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Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE 1 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `� �JQ Date: �) Permit Number: ea i — 0 r v� 2 RECEIVED o A AUG 18 2021 St.Lucie CountyBun Permit Application Permitting Planning and Development Services Building and Code Regulation Division Commercial ResidentialV/ 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: rto C e PROPOSED IMPROVEMENT LOCATION: Address:z0 dN ►/' Fl Property Tax ID#: "/ �� ' -- (�'�' Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: ll Rom- L10 "ecA 5�c�� lO rem 51 -e s� �\S-= 7 ? New Electrical Meter Second Electrical Meter P STRUCTI'ON INFORMATION: 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: $ Utilities: _Sewer _Septic Building Height: N.,R/LESSEEI: CONTRACTOR: Name - not Name: e.0 ` ay., S^? Address: Q Company:Vl*_\J r. w�StY City: P D rt Sfi I_ I e' State: F L Address:. ccn, Zip Code: S QCV1 Fax: City: State: /`/• Phone No. D' 0 Zip Code: 3�V'75_3 Fax: E-Mail: 6L Phone No 7 Z 5-2 C- 6 2R Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License�IL L660603 L/Y 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. ' �SUPrP�LEMENTAL 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 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 len_der or a rilattorney before commencing work or recording r Notice of Commencement. Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORP&,4, STATE OF FLORID COUNTY OF AZ COUNTY OF Sw�oro(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of Ph s'cal Pre ence or Online Notarization Physical Prese ce or Online Notarization this f ay of 2020 by this day of � 202Tby� J k f 4k 01 M=u►.g'Q n l )S e tit Name of person making statement. / Name of person making statement. Personally Known OR Produced Identification V Personally n OR Produced Identification/ Type of Identificatio Type of Iden ifica 'o /} Produced i ` Produced _C51_gna2p6 of Notary Public-State of Florida) (Signature of N ary Public-State of Florida) Doti+tL�ruB�rc JESSE DOSS Commission No. * S Isslon#GG263069 Commission No. (Seal) m� (ExpirfsSeptember27,2022 0 y 0 IF:f1.OQ� 8ondedThruBudgetNotaryServlcea REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. SURVEYOR ND7ES-i / ADACUS LAND SURVEY=. INC.$ETS 4,STAND! RED AND A CAP MARKED ILB 702S.AT ALL CGRI P HEREON. SASD CORNER,IS SNOYN AS•*,AND FIELD S,I�1F� i. NT ,✓/ .ea` p7—. /-2 ) ^ V �� - - BASIS!ff IIEMINGS/ANGLES 7E1NL THE �••. PER RFO[IRD-PI r i UP (C) W.M.ALMILATED', • V.H.O It .DEED OR WSCRIPTIQ! U.P. i.R:C. I�RM L CAP c RM AP FiO S(/ /X 40/� •- ._ Ol S -IC/C eC r[I �A�(B..IG L�iS'A SS'�:�• - P.T,- .Paw�uWATCYE I iF•MA,C• 10EW_q 7C MMA*J HT i p� A''� .d 7 P,R.G. .Po HT w REVERSE NLD/T 5 p0 a 0 �QG l�7 G J Q P,C.L. 'Pal CURVATURE DMPDUD R/V CJ Q,�L• ! - �. P.C.P. POINT Cl1NTRDL , •7 • '� I••(p� ' - rJ/� 'A� _ D.N.C,.DRAIHAGE WM UTILITY EAS MtNl } ' HICHEL R.LA%lsam DCS NOT GWEE E'� RICHT-W-VAY, SETBACKS-RESER SIMILRWTTERSWTI�ORRVisIBLE E,THIS S1RVEET vA AR SIT TITLE AND ALL MATTERS OF TITLE ATTMWY. THIS SIIRYEY i5 LRF VALID VITNWT THE t1 9 d RAISED SEAL IF A FI.0RIDA LICENSED SURVE maim�Fu"AT1on,, ,Wp Y VANE NDT HEI Gli �LSr �y 1e - LEGAL DESCRIPTION PRDYl11ED BY CLIENT. G f !C 3 `� LaT �� •.THIS SURVEY IS FDR THE USE DF THE PART +L dIT t HEREON, AND IO OTHERS. .� ��„ •v — OWNERSHIP OF FENCES tWNDYN, �'�...,b'p { ACCRiDIHG TD THE FEDERAL EMERGENCY PA. _ CJJ fIu, FLEin 1NSURAt$E RATE NMS, THIS PRWEI' O •N, �, , ; VVV - CDMHlRI1TY PURL 1 BASE LT.CVATI@I ADDrnoNSORDEIkTIONSTOSURVEYMAPS BY OTHER THAW THE SIGM0 PARTY IS p' b PROHIBITED VJITEIOUT•VVR TM4 CONSENT LEGAL D E OF.THE SIGNING PARTY. I LOT' SLR l BOUNDARY SURVEY 4 l "PREP RIM FOR C�l iG ea- �� a�c �� iarldse Q GAd,�icc ewvz4& ACCORDING TQ THE J ! _ FDS /�( RECORDED IN,PLAT I FA Ga/.a 0dlr GRJA Kv/hEt'.vciAG SE�vrc� 6041 GE S7L' .71' C RDS p. a• - . - � RECORDS OF -.Si. - LSS1c7 aQp:pa C � A, REVISIONS w /moo, Fi�sry" �Tc'Q,ci/PT%v�f¢c. �"i�Z6/,rS� dE.JJZ' s�%f/ SUR'VE '_COfZ'S. CERTr F"IGATE ABA LAND' I HEREBY'CERTIFY TO THE BEST OF BELIEF THAT 089 S,E, dA THIS SURVEY,IS TP.UE AND ACCURATE, SU8JF-CT TO PORT ST- LUCIE ALL NOTES AND tJOTAT10NS SHQWN HEREON: (772) 336-99I � I _ AA /� �' SCALMICH •A ON PSM 5723 DATE F.B.