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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - _s Date: •2) 0 Permit Number: �sdC SCANNED .' BY p h Building hermit Application LIAR 2'2 2010 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 X PERMIT APPLICATION FOR: Address: / / 9 '�- '_�' E Legal Description: 1q l S' E S 61 Property Tax ID #: 3 S� a P 6 Q O C>// 6 10 q Site Plan Name: Project Name: Setbacks Front_ Back: Y % °� Right Side: 'C� / , Left Side: ditional work to be pertormed under tnis permit— cnecK a _Mechanical _ Gas Tank _ Gas Piping _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ '�d OO O " d n Utilitie Name 1111A 11144AJ Address: // 21: 4 -Re -Tk/ D 1AAP City: �Tj A/ S ! %? C % State: Zip Code: Fax (� Phone No.,,;-) O E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) a vg Lot No. Block No. Shutters _ Windows/Doors Generator Roof Pitch s: Sewer IV -Septic Bui g Height: Company: /.x/1: �_/?0'e C, a Address: SE93 (,UOD 6 -L"b-2 ,(- City: p6-n' State: Zip Code: ?!/ Fax: Phone No i r2 Ll 6 / 3 E-Mail L/x/ �. s U g lr )i)%> %�7/ • �i� State or County License 41 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. eJ��''j��{.��ry k�j bmvj� ' ivh � �'+ jam.` /�j�{ S [� S�7PP LEM %li. ��NS `u'��f��RMATIg € w� Q�• i' c;. i .•.`tea.,.. .. a A^ ✓.. r¢'• Y +�.... DESIGNER/ENGINEER: _'Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: I Address: City: I State: City: State: Zip: Phone TZiV Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:. I Address: City: I City: Zip: Phone: I Zip: Phone: I - 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 covenants that and 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 concurreney 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 tolRecord 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 our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20'1 by this day of 20_ by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida )' Itification (Signature of Notary Public- State of Florida ) Personally Known OR Produced Ide Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 SU ' PLEMEN AL CONS1'RUC4TII11@1N LIE LAW IN''flRM T"F0 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 thepermit •holder:to t ,,uild the subject -•structure which is'in'conflict with any applicable Home Owners Associatlonrule's, bylaws or and covenants that may eestrict'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 reque,sted'permit, f do hereby agree that'I will, in all respects; perform tiie work in accordance with the approved plans, the Florida'Blllding Codes.•and St.: Lucie County Amendments: - The following building permit applications are exempt from un..dergoing 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 Reco 'a Notice of Commencement may result in your paying twice for improvements to your property. �into of Commencement must be recorded and posted onobefore the first inspection. Ifyou obtain financing, consult with lender or anorne of commencj worjsor recording yce of Commencement. oe f ner/ essee/Agent. 'SignatureWF ' nature ontra or/Lice - older STATE FLORIDA STATE OF FLORIDA COUNTY OF L�<� COUNTY OF The forgoing instrument was acknowledq d before me a" The forgoing instrument was acknowledge before me thi;O> day of 201 by this Q3 day of F-� 20VI by 6•i!4dt:4 I-%IA-eby{ 4 %t-ea drat, L�v.q,�VY4 (Name of person acknowledging) (Name of IArson cknowledging ) (Signature of Notar ublic- State. of Florida ) (Signature of Notary blic- State of Florida ). Personally Known OR ProduF.Wjo t Personally Known OR Produced Identification Type of Identification NNp,,�,p jEGIVE�`S DEA o2s Type of Identific tion Produced 1SS10N#GG022 P"' jg,2.020 I'*' Produced GIVEPds f`I '=e.. Delmblf tiers EXpipesP ONACTS 20�::$0'•., Y COMMISSION # GG 0220:.3 Commission No: Commission Ni. IRES:DeceM0965(020 FOF:;o:•' BondedThruNotaryPu ItCUn eftir,l c F REVIEWS FRONT ZONING. SUPERVISOR PLANS EGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIW REVIEW REVIEW' REVIEW DATE - RECEIVED DATE COMPLETED Z ev. 7/2014 R All APPLICABLE INFO UST BE ;�'�JIPLE�.^��. FOR APPLICATION TO BE ACCE ti ED , Date: a1a3' Permit Number: �� d�� r, RECEIVED - FEB 2 2 2018 Building Permit Application Planning and Development Services ST. Lucie County, Permltting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 349821 Phone: (772) 462-1553 Fax: (772) 462/1578 Commercial Residential PERMIT APPLICATION FOR:M. S1 PR aSED t P AEM' I OCA 10 i,• . gal DescsrWin: AAA � a C 1 %1 k )/ I J� % TI)A 7 O ZP L LeE Lod' &/ �!0 I Property Tax ID #: S �-6 %�' "' Lot No. Site Plan Name: Block No. Project Name: or Setbacks Front v� _ Back: Right Side: Left Side: I 9 Ellr�R Pi`IaN flR DEb IS A 6- o t LD ►v . 3 nd s CCA cods 1JCTfQN "NF(JR� �:a Additional work to be performed uncle this permit — check all that apply: , _Mechanical - Gas Tank _ Gas,Piping _ Shutters ` Windows/Doors �. tric Plumbing _ Sprinler5 _ Generator _ Roof S I 6! Ft of Construction: �• �: U Cost of Construction: $ zC� (D � 0I , o o Utilities: —Sewer Xseptic Bit mg Height: I OUVNR/l.E� SSE a C®NTA� �`R: Name: 'n oR Name UJI V J Address: // 9 A ! & TJVDIA Y A4 X Company: R I Z.OAP State: FL. Address: cFS sss: �0i 0 c) 6_► �A �-101 0 Q, City: J is s�z )Ulk' I City: I oT Licit. State: a2l S .�% Zip Code: �q Li /v Fax: Phone No. c`-,),O 1— "> .009 Zip Code:-,K-4 9T,1 Fax: i E-Mail: Phone No ?i 2• 46 1 :1 � I, (if different. E-Mail L./M �� 2 U h !r ) i? 41 1. %la�� Fill in fee simple Title Holder on next page State or County License from the Owner listed above) if value of construction is 2500 or more, a RI CORDED Notice of Commencement is required.