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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO, BE ACCEPTED Date: © © Permit Number: f 1 I V 00b Building Permit Application Planning and Development Services Building and:Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: YO Legal Description: 0 Commercial Residential Property Tax ID #: Lot No._ Site Plan Name: ��- �. S; c P -. 90R^ 14 Block No. Project Name: C-1 rowt &AV .Setbacks Front 1! BaclJ� CfJg52 Right Side:.�ZO Tb Left Sider u 0 limn r-c in i ve-%,.:I( rt,^ �6L no,.e � Atli 20, by t2_1 s c (0 4�P� rem s��-- rL, 9-6 t,, tit b-o, Ll if ILL IC W ik I z" by I Z«(,,��s �/ e p R1MP. nrwrd— .h �1 16-f—A iv121. �I�C..1o�0(G�.ih Kow-� l.:it ILI' pz•.►tG�trr rvr I t IVI. F u S�. " D" K t W1f C ee-rL r'_�. , I—!-_1 ,, t/�[.L►..v aL_L. So., �..,.�. AP , fl.l'. r ('ins-.1 P�'1e�,.�,��.�1 A,.,At-eft Additional work to,be pertormed under this. permit —Check all that apply: _Mechanical Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: G.2o Cost of Construction: $413 s©Q,01 .@7 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LE=�S�SEE: OR" INS TRACT@i NameKo(h v� Name: �r_h4- icmu� Address: Company: ?C,C�.� C�� ett) S LL C City: S ��/Ur _ State: Zip Code: c! `l 7 Fax: 144 Phone No., d4 Address: %4 SC.' /42C- Cr'vOL:z S City: lsp L a Stater Zip Code: 3 S Fax: ' Phone No - 2.r. 6 r /3 / E-Mail: Al � Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ('20 AC_a�,— State or County License 22 13 j If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONS RUCTION LIEN LAW INFQRMATION: DESIGNER/ENGINEER: _ 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: 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 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 ,9Y rpSoVing your Notice of Commencement. �Z Signature of Q)kner%Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The fprgoing instrurrien_t was cknowledged before me this day of 20 % �y Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced .�.J '. ; hV; A Commission # FF 234730 Commi r _ . Q: es May 2t$WP ° ;; : Bonded through National Notary'Assn Signature of Holder STATE OF FLORIDA ` l COUNTY OF The'forgoing instrument was acknowled� efore me this © day of 2 �by Name of person making statement. Personally Known OR Produced Identification Type Identj— L__ Produced I �. ` 1 (Signature of No `r"F'i,'cSetrofi Ft�' ride�r�-V= '(PRV PVe�� A AE6A HUFF Notary Rubllo�Af fl�Fid� Commission No. . * * .- ommisalo r 284?99 P� %TFOFFo;�.• My Comm, EXPIFOQ May 07, yg% REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE, MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/1)