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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO PLETED FOR APPLICATION TO BE ACCEPTED Date: ZQ/ Z /f Permit Number: �a� 04 2,49- SCANNED,RECEIVED BY fi ��`9E° ��U�`� C U 6*11 d>Ihg Permit Applicati OCT 0 6 2017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION: Address: &Z46g Py/Q G� Legal Description: 40 "/�/L��i2f�,�.4� SEA 5U4-i-VE }� fOJe D/�c✓���rp in ti Property Tax ID #: 34O l O 0 5 " 000 e 9 Lot No.4-- Site Plan Name: — Project Name: IRIJ14R /z'l.,4G,�F r 1/ Setbacks Front 30, Back: 3 3 v b Right Side: 57, C 5 Left Side: �✓'Co -, Block No. — I DETAILED DESCRIPTION OF WORK: I ofIE LEVEL SINGLE: r~lt— o' jZ.�SID NGE CONSTRUCTION INFORMATION: Additional work to e e orme under this permit -c ec a apply: �HVAC be Tank []Gas Piping _Shutters Windows/Doors LkNJ Electric ® Plumbing Sprinklers Generator © Roof 2 Roof pitch Total Sq. Ft of Construction s , i=, S . Ft. of First Floor: i G 4-4- 5, F.,Cost of Construction: $ C 51000 1 Utilities: Sewer ®Septic Building Height: Zl3 0 G OWNER/LESSEE: CONTRACTOR: NameSiEVC- LICA,US1 Name: OFS" IS WITH EROW Address: 4 24 D C-A-10 R rRAC>± AVF. r U N IT A Company: REGATTA 15WD,, ¢y P F-V €i—o City: 1=1 o P 1 ER.Gs State: r-L Address: 2345 1-4:7" A,Va I Zip Code: 34 q9?;Z Fax: City: Y5to j3EAG64 State: FL — Phone No. 772 - 370 .06 40 Zip Code: 32qj�o'0 Fax: -- E-Mail:S Ogg 6 IGN&Rou P oC:nh Phone No. 772 - G 33- 0e-) SO Fill in fee simple Title Holder on next page ( if different E-Mail: — from the Owner listed above) State or County License: GGC� 152 0800 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION: Name: ST EVE L. I GAUS 1 Address:4240 GATOiz-r?_ACt: AVe A, City: VrA P( 6State: Zip::34,g962 Phone 772.-7P5- C-4G5 MORTGAGE COMPANY: _& Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable J BONDING COMPANY: 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 Irst inspection. If you intend to obtain financing, consult with lender or an attorney before rnrnmcnr22Arnrlr nr nornrAinD7Vni m Nintirp nf -sifnature of Owner/ L ssee/Contractor as Agent for Owner Signature of Co "tracto icense Holder STATE OF FLCOUNTYOFORIDA �e(UfZIi. COUNTY OFSTATE OF ORIDA The forgoing instrument was acknowledged before me this �day of ��lii3 .2Q�by The fggj�oing instrument ups acknowledg efore m� e this /t� dayof Oc-*z(Jie� 20� by Name of pers n ing statement Name of perssonpaking statement Personally Known OR Produced Identification Personally Known C,-," OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public State ture of Nota 0 RONALD SANT Mr2 Commission No. 1) WCOMMISSION01`1170mi � C:s R0WM SWMGELO ission No. ..:r. WCOMMISStBI`*11i'049 " EXPIRES: April 28,2)18•, '% EXPIRES: April 28, 2018 � rv•°,�` BondodTlwNohryPubfctln M1mars Af sondcd1luuwwyPubr6undew-bm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED i DATE COMPLETED Rev. 8/2/17