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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr'll ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h[ Date: �� %7 �� Permit Number: .4,�1 f- CJ7'7 0 F'QANNE`rJ BY ,,' r. St Lucie County Building Permit Application Planning and Development Services JAN 2 2 2:18 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 line2j4��� w^r'- s;�• ; �r ai , ,. r.E i i, i , � ^r I i E 3 �`�' .a '�h ,�"�t! �:,$�" '� � ii5'h.i�+rd � i � s, s;r �ii�,t�), v �y� ?„ 1 s;2l>[ RC�- .«a f ^6 a '£ b 't`4 t .� v#H b ivti•t�C e !z! S 1 ti t3iE i' "4 .�, } a� % i '1.pk� sl.�, i PPOSEb tMPROUEML��IT LOCAT��31�'r � "� �� ��,�5,� � >� � �_ � �� �� ��� e� •�, �.,,� ,:sss= .a,�... c, re:�S.a.:.. � J w, a,. ..,. i ,v,,, ,, fi, :, r1,-sue `�aP„sa.: �.a.., n} m:.�'-,� �: ,�c1�,r>�a,. s�seii k� ;3�..is_I�,� �., r� �i��i�i� ✓� s,v� �#r�, � i� y�ej Address: S�S vl� �f e rc-e h� .�, LM Legal Description: etv /'r0� /�i+rx-e --1 Property TaxlD#� :!�f��s �01/-©Qy( '"t90©' Site Plan Name: 3 /� Project Name: Setbacks Front 32f Back:l/��'Right Side: ..2-4 Left Side: s GAG L,v�r 6 AXI"W� ° Lot No. -_ Block No. _ rtio a work to be nertormed under this permit- cnecK all Gnat apply: L� IHVAC LJ Gas Tank []Gas Piping Shutters -.[]Windows/Doors P�Ellectric El Plumbing O Sprinklers ElGenerator Roof Total Sq. Ft of Consfrudfion: � Q o Cost of Construction: $ SIn of First Floor: _ Utilities:Sewer aseptic Building Height: ;�� Ur,.I. I„Ns:a,,EsR- Lw" Ei. Ss.S.3.E.a .E �. ex§ sos§t,_,w,.'_..Px, P3�• d.:i',a„�:. � A�3.a7 �ii i;•.r'Us `,";.;Prj rlrf°,U1iGS 3t, ifn3 , #.' ?,S,:c;lr�r�.s,=:a;p#4r°,,.�.:,'!.:'r:'.37 •'€RXAuC.xehirsia0i OUTa 1�x.,Px.8.Y -Name / 'Address -.�.� '' mpany ,/i/�f� s r.oslJ% ir f 'City; '-o�G✓'�tG� State: / �z rAddress.:-�%:l- 4'�e•Zip Gode,::?G�.l. f ,.-`?Fax: -°; ��Y `. `t' `City:'%�o T� r' yrc y State: f�r� Phone No. 72- 10 l 49.7 `7 0 Zip Code: .S�i�f l Fax: E-Mail: Phone No. 7 �Z 3 7U folC� Fill in fee simple Title Holder on next page ( if different E-Mail:�inr�i�c©�.,�.no�ri/�c �L'�'r rj' terra from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice oT Lommencemenc I.s requireu. 6i.. C=4" MORTGAGE COMPANY: _ Not Applicable DESIGN /ENGINEER: Not Applicable I Name: Name: Address: I Address: City: i State: City: State: Zip: Phone: I I Zi Phone: FEE SIMPLE TITLEHOLDER _ Not A e I BONDING CO _Not Applicable Name: Name: Address: Address: City: I City: Zip: Phone: Zip: Phone: I I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no repr e�s entation 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 Iof this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approve ld 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 mu'st'b& 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 our Notice of Commencement. Signat e f Owner/ Agent/ Lessee ignature of Contractor/License Holder STATE OF FLORID I STATE OF FLORID' COUNTY OF �l-+� COUNTY OF The forgoing instru ant was acknowledged before me The forgoing instru ent was acknowledged before me this day of 20 1 this day of 20�4 b 2�It� I � tdt L • �li�' �(1 � . (Name of person acknowledging) (Name of person acknowledging) Wnatureof Notary Public -(State of Florida) (Si re of Notary Publ/ic=State of.Florida ) Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identification Produced FLU a of Identification Produced Com No a��lotary Public State of FI r ar 81 ,„;«;,,„� LeBm 'Sion No. av ( Notary Public State df 1 1'"pl1 , Julle 881ttJ =� 1] ; Julie'Belyd to� I My Commission FF 11i3 85 6�� My Commissiah� Revised 07/15/2014 REVIEWS- FRONT( COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE I i COMPLETE INITIALS