The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BL wMPLETED FOR APPLICATION TO BE ACCrr rCD Date: Permit Number: M01-o �� b -�� SCANNED BY RECEIVED BuildingUMAM lication Planning and Development Services BAN 2 6 1018 Building and Code Regulation Division Pormitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential >_/ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED'IMAROV.ENIENT LOCATION AAA !r Legal Description: me e 01 a 4 ; C`, Gt� f `' ®" 40V Property Tax ID #: �'- (3 03 62 l 0, ® 6 G,/ © o o ®/% Lot No. Site Plan Name: 114 w Block No. Project Name: lt4^ S� Setbacks Front Xl'.. !B " Back:. ?-8"o F® f Right Side: 14,119 1 Left Side:�I DE ,AILED DESCRIPTION OF WORK � A CO'N'STRUCTION INFORMATION , Additio I work to be nertormed under this permit— Check all apply: F K1'ectric LJ Gas Tank []Gas Piping Shutters OWindows/Doors ❑ Plumbing Sprinklers 11 Generator Roof Total Sq. Ft of Construction: t 3 y L! S . Ft. of First Floor: Cost of Construction: $ Utilities:i Sewer QSeptic Building Height: _ OWNER/LESSEE CONTRACTOR .r Named �e` Name: -e- P�—e ;Z-a L-ib Address: o6 Lcr Company: 2, IN�Ai wap 1f'1oL��A•��-T� City: State:. Address: 1 4) /_'V Zip Code: c� Li,9 q 7 Fax: City: �o�. e �% sa, State: G Phone No. ::;�. �.„ R�' ", .. �z . Zip Code: 3 Y9; y=Fax: ' nao��n'v c, .. ,.., E-Mail: �,��-.�.,�w�.°v 9�.^,�� o��-:�1�./J % .�i/ ID Phone No. As, j�,�.,�: Fill in fee simple Title Holder on next page ( if different E-Mail: I�ax".f'e /JW''( � from the Owner listed above) State or County License: ! ;zy �3 61 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. . 4 SIJPPLEN�Ef�TAL C04NSTRt1CTl0 � EAU LAV1t INFORMATIi�N DESIGN ER/ENGINEER• _ NotlApplicable MORTGAGE COMPANY: Not Applicable Name: �%o. `� Gd'��CP • _ :_Name: Address: I -Address: City: P- V- I State: -.41�r, City: State: Zip: Phone: 7 2 2, G7 f- �'� y i Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: t Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: Zip: Phone: I I I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representationithat 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, t(te Florida Building Codes and St. Lucie County Amendments. The following building permit applicatio T s 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. iA Notice of Commencement must be recorded and posted on the jobsite before the first inspection -If yo�. intend to obtain financing, consult with lender or an attorney before commencingwork or rec6rdi 61A Notice of Commencement. � Signatu—T re of C nt ctor/License Holder Signature o / Agent/ Lessee STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF.�s.�sL, The forgoing instru nt was ackno I ledge before me The forgoing instrument was acknowledged before me this day of I 20 11 by I this �lQday of _ 20Aq by 1 I (N of person acknowled ng) (Name of person acknowledging) (Signature of NotaryPubli Stati of Florida) (Si ure f otary Public- StaQ of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced 11— C1s>.k Type of Identification Produced •:4?FC: Commission No. I (Seal)JGRA Commission No. (Seal) LASHAH b`"'n"r"�"'.Notar Y Pubtic Revised 07/15/2014 a tea M1►COIIMp• Exp •`? . %•- �Notary Ft tlic -State oI Florida ►.My Comm. Expires Dec 20, 2U18 Comoftslon a COrtpnlssion ` 1600, 9111FIMUNUNIPMdUM".. National NOW Assn. ZONING SUPERVISOR REVIEWS FRO PLANS VEGETATION SEA L - NG COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I INITIALS I I