Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 8-7-2151-7 (�' � "'/ All APPLICAEiLI: IN [?ate: I= MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: 9'LL Lu(nu- _ e L' I t 1 1 L A` Planning and Development Services Building Permit Application Building and Code Regulation Divisian 2300VirginiaAvenue,Fort Pierce FL34982 Commercial^ Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: t 0 I Property Tax ID #: Site Plan Name: Project Name: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Q. C QUO � Lot No. 15 Block No. L2 Additional work to be performed under this permit— check all that apply: Mechanical _Gas Tank Gas Piping _ Shutters windows/Doors — Pond Electric w Plumbing —Sprinklers ,_Generator � Roof Pitch Total Sq. Ft of Construction: .��r-� Sq. Ft. of First Floor: Cost of Construction: $ 0 S ,OG� Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: Name Wfff i City: State' Zip Code: Q Fax: Phone No. — Q E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Company: .� L City: State:F Zip Code: Fax: Phone Na 7-"-4S yc E-Mail SS1 C i Ill tr— State or County License If value of construction is 2S00 or more, a RECORDED Notice of Commencement is required. If value of NAVC is $7,500 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: Address: City: State: City: State: Zip:.._ Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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, wails, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your f e to Record a Notice of Commencement may re t in paying twice for improvements t ur ope y. A Notice of Commencement m t be r� and d in the public records of St. Lucie County an post d can t jobsite before the first inspecti�f you intend_ to obtain financing, consult with led o an a ne bef re commencin work or record- uf Notiee f Commencement. Signature of Owner, Lessee/ContcaEtats Agent for Owner Signatue pf Contractor/License H Eder r STATE OF FltORI STAT O I FLORIQQpp COUNTY 0 _ COUNTY F C�rC Sworn to (or affirme I and subscribed before me of Sworn to ( r affirmed) and subscribed before me of P ysical'jPrese a or Olin Notarization Ph cal Presen or O line Notarization this _ day of 2020 by 's 4 day of 2020 by Name of person making statement. Personally Known --k— OR Produced Ide t IC tit Type of identification Prod ced ul { igna ure o Nota ? e Notary Public State of FtOhda Commission No. Kari M Ricoh^r�4i ar commiasi 96793a oF+ u� €xP+res 05/28/2024 REVIEWS [ FRONT i ZONING COUNTER REVIEW DATE RECEIVED DAT.. E ____.._ COMPLETED e?v. Name of person making statement. Personally Known V OR Produc d Ed ntification Type of Identification Commission No, YA1�, SUPERVISOR I PLANS I VEGETATION REVIEW REVIEW REVIEW ivotary PAI St �s��ee iM Riccab,fhfpnd. My COmmisSiOn GG 967938 l=xpires 0512WMIA SEA TURTLE I MANGROVE REVIEW REVIEW 0 cb 0 _0 O. (D si z O 0) J 0 a r m -Ti m n z m Is CD N m tV N W o) n r- N coh O 0 0 En 0 co m m c 0 r. m 0 cn K 0 0 C7 m z A m 0 C- m C" m z v m iu m W Ma rn tr ao W Co CD n O (p A z 0 0 as to c� c 0 F. 0 i v x m C_ m i" v m 1 ri rn v l3) - co co 6) N D -4 z 0 n z v v 0 0 m 0 N m O z v n ! rn � C7 A C7 0 m � m � fi7 z —4 m to co to E z m TD m z A m n 0 v O 77 O z c tR GT ED V U) u cz ry a 4 c� 0 0 n n c D 0 D C 4 m 0 0 m cn RI (A 0 W CF) im co V � Crt tC � � C] < 0 00 N --i 73 a � � v x N z �to m 00 0� < r z v xi;E ro oz �x m z x au ro� rn m 0 z v m N c m m z m z r z. C. 73 E m Ui m m 0 w M m 0 0 z o z z m m 5 o Q cp .. z�' 5 a 'z n r a 0 z m cY m n c O m 0 0 z D 75 z zi m x b 0 v 0 0 m Y/ I O 33 m 0 0 M o D > 'r r-- _D 3? C3 C7 z Ya z' C) b �q raz 04 0::Q 0 c o <0 MC.a n CC n to 3 N a � � 3 M c 0 0 �/�Rt sdEaa° 'v w_.: �_ n MO M.Y q� M^ CD `o-� "o - � �C¢ -n ar a 3 a 3 x- w, 05t0:5r--q. -ate wWIn r m top � � �1 --u�i o Z C '• 2 .. mO,n ads x 0 (D -B -0 tci �KCfD Q�N7 :0o me Mam � o S° b 2 tD 00 �' Z" tD (D p tb 14 a tp �p M: ;EmnC�CO a O `3 TO ° ` o 0 =a M ��oo rp O.X {mc�+D' �'r�pCS o N SS 3 ^ CY O. MA -N � ...�.L `gy m ' M a � O 33 nC=._.-.`gym � x ago, mmCDG CD 4Nm� CD Qm 0CC)- �Nqy W Uim c. a�9_�i Ca. �N^^pmp- —cyQ O <WRQ8g 3tS S O D CL r 3 C m CD -IM CL a t] Q1 6Ryl Q y '.� Oto lG v m � 'S3 0 v a 'ZI o. � -• ;_ tin m cnnm o mmy �w �', iu p 0 > CL A CL C) -i A D C) c1 cD �moro .:�, -+ 0 CD 0 M Q C to a gyErr C C a cmu to Q a r ro w o CD n C? tp t7 O Q a a$ i ro Na � n =r W- - m C :E X `C 3 Q. Q3N .»N G7 Q W • to r N 0 CL fD 11 C coQ LI? 4G°' oo`�� wow w R n m w 6 m- o w m o o A C 0 Q 3 x Q CL Cr CD iisa o S mEn CL: Q to C1 0 m Idm 2L-CM = M =rCD Q m� i au0.8al cc,: romp X A7 vi = O o o 0 C•5CI r-CDamS �� NHS M a- � to m o M tL2 tf3 �%uCD w Gs 0 (D0 3cn�iw ��m p Q-� CD C1 a eg CL '.i � z �P m 2, �tp3�svc�m cp O --`�x-•a ��. cr 06 o ~v ° 4 m L to � g � C� � ., �'• CD N CL a ^ z hiO c_a �.& egg "��`� CL C] C O m Q. tD Ol [D 47 co 0 m CL M CD A m 0 0 c g CD a 0 Z 5 CD Q C 9' CD 0 CD CD 0 C 0 z C 3 x m 3 0 m 7 (L N m to 0 0 0 z O 0 � N o � w Ch M R Q > Q Ci N o' CL 0 0 w N o - �`� v Z � 0 `D z to m b a 0 Z 0 m = m M iE (Q g 6 {!7 ra 0 0 - c Q C_? A z 0 0 M .Q r A c�A 0 a CD CA z D rn ago rn A Q n r rn rn 73 D z rd m LO ro w 0 0 "a gm is&vr'jpoytoz aOjjrfnyj03JzaAO ZZQtoaCptocy as .-I =is 0 33 00.4oz jrn ac)-4 -in r0n'3n'nmq OO 00 r p N 01 Zn�mnnpz 4 la mQ=m" z g�w-<Mc33 >:n33 n00EUtoyrn C3 a 1OntAM 0c: IACm©c7,-42wC) O CACA40 �0A-4-4 � 0©p=C-400Z03.1" b 3] m ...� ��v-�rn �-iaMz-nz fl O O U) a+[�C-0 � ouNm -CA- 31rn- rn0�Q(0r- ZA ID no t;E -C��O C)&rd:10. 2!C3-4 CAc:-4 ia35mQnoIS °is ai C7mrnCA3 Qch o=sp'O- a?aOcArnz -� r- �l3 aOa33rni41=�Ktn rn C)_qC: j<)'nOAD � WE r- S, Of r- 0 al c) -Ii'Q33 to is C__no _4 r- Zis ism��'<OCZ �rn-4 A2;1,v-4isrnvr- C7rn=pZr-to m5toZrnZ �N-qm-��oma) >Q omma0=.BOO_qa 00moci'vrn0>m* M>Ozz-- '-mm av�M-4r,M 3arnm rr-<m>-<� CZ Zr...0 C7p� I �mZ.,�QZ�=C�MOZ 00'�2: v0 o13 9) rn w ,gin-n<<'<-<2'Qm>0 w mzg-n0-4mFT<b Z -[ m •n 0 C 33 0 to m n o r-- ZD�37A -4 m� brn"4rrv0 640.4 no 000 ©via In01;-4tflv3D3is=Z• r�Z� c :0Mzo"--U Oom-v33- ism.��rnrnc0> r""0O�m' r"'O�Z33 M C M4 = CA Xm0TtooTQfon� ci01 ZQN.� � cg mzz(h0_ -40- ro _q 1.007tfo O- O nDO =5 0 -jMz�°�- c n Qcn2'�o 0 x�zn� w 7700, w � Cori m r- zrn20- 3 -{ C7 x' p iC C2 yr N mzcom C1?_ O r-ia m m y 73Qir-c C ohyp aV �M<M R 0) s mz= U} rn C7 v> -�• O n-�� OP o zc� J.M<w; f mmm 2 ffi A. 4 % c IJa,m� qfl-ica a n p _ rn> a 'O'�3 dMOR � m MMZ ill `-) Q"D m - i� rr� o�, 3 � z cn�� a a O a g "n � �F 0M(D Z�=Wro vc7� V w _-EZ Q n 0-4� 3 % w czn> = W wc)mroca �i rn -4 0 � o{o�'w o�am D z n zc)� SO 0 D 3 3 as m a m m ° w 6 0 0 a w � a . n n d a 0 3 R. A > g m'^ OR @ Xw 0» rn WOO- - n ;Q0 LD N S Mm0C c W CD fl. mw 3 "ES W c- ONE amMy kOO2 -__cv 0 :5. D S-C ME C m =05E w0Q� Alm" g mans mmm, z v :; A M DTo: em X( mam- �aa U S . o w o Q C Hn: vyq, 0. mm °' nac 00, *1 nm� aR 3 yam co om m a 'Ii 0 0 3 o CL CL 400 :r 0. 072 = !R, a" cry, ZE 00 0 0 CL 0 cn 0 0 CD CL 0 as 5 �,;u =r , 03 zr 0 40 =r tr O o 0 �m ma 0 O-N 03 0 0 :r co ri r- 0 :E o M U) Cn 0 C: M > z CD m U) m 0 L4 M -0 fl CO (D P. -< > o n M 0,; z a) 3 — 3 Cl) U)