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Home My WebLink AboutBuilding Permit ApplicationV. All APPLICABLE INFO MUST BE COMPLE1 cu FOR APPLICATION TO BE ACCEPTED Date: 3 Permit Number: RECEIVED AuS' 0 3 Zgg 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 Commercial Residential PERMIT APPLICATION FOR: Address: Legal Descriptipn: /(f, e- 14(�- Property Tax ID #: '�I - (�r3" n/�� p� - J Lot No. Site Plan Name: �1 n Block No. Project Name: ?ad-g n� U��D IC �J)tmG-e� Setbacks Front Back: Right Side: Left Side: � � fi S H-w� i ✓� , l�s aitional work to be pertormed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: , . tw Sq. Ft. of First Floor: Cost of Construction: $ /J .( 96/) Utilities: Sewer Septic Name - m onr Address: Y l.,'Y°: !lr�E;/1 ct1 City: fT 1 C2e State: . Zip Code: , Fax: Phone No. `7 7a E-Mail:_hP'l YLGKWU I Ilv- Fill in fee simple Title Holder on rkxt page ( if different from the Owner listed above) Windows/Doors Roof '!5� /d Pitch Building Height: Name: Company: GL6i 011. �� ,►�'r Address: City: 0 WLLO,\ State: Zip Code: 13-kqW, Fax: -Do�Z`,�` i &N Phone N g7& '77d 37�(SlL E-Mail �Cr6 1UtP)r-oVf @ hofiyw I Co rn State or County License 3--�6-Ug If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Address: City: Zip: Phon Applicable State: MORTGAGE COMPANY:. _ Not Applicable Name: Address: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: j Name: Address: 1 Address: City: 1 City: Zip: 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 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 Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Hi me 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. 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 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 rnmrnanrina %emrk nr rPrnrdinior vnur Notice of Commencement. /I Signature of Owner/ Lessee/Contractor as Agent for Owner Sign a of Contractor/License Holder STATE OF FLORIDA STATE OF FLO�tIpA/ ; , 4L' COUNTY OF J- o" e� COUNTY OF.•. . �' 1 The fpoing instr fnent wasl acknowledged before me this.day of 20)2 by The fil ing instr ent was acknowledg d before me this 11 day of' Ll� 2027 by I (Name of person ackri ledgi (Name of person acknowledging ) (Signatur f Notary Public- State of Florida) (Signat of Notary Public- State of Florida ) I Personally Known i OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced MARGUERITEM.ESTOCK Type of Identification Produced .•"iYrG'. OCK A = MY COMMISSION # FF 235495 No. ,; • :EXPIE:AFtober5,2019 Underwriters ;t. ;.= 23f4195 �'-�:, , 2019Commission Commission No. Bderwr ters =IR IBonded T o Public I „"„ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED f 11 C� DATE COMPLETED �Y / ev. 7/2014 DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable MORTGAGE COMPANY:_ _ Not Applicable Name: Address: City: State: Zip: Phone: 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 or recording voup,Notice of Commencement. _-.7 v/ Sig r1. r Owner/ Lessee/Contractor as Agent for Owner ' Sign t e of Contractor/License Holder TE OF STATE OF COUNTYOFO"�- h,uc�a e� COUNTY ORIDA F. The If r oing instr fnent was acknowledged before me this day of 20� by The ff� ing instr nt was acknowledg d before me this P' day of u 20-a by 1 1 (Name of person ackri ledgi (Name of person acknowledging) i %k • (Signat of Notary Public- State of Florida ) (Signatur" Af Notary Public- State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced ,UAAGUERITEM.ESTOCK Produced MAROUERITEM ESTOCK MY cOMMISSION N FF 238495 +. ;. MY ISSION Y FF 238495 tea:, Commission No. :a€ EXPIEI AGtabar 5,2019 „ Bonded Pubii.UndeWh- Commission No. + .... EXPIREWW5,2019 � Bonder Th ub!?t Underwriter. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1104- b w � 6 DATE COMPLETED ev.