HomeMy WebLinkAboutBuilding Permit Application 2-16-22 02/18/2022 FRI 9: 25 FAX 772 3367566 AC Advantage, inC. QJQ01/Q03
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �.(7a' �l- 7LfJ
)` L'-UQUL RECEIVED
" '�-
" Building Permit Applicati n FEB 16 2022
Planning and Development5ervices ST. Lucie County, Permitting
Building and Code Regulation Division Commercial CiBI X Resi en la �
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1576 CBDG Funding
PERMIT APPLICATION FOR: VAVA-c q�AL c(,-iQKC c-( `
PROPOSED IJVI;P'R' VNIN.TLOCATIQN;
Address: � ` S WS,
Property Tax ID#: � g�$✓ `'`-rot'- �- Lot No.
Site Plan Name: t S �(� Block No.
Project Name:
', P 'f` 'ifr, '11',�' ''�" •N4" iV:rr: n+.. ri,' ..j, `i'�l'.'�•'� jtt :�''iil:(°3t,�-::ql.•,1�("R:iy�S'� '.'i' a!¢•.y',:
; �.a$,.' a•,r a'ia i
DETAI,ICG�',[�1'E51f.1.,� � . „1 Rt+Cfs;;, ' .,•..,aFv,: ; �;. ':;' >-�,'aA� <,ti�;; 'r', Y k �„ n �, r n;l;;c
p��.P:1. r4" .9.� :•C•,vn"9'H_ L.�� v�r,,,�l„�F!.;,, a I��ii''� �I1,1,� {i.1.Y�F�RI„�r�°�.tnl Y,r.9�/..�j �..�..l;atiti�.�Su�•1�7i}c.•��'(;1$..••y.Yy��;R.,,l,,.� ,1
�.i �� A:r,S. a�dr�'o.: :o: 1; .,r�k F: Fr;d::F e�. � •;ti`' :`�:.� :17:".J�r- ,::ye•�.�.,, I�?l.t� I,l t ?���,1�"i
New Electrical Meter Second Electrical Meter (Affidavit required)
i
:Ib' 'Y''i r:a:`:1 Y .°:Yd:",i' '1., ;ad(;•Lf ,,"7 i'y. Us .f !i,T•1:. :a.. dti;: r i :1,'?l;
'•1 ,F' �!, '1 i .Z r"•:'i"dIF,Ir.:�N„-- tl".• l :{ e'{RI
a}: 5-1
-1: 'M.J1 a -';CJ;���l
I 'r'''": C, •• •IG �l•,).,� c S:i"i�•1. t IJ�wi't �.J, N�;' r�:•:: .5
,��,•�,'�iTR' �1F•'Q .�F :F" ;R '1'I' ISI':?•r=i-:•1,.�,J;t :;�,•i., `�:.:;, ::;a'r�••�,,,,..11:,r ..kar,,,� �'�t �f .r'o;+,. t,,•_,
)
�a„�.. ��" :.R' - '��A� CIA ;i L`•l: f(i I���,+� 1 �E'1 ll•.•�1 0. ('�,... \J �.�,� � ',
' ,a1't',d:•ni!.fni:�,;"•St"ok".�J'A,`•�1•'RY'.r;.L��._'Y,•a� ,,J:4; ,t: I9"P�.I .',�!1.�:: r;� ,� r,.i.. �-,{�iM1
Additional work to be performed under this permit-check all that apply:
,Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:' Sq, Ft.of First Floor:.
Cost of Construction:$ (COn Utilities: _5ewer _Septic Building Height:
•�L ! 1�� �r' r 4'J{t'yt L 14�1'l�� r ,: •T�h,t��al 1 •„I�M.F_,
q`�w : n�j �fcl 1 �jf.�jpt�l�'ti NIt: ( ���' 1° (e, WY�1 i S'
4ulrifY 4Sr � mA4k+JTa,r: iW7 1'{ Khe'i3ti<, ti•. "' �; '?FJI ).$ v �{wrtkrX.
Name PV1 WW, G c)_ Name u r
Address: i -i S Tw , 4t 302o Company: alp
Ci 60VL k CNa-b S State: � Address; -U, �� W
3 � � x:Zipo
City; (-L-g-- - State:
Phone No. E- Zip Code: 1 Fax:
Mall: Phone No --)--1-L
Fill In fee simple Title Holder on next page(if different E-Mail (LSV - LLC .V � txC. • CY)
from the Owner listed above) State or County License �I�L
If value of construction is 2560 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.
O12/18/2022 FRI 926 FAX 772 3367566 AC Advantage, inC. U002/003
.SUPP.LEMENTAL CONSTRUCTC,ON".LIEN.LAW INFOR;MATION.. '
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY; _Not Applicable
Name; Name;
Address: Address:
City: State: City: State:
Zip; Phond 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 reppresentation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any apt�I(cable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wltn 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.
i
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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with leider or an attorney before commencing work or recording our Notice of Commencement.
I
SI awre of Contractor-or;Owner Builder as applicable
i
STATE OF FLQR1Dq
COUNTY OF {"
Sworn }o(or afflr d and subscribed before me of 2 Physical Presence or Online Notarization
this Ids day of 20U by
Name of person making statement.
I
Personally Known _OR Produced Identification
Type of Identificativn Pro c
( nat a of Notary Pu ic-;State of Florida)
Jamie Perria
Corn mission No.(-4--1 2-0132-5(Seal) NOTARY PUBLIC
STATE OF FLORIDA
Cft"GG287323
— Expires-10/20/2022 i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVC
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
PATE
COMPLETED
ev