The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I Date:'(0. \A• \. Permit Number: O ! 6141.w_" "t,.=,w;c-a +�,a-.»:.;...:7 O/ �t �^r• fir:., ;a.,E Building Permit Application a Planning and Development Services JU ! � � 209 Building and Code Regulation Division °Et;:li-I i�dG 2300 Virginia Avenue, Fort Pierce FL 34982 Ct' Lucie unti i=L Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 3ROPbSE4 CMPRCVEMENTLQCATfQN ;, �1'y Legal Description: t v #--fL__ Property Tax ID #: �S S ©�©� - aoEs - g Lot No. 1 Site Plan Name: Block No. Project Name: (M'up. c) e- I 5 � ty �� L `�`�"i Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK $$ �1 l' r ° w /o2 G c-F AJ111rf 7'�#' Cr f ,ei v14c V l�vL� to &11,v fs a lzX ",q GrJAcL l©LLD w �l b2 11� �c Jl Additional worK to be errormed under this permit- checK all apply: EIHVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ �B� Utilities:]Sewer E Septic Building Height: OWNER/LESSEE{ ry < ;CONTRACTOR _` Name A kk W,A Name: 2�%0Pa � S" i"� J2VAE t� Company: _42 -0 Addres1s:''8 Address: k l S 6 Sg-- kA aC-A Q7rylufL 1�i'Jlb City: ST u - ea- State: -f-- L City: -s-� 5 es �: ev State d Zip Code: 3�� Fax: Phone No. % S " C> Zip Code: L C C Fax: E-Mail: Phone No. -� t - C� -- � O Fill in fee simple Title Holder on next page ( if different E-Mail: rV*-U T-( (p/�� `_ eaT_ 11:2_ from the Owner listed above) State or County License: Cge_ t 'q2 Q Q -76 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 7 7 �Gov' �,toc,-ojqq '4 , SUPPt:EME(TA`LCdNSTRUCTi NLIEN L{AW tN�tR1111ATIC�N,dy= E� ' DESIGNER/ENGINEER: 4L Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: 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: 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 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 commencing work or recording your Notice of Commencement. .� s Signature of Owner/Lessee/Contractor as Agent for Owner ggnature of Con or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �- L_ ucj � COUNTY OF Qj:�'y' rE'1 The forgoing instrument was acknowledged before me The forng instrument was acknowledgeVRIMefore me this l ay of M AH 20 ��by this f0 day of f _ 20 by (Name of per ack ledging ) (Signature 81 Notary Public- State of Florida erson�ally Know •�.OR ProclU�ge e of Identificat dMY COMMIS Commission No. EXPIR[f§ (4071396.0163 FIwld@Not Revised 07/15/2014 -p- L (Name of person acknowledging ) ry Public- State bf Type of Id MY COMMIj�I # GG011550, 2020 13, 2020 Commission No. EXPIRESjuI 13 Ak— oka.aom .._''��An ` Y REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE / COMPLETE INITIALS