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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMP«i rD FOR APPLICATION TO BE ACCEPTED Date: Permit Number: U I a OIJJ 1 Building Permit Application Planning and Development Services Building and Code Regulation Division 23o0 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED I(VPR®VEMiENT LOCATIa, :``� Address:-2 C) Legal Description: 61 G' � ��i ri ukI57 �� Property Tax ID#: 14.1 32 "U) I - 00 /5- od o - 5 Lot No. 2 _ Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DE�S�Rd.PTION OF WORK:.,, ��: � � LCO NSTRUCTIC7 I!N1=0RI\lIATION Additional work to be-pertormed under this permit-check all that apply: j _Mechanical _Gas Tank _Gas Piping _Shutters" _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: .Sq. Ft. of First Floor: / Cost of Construction:$ f 2 2 Utilities: _Sewer _Septic Building Height: 1 OU;►�N R/LEA-SSE CONTI�ACT©'R: Name�l� 1 J ' Name 4 "c7Y' r� , Li(7 ,.� � ,Address -i if Company , ', 45 ,•lst7r C. Cit . � � ;,� State kc Address �,���¢`' , �>•�✓1 `C City::� �L{- .Stater, Phone No.0 \5-71\2 _D2,5 Zip Code: Z�� Fax: E-Mail: Phone No r1r12 L4 Cj L/e( Fill in fee simple Title Holder on next page(if different E-Mail VC n from the Owner listed above) State or County Licensee, CC 2 19, If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 1 SUP LEMENTAL CONST ION LIEN LAW INFORMATIO' 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 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 commenc'ng work or recQrding your Notice of Commencement. e � Sin u e of Owner ssee/C ntractor as Agent for Owner Signatur of Contra for/License older STATE OF FLORIDA STAT OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was aFknowledge before me The forgoing in tr_ument was acknowledged before me this d 7 ay of . 11 P1�,2011 by this day o oJ?__20 by nn�— • L��(71 � � VZN\�� 11 (Name of per on acknowledging) (Name of person acknowledging) �P (Signature of Notary Pu ic-State of Florida) (Si ary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification .,�t�.� ShB „8Type of Identification Produced 1V 1W1I' ft (ftduced- * WON IS 8 French Commission No. i6 MES.OCL 039 mission No. � 10NIGism 'k It Bonded lfuu Aaron Bomw lfau Aaron Nay REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW -REVIEW- DATE RECEIVED �J DATE OMPLETED , V. f ( wV 3� 10 1 f4ogr p.;:xgc.E ' , JJa J t L coavvr6LATr CONCEALED FASTENERS OR ATTACHMENTS - ARE THE RESPONSIBILITY OF THE riLE COPY CONTRACTOR OR RECORD THESE PLANS AND ALL PROPOSED WORK ARE SUBJECT TO ANY CORRECTIONS REQUIRED BY FIELD INSPECTORS THAT MAY BE NECESSARY IN ORDER TO CON4PLY WITH ALL APPLICABLE CODES. i I ��� ST. LUCIE C06NTY BUILDING DI ION D REVIEWED FOR COMPLIANCE F) REV IE DATE T PLANS AND PERMIT MUST BE KEP O ,,A JOB SITE OR NO INSPECTIONS) W116A MADE �, �:-� ..,� ��>� .. -�'+ �✓.T ,d.�=1> , .� 'a ;} r�.. .i +''�'� A 7 n �.,. , 9.�:y�-a ' } " ems, a I i , � + _ , � Via. ,�. t - � �. n ' S ... .e � .. � �... � ,' '+ l� .r., �Stt �i - ' +' , 1 � _ .A .,� i.'.i. .-�, a �w �'-'4 _, 4h ..�i t _ � _. _- ..fit ' • � „ , r r i Health Department approval stamped on survey and floor plan........................ Yes No /A Health Department Food Establishment Permit stamped on floor plan................ Yes No�V N/A Manual "J"or Manual "N" Calculations........................................ .......... Yes N N/A Signed Energy Calculations (1 original signature).. ..... .... Yes No/ N/A I Sealed Wind Load Compliance Certification.....................:........:.................. Yes No N/A Product Review Affidavit...................................................................... Yes No—NIA Other: Health Department Permit Paperwork........................................................ Yes No`✓N/A i CD for Fire Department if commercial or multi-family...................................Yes No v/N/A DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No P"*N/A Pool Barrier Affidavit........................................................................ . Yes No VN/A Ground Sign Landscape Affidavit(signs)..................................................... Yes No V NIA_ Burn Rate for Sign Cabinets.................................................................. Yes No�/A RV and Mobile Home Tie-Down Only(2 copies) Permit Worksheet(Tie-Down Diagram)................................................... Yes No—N/A Manufacture Set-Up and Installation Manual..............................................Yes—No—N/A Manufacture Blocking Documents.......................................................... Yes—No—N/A Signed Penetrometer Test(1 copy)......................................................... Yes—No—N/Az Stair Details.................................................................................... Yes No N/A Mobile Home Inspection Report for Relocation(used only)........................... Yes No N/A. Copy of Title for Relocation (used only).. ..... ...................................... Yes—No—N/AZ Private Property not in a mobile home park Class "A"Approval from Planning or file#................................................ Yes No—N/A i