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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL`APPLICABLE INFO MUST BE COMPLtrei) FOR APPLICATION TO BE ACCEPTED_ Date: WCANNEC� Permit Number: BY iftudecp� fr RECEIVED Building Permit Application JAN 3 0 2018 Planning and Development Services I Building and Code Regulation Division ST. Lucie County, Permitting 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 LPROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax lD #: 1-1 fSLV- ` Q1— C3�'ll -GC?�' (� Lot No. Site Plan Name: Project Name: Setbacks Front—" Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I ♦ 40 WOW CONSTRUCTION INFORMATION: III Aaaitionai worK to ne errormea unaer tnis permit — cnecK aii apply: ❑HVAC E]GasTank Gas Piping _ Shutters Windows/Doors 11 Electric Plumbing Sprinklers 0Generator )Roof �j�•lZ Total Sq. Ft of Constructions 3` 0 S . Ft. of First Floor: 31(') Cost of Construction: $ ObC]() ev Utilities:0Sewer Septic Building Height: /a f OWNER/LESSEE: CONTRACTOR: Name y Address: /-% IV Name: Company: Address: City: State:/in/U Zip Code: fSSt;? Fa Phone No. --7(,o3 o07-7 OY5 E-Mail: City: Zip Code: ,1-,L/l q' 7 Phone No. 770 OS7 E-Mail: k& aj ' State or County Ucense: ( f6C Stater Fax: _772o_;E77765 2&22 gi-e &-C1w L:5; Z Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. S F ^.�� '! -`t'h�` •P S �is PLEM€�NTAI, CONS#uRU I k� N L l�UU�IJ —'. t7 .� �;�1`.ir T''C'trir' L" .•i 'C'a ✓hs a'4i'`r`c.l y ys OHI A 1n UION q t ,N t4m�r Si.Y x'resl �rz. �at.�;Y�.i. ..w,,;�.a:.i?3Sztr.^zr4 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: 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; 1 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, sign's, 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 commencing work or recording vour Notice of Commencement. Signature of Owner/ Lessee/Agent Slgnatuure of'`Contractor/..license Holder STATE OF FLORIDASTATE OF FLOR DA COUNTY OF ,��COUNTY OF AAA -A In The for ing instrume t was acknowledge before me this 5day of 20 aby lei _. The forgoing Instrumprit was acknowledged before me thisday of ntlO. 20 1& by lJa (Name of per on acknowledging) (Signat re of Notary Public- S to f Florida) (Signatu a of Notary Public- St e o rida ) Personally Known OR Produced Identification Personally Known ><- OR Produced Identification Type of Identification Produced( o Type of Identification Produced Commission No. Commission No. a� 3 (Seal) REBECCA RESTIFO Go M E}PS: May 17, 2021 EBECCA RESTIFO IItE Revised 07/15/2 ° � 1. �f(l // l�% N- .147 M�gES: may 17, 2021Y COMMISSION # 3 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ��K✓� COMPLETE INITIALS Jan 31 18, 07:20a Code Red Roofers, Inc. 17722877763 p.1 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: Ad d ress: 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 wi II 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 commencing work or recording your Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF Q.,V'fi The for ing instrume t was acknowledge r� before me this day of 20 laby (Name of person acknowledging) (Signat�}re of Notary Public- Sli(teIf Florida ) Person✓✓ally Known OR Produced Identification Type of Identification Produced ,rtZA-17")aL_ Commission No. REBECCA RESTIFO ure STATE OF FLNIY-iffh A COUNTY OF The f�or�\�ing instru nt was acknowledged before me this —day( 20 �by (Name of per on acknowledging) - t '�') A 9 J /) �� (Signatu a of Notary Public- St # e o rida ) Personally Known ><- OR Produced Identification Type of Identification Produced Commission No. �G q't 3 (Seal) p a ) PiRES: May l7. 2021 1 ! ' 3a°� lj`�° KLBECCA RESTIFO Revised 07/15/2°PPa��! Q }a�p`d �stsl� 7 �s d� f`F4's�� F�?psFye�A� NEXPIRESSMav I" 20263 i-, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS SUPPLEMENTAL CONSTRUCTION LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: Sat: FEB Zip: Phone: Zip: Phone: UUII FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: I 5T.Lucie9 Name: 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 commencing work or recording vour Notice of Commencement. 7" &4'a— Signature of Owner/ Lessee/Agent STATE OF FLORIP STATE OF FLORIDA COUNTY OF P� COUNTY OF ,Ma ja h The for ing instrument was acknowledge before me this Mday of 20 !-&by �rrg�i � � rnSQ (Name of person acknowledging) (Signat re of Notary Public- S to f Florida) \ / Personally Known OR Produced Identification �c Type of Identification Produced AA2 ( ')L. older1,: The �oing instru nt was acknowledged before me this day of 20 J& by E)a (Name of per on acknowledging) (Signatu a of Notary Public- St e o rida ) Personally Known ><- OR Produced Identification Type of Identification Produced Commission No. Commission No. (Seal) �' P REBECCA RESTIFO F�. EXPIRES: May 17, 2021 REBECCA RESTIFO Revised 07/15/2 r6jaw 1(rclk7n[-� MY COMMISSION 1 , 20213 °F�o�° EXPIRES: May 17, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS