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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: oZ, !' Permit Number: RECEIVED SEP27�2017 Building Permit App'�lication� Planning and Development Services i PERMITTING Building and Code Regulation Division St.Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: I PRQPOSED INPRQVEMEIT L�CATIQN Address: o Legal Description: ZZ t36 /�� rt 40 w Yi/1,14, I I 1 Property Tax ID#: Lot No. Site Plan Name: i Block No. Project,Name: Setbacks Front Back: Right Side: Left Side: � I DETA#LED DESCRIPTION OF WORK., d j I CONSTRUCTION;IN. ,ORIV' ldI ,., Additional wor to a pertormed under this permit"—check all that apply: _Mechanical _Gas Tank Gas Piping _Shutters I Windows/Doors I _Electric _Plumbing _Sprinklers _Generator I Roof Pitch j 1 Total Sq. Ft of Construction: �Z� Sq. Ft. of First Floor: I Cost of Construction: $ alPOD.O/J Utilities: —Sewer I'Septic Building Height: CtWNE2%LESSEE• € ,.,.r 3 CON1"RAGOR A: ; 1 e a Name / Name: .L /�11?014-/ Address: Company: City: State:� -. State: )'?- Address: Zip Code: 3y2/1 Fax: city: /;/ I Stater Phone No. Zip Code: Jy9 i �J Fax: Alll,- E-Mail: �o ��i��.� (+' L"AAno•/10M Phone No 29SA/ Fill in fee simple Title Holder on next page(if different E-Mail d from the Owner listed above) State or County License t 2 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CQNSTRUCTI(?N LIEN LAW INFC?RfVIi4TIQN Applicable DESIGNER ENGINEER: Not � / ' — MORTGAGE COMPANY: _✓Not Applicable Name: 44l E e ' Name: A'd ;ressw odil-lW14114,a17Z. art 113 Address: City: te: /-7Z, City: State: Zip: `A;(iVV Phone 7�7'- Vs. 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 st be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, c sult with le � or an attorney before commencingwork or recordingour Notice of Commencem 6 'Jr'111�p_ Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Ho e STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF C� ,CueL�- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ by this 4!r"—day of �l�,�i,��✓ 201 by (Name of person acknowledging) (Name of person a o edging) (Signature of Notary Public-State of Florida) (5 gnatur Notary Pu to of Florida) Personally Known OR Produced Identification Personally Kn Type of Identification Type of Identi C4Wr?,-!* KATHRYN L.SHD836O6 Produced Produced 3aPr~ s'� _�� Commission No Commission No. (Seal) Commission 1''� a��°`'° fission Ex REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE CL1OMPLETED ev. /2014 PPIPLEMENTAL CONSTIZUC i ION LIEN;LAW INFORMATION:, —6ESt1NER/ENGINEER: _ Not Applicable � I,VIORTGAGE"CCI 1 PANY: ^Not Applicable Name:. Name: Address. Address: City: State' Cit"y: _ __ I State: Zip: Phone Zip: Phone: i I I FEE SIMPLE TITLE HOLDER. Not,Applicable BONDING.COMPANY: _Not Applicable Name: Name: Address: Address: I City: City: Zip:, Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT:Applicafi6n is Hereby`ittade to obtain,a permiti to do the wor� and`Installation as indicated. I certify that"no..work or installation has commenced prior to the issuance of a permit. 1, i St.Lucie County mak?s no representation that is'granting a`perittit will authorize the permit holder to build'the'suhject'structurp which is in conflict with any applicable Home Owners Association'rules;bylaws or and:covenants that may restrict or'prohibit such -structure.Please,eonsult with ypgr-,Home-Owners Association and review your deep 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.plbns;the Florida`Building Codes,and.St.Lucie County Amendments.' The following building permit applications are exempt from undergoing a full concurren.py review:room additions, accessory structure's,swiri-iniing.popls,fences,walls;s'lgns,screen rooms and accessory uses to anoth it non-residential use WARNING'TO'OWNER:Your failure to Record a Notice-of Commencement qtay result in your paying twice for irnprovemen�s-toyour property.A"Notice of Commencement mustbe r corded and postedon the jobsitc before thje:first inspection. If you intend to obtain financing, consult/:.vlt.6l;lender or/a6attorney.before commencen wo,rk.or regording your Notice"of.Commencement Signature of owner/Lessee/Cgntra( or asAgentfor;Owndr Signature of Contractor/License Holder STATE OF FLORIDA / STATE OF FLORIDA COUNTY OF COUNTY OF I' The forgoing instrum?nt was,acknowledged before me The forgoing instru l ent as acknowledged before me iPais?1' day off 20.%?, byr this,,?? da'¢;tif 20' by M-ame of'person acknowledging) ` (Name of person aerledging)� l sigiart.ire of N-ota_ry_Oublia�Staibbf Florida} lgnafure of Notary Puolic-Siate ar Florida _r Personally Known :,' OR Produced identification Personally Known 11/— R Produced Identification Type of ldentii'icd�l�sTt'`'a-'*= .- Type Of tdentif;;'��*44z5L-.na.�.. -� - - )� \`� „N Produced Produced 1 �:+�� ^a' AL�iIll- .SH''OkTRIDGE - fidfl�` f�SHOATRII}GE � Nata�y.Public,State of larida ` �1(�1'� ��z* _"PJatary Public St dI rrltla > �f Commission N z'4etir Commission lit- l frU6 Commission Np�� y u "4�'�—= M'Y Commis.;ion Expi:esGi;t5/i8 MYCcinmisslonExpfru0Ift5/18 REVIEWS FRONT "ZONING SUPERVISOR PLANS VEGE ,ATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REV, EEn� REVIEW REVIEW DATE RECEIVED rj I DATE COMPLETED. ev. 01