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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM"rLr rED FOR APPLICATION TO BE ACCEPTED Date: aU Permit Number: 7 By st Lucie c®un'o RECEIVED FEB-10 2018 Building Permit Applicationent Pe11ttln9 DePOrtM' Planning and Development Services St. Lucie County Building and Code Regulation Division li 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED iNPROVEMENf LO"CATIC►N Address: �b I ©S 7- Legal Description: '2-`fa' -9Zo Syy/1/s� ¢�/1 il/ ' / f3�� 2 Ly 1- cf ( 02 tfdqS- 7-�s37 Property Tax ID #: 5-Z9,? c;'c7 Z 4 C9O0 Lot No. Site Plan Name: Block No. Proiect Name: Setbacks Front Back: Right Side: Left Side: AILED-DESGR.IPTION OF WORK;`, ' .C= -- j 11 �� ✓ �- ,S rf i,v t G iP- X 5/f �.�.�� c= ,—ft++-s /467 12.e74ez? 6:; CONSTRUCTION, INFORMATION _ Additional W ork to be pertormed under this permit - check all that apply: _.Mechanical _ Gas Tank _ Gas Piping "Shutters _ Windows/Doors _Electric.. ' _Plumbing _Sprinklers _;Generator _Roof ` 2- Pitch Total Sq. Ft of Construction: / 19 Sq::Ft:.of_First Floor: -Z, Cost of Construction: $ /— /,y a 0 - Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: - Name �,441 C- Name: SIG pex..?1P /cvyy a -- Company: 6o�� r✓iG�Cw3 LL.L Address: 24/ C44A�'X -P2 City:State: F*L Address: Zip Code: '.31 -3 cf/ D Fax: City: 1U60 5; State: FL Phone No. Zip Code: 3 u fg Fax: E-Mail: Phone No ::7 2. 'Z Z cr !2!// ,'7 E-Mail Ce,7 T�j vj L.P �7, S /S" rz, Fill in fee simple Title Holder on next page"( if different from the Owner listed above) State or County License ee-v /� 2. 073 2 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable =z. Name: Address: City: State: Zip: Phone FEE'SIMPL'E'TITLE HOLDER: _,Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable -Name: Address: ICity: `' State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 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. (Signature re of Owner/ Lessee/Contractor as Agent for Signature of Contractor/License Holder CM m �� x STATE OF FLORIDA STATE OF FLORIDA a>i� COUNTY OF Sa- L.vLJ -� �� COUNTY OF S 1L0 coo! $ rLLgLEY r The forgoing instrument was acknowledged before The forgoing instrument was acknowledged be f this a� day of C-�e 20� byW this 2v day of �—�b , 20 b aw 9 2 S C3 iiuj (Name of person acknowledging)"�o� (Name of person acknowledging) (Signature of taryPublic- State of Oforicla) (Signature of N t ry Public- State of Florida Personally Known OR Produced Identification Personally Known OR Produced Identification 1 Type of Identification Type of Identification Produced Produced OL, Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED7� i3 ev.