable Address: Name: 11 City State AddressCity • I lipc Phone `—' State: _ Zip: _ Phone: ~FEE_ StMPI:E TITI E HOLDER: _Not Applicable BANDING CpMPAA1Y _Not Applicable Name: Address Name City:. Address: _�_ �` City: I ZIP: ` .� Phone: ZIP: Phone: OWNER/ CONTRACTOR AFFtDV1T; Application is hereby made to obtain a permit to do the work and installation as indi�+ cared t certify that no work or installation has commenced prior to the issuance of a permit. i St. Lucie County makes no representation that is granting a permit will authorize the er nit holder to build the subject structure which is in convict with any, applicable Homeowners Association rules byla`"ws or angpcovenants that may restrict or prohibit such structure, Please consult with your Home -owners Association,and review your deed or 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 JO-0wIVMt Your failure to Record a Notice of Commencement may result In paying twice for iMpro'vements to y ur property. A Notice of Commencement must be recorded in the public records of St /� -Lucie County an osted on the jobsi_te/LU._C_fore the first inspection. If you intend to obtain financing, consul, with lender or n att�faey bt;€ara-coXlfT1L�^I^tPP Wh�i[ nr rerr.r:J ...,...._ �i_:.-__ _c .. Lcsseeluontractor as Agentfor Owner' STATE OF FLORID It COUNTY OF 5worn.tp (or afftr edj and subscribed bef, r(e me of this.day of I 20 ` by Physical Presence or Online Notarization Name of person making statement. Personally Known � V OR Produced Identification Type Identification PrnrIuced r ntotary Public- State of Florida ) No. 2'4 Z ? 05 (seal) REVIEWS I FRONT I ZONING COUNTER REVIEW SUPERVISOR I P REVIEW I RE GF.rgATT.'ERICE CWC6sIM # GG 242703 Explres&gM s, 2022 LANS VIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGRO.I1E REVIEW i ` I