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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: Sao LUCEI E *44A . Am"'101All Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 i PERMIT APPLICATION FOR: Island Kitchen & Bath Address: (�(l (.eD S vC "4_0 _ U�-V_ -* 461 6 C,Q/I . Cc- 3`4qS Property Tax ID #: ' z O'-k ^ C>Ol II -�C —<�F_ Lot No. Site Plan Name: nn1_7f"i��7-- �_6Y11� i^�.r? r�rlVGi"4'c dY► Block No. Project Name:d'�✓�- New Electrical Meter Second Electrical Meter �xFill �' .,� .�. N Additional work to be performed under this permit - check all that apply: _Mechanical — Gas Tank _ Gas Piping Electric lumbing L Total Sq. Ft of Construction: _ Sprinklers Cost of Construction: $ 1 (O ( I �� • CIO Shutters Windows/Doors _ Pond Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: NameL2�:j rxr i,' —i'Q_r I-- Address:L lc;l S o C_ City: <TIL4�3.C� %-� State: Ef__ Zip Code:,- t)q- }S Fax: Phone No. E-Mail: M -hoc . Cam- e Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Justin Thiery Company: Island Kitchen & Batyh Address: 10875 S Ocean Drive City: Jensen Beach Zip Code: 34957 Phone No 772-237-7348 Fax: F-Mail ikb.pm.assistant@gmail.com State or County License CBC1259508 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. State: FI R/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable r Name: 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. Luc i County and posted on the }obsite before the first inspection. If you intend to obtain financing, consult it ender or a tto?ney before commencing work or rec9rding your Notice of Commencement. �4"' ��fl "/ )L /__� - Sin u f O / essee tract r as Agent for Owner — or igna re of Contractnse Hold STATE OF FLORI STATE OF FLORIDA COUNTY OF COUNTY OF StLudee Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of n�ysical Pr Bence or Online Notarization x Physical Pr Bence or Online Notarization this/ day of 2021 by this � day of k.b,u/ 202d by C'Q h V_c 2 ( -Q_C Lam- Justin Thiery Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produc � Produced 777�� / (Signature of N ary Public- State of Florida) ignature o otary Public- State of Florida ) r�"Ay ruB�c MICHAEL RAAZ Commissi o. Commisslon#(� 1620 v ru MICHAEL RAAZ Commiss on No. o��;••. N% # GG O'194) " Expires July 28, 2623 mmfsslon ' Expires July 28, 2623 r Qom For r•�°Q 00 1dd Thru UU4901 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.