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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEI ;� 'FOR APPLICATION TO BE ACCEPTED d Date:. Z Z� �vl Permit Numbe Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 RECEIVED StLudecouw Building Permit Applicatio MAR o 12018 .ST. Lucia County, Permitting Commercial Residential 1K PERMIT APPLICATION FOR: flPA coM pLtaw cz ` o D &#Jno� Aoo $c. �,Kuqu�g, Cje,�►P.�Q j!or- �PROPOSED:INflROUEMENT LOCATION:... Address: 946 N t< PAQK C.- Legal Description: L-,O'T 1 lo5 M oN7 'Cfvs- •o Coo o17R`l C. loA (oy iT ON c FL-F? boo k � 3 IPA 2-5 _ �T I-UC/C e.o Property Tax ID#: l 3 Z7 $O I ®o5il DOO • q Lot No. t (vS Site Plan Name: Block No. Project Name: ' L^t% i 1 14 t g Setbacks Front Back: 1,5 Right Side: 10 Left Side: t O i' STIhL L-- 0 (JE y AtLE4 TIOWOF WQRK 500 GJ%I-Lw04 J AJ C,tOy,dD s u Er T A-rrA C-06b y ,R o P A NC 7-4iv K CQNSTRUCTION INFORMAT[0N Additions work to be pertormed under this permit- check . all that apply: _Mechanical Gas Tank Gas Piping _ Shutters = Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof . Pitch Total Sq. Ft of Construction: Cost of Construction: $ I Sob , Sq. Ft. of First Floor: Utilities: —Sewer _Septic , Building Height: H;, 6WNER/LESSEE p . ,5 �= Name Address: 9LA00 64 5A-e-e Lr City: 1^ T Pt EA CLr State: r— L- Zip Code: 349 51 Fax: Phone No. q 1 (" 3 $ 145 " E-Mail: J lte-144e-- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: V - ' - ' - • ' -► Company: Address: 0/ 0/0" dlu me City: Pt ER CC State:Z—:� Zip Code: 274 9Z Fax: Phone No 77 6 530 7`> O E-Mail il-5,�1 n-) Aeo-,i (2� *m��l ry a4 State or County License (3 2-?0 -A FS; If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CaNSTRUCTiON L1 N LAW INFQRMAT9CN:£ �E,..�, �� r=e DESIGNER/ENGINEER: - — Not Applicable MORTGAGE COMPANY: — Not Applicable Name: _; Name; Address_:,, F:- -, ; r I 'Address: City: + State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE.HOLD,ER: Not Applicable BONDING COMPANY: Not Applicable Name: - Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT:"Application is hereby made to obtain a per 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 is which 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'ihat I will, in a '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 our Notice of Commencement. Sign t re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged�efore me this 2 day of J=�b�dar 20 I by The forgoing instrument was acknowledged before me this day 20_ by y of (Name of person acknowledging) (Name of person acknowledging) ' 0 (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type.of Identification Produced Produced. Commission No. -(Seal)' Commission No. (Seal) , REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW 'REVIEW REVIEW' REVIEW REVIEW DATE RECEIVED...; , DATE COMPLETED ev. 7/2014 ; "•^ P i t`, j( _ 2 W rxi • (' %�jN, *�ii1,,= „✓w s xi i s NA rY f 5 t J' � yy��jiN7{.�lw YY�i�l� -"is,ti '(.Yw.. ii'•�..�` w'i�i. tt) rig "!�. .+ t 1 r '� y.` �'"'�a `' r�- _ �.,.,�F.r i h�,_: !�' i+-..i� ��r,:a£rt _J�..,S?i' �'t�...,�K f.. DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: ,_ _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 ale 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 E ments to your property. A Notice ofCommencement must be recorded and posted on the jobsite re fir 2iection. If you intend to obtain finan ' , c rysult�ender or an attorney before man na rk r racordine vourl Notice of Commen n't Lessee STATE OPFEORIDA ll COUNTY OF �T Lucie I The forgoing instrument was acknowledged before me this day of . 20 by Holder STATE -OW FLORI DA II '' ,, Du ,^ COUNTY OF ST c Q The forgoing instrument was acknowledged before me this day of . 20_ by rr Sfir1LAM L* C s*l (Name of person acknowledging) (Name of person acknowledging b b d 1�✓' ` 6�d fiA (Signature of Notary Public- State of Florida) (signature of Notary Public- State o Florida ) Personally Known �_ OR Produced Identification Personally Known �_ OR Produced identification Type of identification Produce yp of Identification Produced AMBER L DIAL Commission No. ipoMMISSION a FF ission No. 1 (HOMAIISSION p FF, EXPIRES February 01, ' 020 . EXPIRES February 01. •,•', FbndrNlNrl �.� NYIWC�• "" ', REVIEWS FRONT ZONING' SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETED