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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L _K RECEIVED grog Building Permit Application FEB 13 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Pnrmittin_g_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential i( PERMIT APPLI CATION FOR: To Select from dropbox, click arrow at the end of line jPROPOSED �IMPROVEMENT,LO:CATION :;. Address: [Q T^A2\Po5A 1-,4 Legal Description,: SS- L_ve-t c^_ C.A-noF_-4 3G Lk© 131L1<S 1 ANo ";X, t✓ti6 fL" et-- S ' 1— 21 W - ass 20 czs ` w .- C r--- R-P L6 r3) C � 2) Property Tax ID#: 3t- kL\ - Soy -- \ie�t - c oo^mot Lot No. Site Plan Name: Block No. Project Name: Setbacks Front \Back: Right Side: Left Side: DETAIL-ED DESCRIPTION,OFWORK 5 ,.i S'�P1 �-�- �A r� .. o a.`-� � Av b•C 2.e]l-t,��p � l v � � N � M �R c7 � r= ©v S=_S� C7 cv A vv1 o O\L k-l0 �CONSTRUGLION IWORMATION: itiona wor to je ne orme under tis permit -c ec a apply: ❑_J HVAC L Gas Tank Gas Piping _ Shutters a Windows/Doors Electric 0 Plumbing Sprinklers Generator ® Roof <<i\ Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor: 11_ Utilities. Sewer E]Septic Building Height: )O OWNER/LESSEE:: a.. :_ j 7 ,CONTRACTOR Name \3A(U3(ArU-N .''•1>:>�A LT- uyr\,4 ZSir? Name: John E. Murray Address: �cj +�(A~��P©SH rL_AN F.` Company: AMS Inc. - City: P o2-s- S-r- _ LyCa F' State: F=L_ Address: 941 SW 8th Street Zip Code:3L9 _19-a Fax: ri City: Pompano Beach State: FI Phone No. 31 _1r3- - t _ 3% 13 Zip Code: 33069 Fax: 954-782-0995 E-Mail: r4 k A Phone No. 800-226-6677 Fill in fee simple Title Holder on next page (if different E-Mail: maryannp@amsoffla.com from the Owner listed above) State or County License: CC C042787 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP DESI Not Name: JamesBushouse Address: 3300 NE 10th Terrace City: Pompano Beach State:. FI Zip: 33064 Phone: 954-956-2203 FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: WNNor-_ t--057-p Address: \'.).So-k SL,.w City: VV\1 AM, 1=1— Zip: 33 togG Phone: IN IRMATIOfV: MORTGAGE COMPANY: Not_Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: XNot Applicable Name: Address: City: 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 win"d�r or an attorney before commencing work or recording vour Noticejof Commencement. as Asent for Own STATE OF FLORIDA COUNTY OF -.. I S'T • L-� c L T The forgoing instrument was acknowledged before me this ii day of F F-Ga J AxL-! . 20 �%by (} cm, 1,a N4 t"- (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known 4-�, OR Produced Identification Type of Ideq;0gtion Produced e ,n MY COMMISSION it FF 195499 Commiss * (Seal) EPtRC-3 iMa9 5, 2019 �j",,OF rl00 Bonded Thru Budget Notary Services i Revised 07/15/2014 er STATE OF FLORI COUNTY OF Brcwai The forgoing instrument was acknowledged before me this g day of FF_GrZ-grty , 20 kS by John E. Murray (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known gk, OR Produced Identification Type of IdeqAfi tion Produced % ALAN MILLER MY COMMISSION N FF 195499 Commissib :* • EXPIRES; Mays 2019 {Seal) ��.11, I ��O� Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS