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Home My WebLink AboutBuilding Permit Application 12-6-21All APPLICABLE INFO MUST BE &��.:,'.AETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ;kol 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 CBDG Funding PERMIT APPLICAT 10N FOR: PROPOSED; IMPROVE'MENT.LOCATI:ON: Address: \aSaS S OC-N&O n2, segoseQ "P,gA-c4k r t� 3y95 7 Property Tax ID #: Ll5 It " 5i�V -060 ' a Lot No. Site Plan Name: J Block No. Project Name: 'Pif--Ar4,L V(Z" I_ vAA-PO 04,�L _Lf IETA1LEp•DESGRIPTION°;OF WORK:'; �' ,� New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION%INFORMATION: . Additional work to be performed under this per it -check all that apply: _Mechanical _ Gas Tank s Piping _ Shutters _ Windows/Doors _ Pond ?t Electric _Plumbing Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 5'1 Sq. Ft. of First Floor: Cost of Construction: $ SOON Utilities: —Sewer —Septic Building Height: OWNER/LESSEE ,, ._�� h � � � °V1-'f14L-r CONTRACTOR �3° Name d 6_ W463a3 Name Address: uaeaS CompA`ny:.- .Puo&� City: -v-,zi '13 State: R,:-f • -Address: A444, 42"e °►-tx4 4Ak577 40,7- Zip Code: -i 14'g 57 Fax: City: 6-,rL9'P',Q f State: �L , Phone No. •7 9- aD -I oZDa E- Zip Code: j c14 '; -7 Fax: Mail: 0J 'FRd,zf ^ aAAto,1, Phone No -7 7d - ago- 73 77 Fill in fee simple Tit older on next page (if different E-Mail 1%t%¢t4lAD 604-1 1%Co�44-cL, ee-vi from the Owner listed above) State or County License /is 1500 it 466 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. SUPPLEMENTAL.CO'NSTR';UCTION,LIEN L'AW,IN.FORIVIgTION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: XAAA4`rr^7 5)A-k7- _ Name: Address: &?, ;t DANt-r-t ct_%±4 ram. Address: City: -6YV A2, Stag City: State: Zip: 3 qA q7 Phone a6 *3- 06'27 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: ivS&55oe4A0,p� 1�-t—L Name: Address: ios aS 5 oc *A-3 D Q , Address: City: --%3 pL < Zip: 3Y0iS7 Phone: ?7a - a0 J - 10L6Z City: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 our property. A Notice of Commencement must be recorded in the public records of St. Lu ' n y andst poe the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney beftKe commencing work or recording our Notice of Commencement. Sig ture of Contr for - or - Owner Bu' er as applicable STATE O MVIL-r COUNTY OF /1Y Sworn to (or affirm d) and subscribed before me of " Physical Presence or Online Notarization this _Afi day of J c Ar* o VA 20 by /Z/ R dC1C/t7 [-AhLAr Name of person making statement. Personally Known ✓ OR Produced Identification Type of Identification Produced d,?i vgK 1s Li e arc, et ✓I&(-- (Signature of Notary Public- State of Florida ! Commission No. - y�Oj s9� "' Notary Public State of Florida Robert M Rice My Commission HH 103595 Expires04/03/2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12721 All APPLICABLE INFO MUST BE Ccnii0LETED FOR APPLICATION TO BE ACCEPTED aa ` Date: Permit Number: O ° 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 CBDG Funding PERMIT APPLICATION FOR: PROPOS!ED'IIVIPR"OUEIVIENT LOCAT[ON,a' `` Address: 105 aS S 0 CtA-,.o D E7 , ti} ge3St�kA R °oW_4L 3 K 41S-7 Property Tax ID #: - 5W - 0e6ct1,-- E 00 - Lot No. Site Plan Name: Block No. Project Name: µkUO r10 A t. Kral L`i%t'CZ Gii6„--�,3 Hr99upe.� New Electrical Meter Second Electrical M er (Affidavit required) CONSTRUCTION,INFORMA _-10 Additional work to be performed under this ermit -check all that apply: _Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: LA g , Sq. Ft. of First Floor: Cost of Construction: $ S . Dry Utilities: —Sewer —Septic Building Height: 4OWNER/LESSEE,#CON%TiRACTOR S� Name a&o9 L Name: ,,. Address: PLA-I r<1 r ;Company: Gv Gets-�S Ll� r' 'Add ress:`q 0&_kfd42?=& zLojz�_ City: M__'Stater -' Zip Code: `ir-t 45 Fax: City: S7-L"Az_'f- State: �C Phone No. ??'al 0__k E- Zip Code: 366 ¢i Fax: Mail: 5£a�D Q-'D4AzAfRB,-C C2,e4tAj , Phone No 77a - a6Z0 -7 3� 7 Fill in fee simple Title Holder on next page (if different E-Mail GL,4A-f1A3bD--2z6§26> (2 &4A )G, cam/ from the Owner listed above) State or County License iaoD 11 y6 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW,INFORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: ZA,9Ay,� q) Name: Address: i 4h�;?2 Q_i.`a'1 ao Address: City: 6 W A, State: 1 City: State: Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: ,,� S 5 oc�u Q rr i'-t— c— Name: Address} 10aaac- Address: City: City: Zip: ygs 7 Phone: I 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 Coii my makes no representation that is granting a permit will authorize the permit holder to build the subject structure which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 failure to Record a Notice of Commencement may result in paying twice for i oyements to your pro . A Notice of Commencement must be recorded in the public records of St. ucie County and posted on the site before the first inspection. If you intend to obtain financing, consult ' with e before c mencing work or recording our Notice of Commencement. Contrac or - Owner Bui r as a Si ture of —� STATE OF COUNTY F OF fly Ilk r/Il Sworn to (or this b day affirmed) and subscribed before me of V Physical Presence or Online Notarization of he C."dr" , 20U by � 04 ' A r �.e � i_/J Name of parson making statement. Personally Type of Identification Known OR Prod)Fed Identification Produced 121k, wl Lac sz: (Signature Commission bf Notary Public- State of Florida) No. f' �f1�35� r (Seal ,p'�'r Robert M Ric stale of Florida Robert M Rice My Commission HH 103595 �jOrExpires 04/03/2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE CO PLETiJD Rev 1U/1Z/