The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APP B� 0 ( ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED COUNT Y .� Permit Number: �7z Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Legal Description: La e-sjoah Pt.,rK -un:+ Lk- 13LK 16,E) Lo4 W Property TaxlDN: /30f- b/Y-- 0t10 -r760' /o Lot No. 40 Site Plan Name: Aq kowood Ark Block No. 160 Project Name: LOPOi Setbacks Front Back: Right Side: Left Side: DETAILED T� ST9Pf 4-93 36 x9te %ronr AOJrC f\p S /Z-f., C-4^p1"C— Gas Tank ❑Gas Piping Shutters 1It�C�jll�Windows/Doors Plumbing ❑Sprinklers 11U�I L,J Generator I,JRoof = Roof pitch Total Sq. Ft of Construction: S Ft. of FirstFloor: Cost of Construction: S %. ( a k 1' Utilities: Sewer [] Septic Building Height: city: der Pie~ Stater Zip Code: 3V9S/ Fax: Phone No. 76A' .732 - 0 93 (o E-Mail: NriS 013n1 7SS7 0 -* a ;(•C. n Fill in fee simple Title Holder on next page I if different from the Owner listed above) or more, a Address: IS't kol, -7ci R L [v,A) city: Wee Stater Zip Code:.334 to Fax: SCet'BSS -ka3y Phone No..5Got -if5S"Y6S 1 E-Mail: State or County License: CSC-(N a.)A 31 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone State:_ City: Zip: Phone: State:_ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 Counttyy 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 orand 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 1 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 STATE OF FLORIDA COUNTYOF The forgoing instrument was acknowledged before me this-t-16dayof TcwJ64 .20" C' Pat s 6:,)Elc UL5; Name of persbn making statement Personally Known OR Produced Identification Type of Identification Produced Signature of Cont cto dense Holder STATE OF RIDA COUNTY OFOChli— Ken('L. The forgoing instr�me�nt'w'as' a'ck�nowledged before me this If day of Uw rtig t 20,7. by j .Q've'S D. Qsd 's Name of person making statement Personally Known OR Produced Identification y e of Ide� - nt—i?%ation Produced N�•ISfc/� s�� (signs ure of Notary Public - State o(Florida oo'') (Signs— t r�tary Pu c-State of Florida) Commission No. o4ry Prmn Ora olFgdda Commission No.eA+°�e;� ANQ6eeFDUNG is, do Hunedo I. Commission#GG9888ud NYHH I>63pilon Expires Apr1112, 20_1 REVIEWS FRONT ZONING SUPE PLANS VEGETATION v SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Rev. FLOWDA JURAT FS 117-05(13) — Effective January 1, 2020 State of Fonda County of PA SwOrn to (or of hyx4 and subscribed Dafop me by i amns Of ® Physical Precarxe, —OR— ❑ Orillm Notarization, this 31 dayof,)tA Im(r aoaa- by Dar nfermt year JA WES D. DAVIS flbm Of Pe Saemfrq or Aflbmmg S/ =-of Pub —Slop of Ronald ANf'PI A YQ 1NQ pNGd.A fGl1NG Name ofNotorylyPad. Pr/npdwSi mPed av:v a G ,,,u,,G0,968864 VPersonalN Known Expires April 12, 20?9 N^Q a maw rip pvvrxv=.: ❑ Producao ldentlecation h� Type of ldentlficaton Produced: PWce NotafY Sea/ Stamp Above OPTIONAL COmPpanp mrs 1,110maaon can deter aseraobn of the document or Avuduiem reattachment Offnh Form to an Oft ndW documMC DaaeriPdon of Attached Decument The or Type of Document, Doti n Dap: Nwnbv of Payaf: SlanWM ONer Then Named Above: 020te National Notary AssoGation