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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0 ALL APPLICA LE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d Date: 1 �j 1 C� SCANNED Permit Number:BY St �.Ue County/ RECEIVED Building Permit Application FEB 12 2018 Planning and Development Services ST. Lucie County, Permlt;Clnu Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Generator El �PROPOSED:IIVIPROVEMENT LOCATICiN. :. Address: d U60)o I - Or. Legal Description:So—bQ (r"e�C--� ���+-�� L-4-1 o"' ©ir31 �23' 1qb Property Tax ID #: c�j324 SCJ— bU ( a- 0�-0 Lot No. Site Plan Name Project.Name: Setbacks Front Back: Right Side: Left Side: G--n-erC)'-G Gen-e-r0+-0c. �l -oo A : i �-ery i cue ,yen 44C , , c e, }f CONSTRUCTION INFORMAI"�10'N �ona wor to a pe orme. un ert is pmit f',c ec a apply: _ HVAC I1 Gas Tank `� Gas Piping �' _ Shutters � � Windows/Doors i 1:1 54 lectric 0 Plumbing ��Sprinklers E]Generator Roof Roof pitch rK Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction. $ ( D, 1CJ',�'��� + Utilities. Sewer Septic Building Height: If, a )� O.VCWN ER/LESSEE: �.. CONTRACTOR. =" Name Cv ri n.. Name:=,i-ielral i �`�` 1 Address x44 e- f, Company: i CAe1&1 ' • Address: �0 �� �V1 �(�►1C��7Y1�� " t� l J City: State: Zip Code 4 Fax IJa- 31g- LQE[ City:-fb(+-- -erCZ State Phone . �� ' 3 Zip Code:J�g Fax: —I �o�- e��&L (45 E-M il: 1 I Phone No.40 Fill in fee simple Title Holder on next page (if different E-Mail: State or County License: EC, 3 D__ from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. lafi ix 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: Address: Address: City: I City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Applicatio in 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 gra which is in conflict with any applicable Home Owner structure. Please consult with your Home Owners A! In consideration of the granting of this requested pe in accordance with the approved plans, the Florida E The following building permit applications are exem, accessory structures, swimming pools, fences, walls, WARNING TO OWNER: Your failure to Recor improvements to your property. A Notice o before the first inspection. If you intend to i commencing; work.or recording your Notice Signature of C�vnOlr/lessee/Contra( STATE OFTLORIDAZD, Il+ COUNTY OF sting a permit will authorize the permit holder to build the subject structure s Association rules, bylaws or and"covenants that may restrict or prohibit such sociation and review your deed for any restrictions which may apply. •mit, I do hereby agree that I will, in all respects, perform the work uilding Codes and St. Lucie County Amendments. it from undergoing,a full concurrency review: room additions, signs, screen rooms and accessory uses to another non-residential use I a Notice of Commencement may result in'you'r paying°twice for 'Commencement md'st be r.ecorded and posted on the jobsite Ibtain financing, consult with lender or an attorney before of Commencement. as Agent for Owner , The or i 'nstru wa- acknowledgefore me thi day of 20 by 03 "T I umo:n Name of per making statement Personally Known OR Produced Identific tion Type of Identiflcatios •„ n ! j . e 1/ hA J/1 I . r (S�Jure of Notary Public- State of Florida ) JENNIFERCORSON Commission .• •s4� I) �� N Q , Expires October 30, 2021 , . 9�__-.eQ� BendedTlruBudaetNotanServkes I Signature46f 9bntor/License Holder COUNTF FLORID) r. COUNTY OF � T The fo)ng!` strut as acknowledge fore me this Bay of . 20 by OJI JU i� I asrbp Name of per o making statement Personally Known OR Produced Pjrod/uc�ed Identification Type of Identif{c i on/l 1 Lr I I `O 1 Produced f 1 '�-�" -� I— re of Notary`Fsublic— State of Florida ) �e JENNIFERCORSON * N (Seal) oQ Expires October 30, 2021 �o�� BawledTlwBudpa[NotarySarvlr� REVIEWS' FRONT ZONING SUPERVISOR PLANS, VEGETATION SEATURT:LE MANGROVE COUNTER REVIEW' . (REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ° COMPLETED Rev. 8/2/17