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HomeMy WebLinkAboutBuilding Permit ApplicationJ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number RECEIVE-D AUG Q4 2017 Building Permit Application 11��J0110 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: To Select from dropbox, click arrow at the end of line Is °k"C 191 ,P1,®SED, MPRO� CEMENT L®CA 'I,® 1 Address: IF-L. PIPCCR. , FL 3� 19 F Legal Description:�r, .;�,r, Pivu �5-ks 1,G)if �3-(3LK IS Lo7 1 (ma43`I�ioS���-�AC.0 o21N33-2ao) Property Tax ID #: 5LAQZ" (Dy- 0027- 000 - 2. Lot No. Site Plan Name: Block No. 15 Project Name: Gleam ` O-4 i 5 Setbacks Front Back: Right Side: Left Side: 5oc.A2 e7L_CC_ iC1PV 5ys4 rr, 3aitionai worK to De 11HVAC ©Electric errormea unaer tnis permit- cnecK aii Gas Tank []Gas Piping _ Plumbing Sprinklers 11 apply: Shutters a Windows/Doors Generator E]Roof 0 Total Sq. Ft of Construction: Cost of Construction: $ =201 b 5q. S Ft. of First Floor: _ Utilities:In Sewer F Septic Building Height: ® 4UL§R%LESSEE �®NTRACTOR: n. s: .� � , „� �� , Name 6'71 lei Name: Robert Zrallack Address: J ka C Ea5ti Company: Solar Energy Systems City: V+- ce State: FL Address: 160 Smallwood Avenue City: Fort Pierce State. FI Zip Code: 3t 1G $ 2 Fax: Phone No. 1—Ioi- o?oi�i�bo�o Zip Code: 34982 Fax: 772-466-7937 Phone No. 772-464-2663 E-Mail: E-Mail: vpsolarenergy@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CVC056637 / 9057 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. go PRUR�RNANL®NSTRUCTI®,N LIEN L W (NFO'RMATI®N:M11,111l'0010 '00, DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 L.UIIIIIICIIL 111 VVUI IL UI I CL.UI UMV, yUU1 IVULIL.0 UI 1.U111111CI IL.CI IICI IL. _ Signature of Own ssee/Agent r q/4ey— s Signature of Contra /License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S5 �COUNTYOF. �SL (,L,6e_ The forging instrument was acknowledged before me this 3` day of A ua'J5± 20 1^l by Robert Zrallck 1 (Name of person acknowledging) The forgoing instrument was acknowledged before me this 3l" day of Po-&G) u SA— 20 1^I by Robert Zrallack (Name of person acknowledging) /Iitcp /)"'.4h— ( O"E _ %%i� Z'J_ moc_ (( ig�of Notary Public- State of Florida) (Signs ure of Notary Public- tate of Florida ) Personally Known V OR Produced Ider I ayti� Type of Identification Produced py81 I6 Commission No. [2_1 rl L OF FLORIDA FF912137 EXplree 812412019 Revised 07/ 15/2014 Personally Known OR Produced Identification Type of Identification Produced 1ARide_ Made Sarah uslc Commission No. WTE OF FLORIDA Comm# FF912137 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS