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Home My WebLink AboutBUILDING PERMIT APPLICATIONALLAPPUCABLEINFO M UST BEOOM PLET® FORAPPLJCAl1ON TO BEA03E TM Date: 3 113120 I Permit Number: SCANNED RECEIVED Building Permit Application MAR 14,1018 Planning and Development SN-vices I Permitting Department Building and Cbde Regulation Division St. Lucie Cminh, 2300 Virginia Avenue, Fort Rierce FL34982 Phone: (T72) 462-1553 Fax (i72) 462-1578 Commerdal Fbddential x PEFW ITAPPLICATON FOR To Select from dropbok, click arrow at the end of line OIL Address -7d03 R fCO)CX%Y)e- V 6. , ', �orY 'P "iexCQ,1 r , 3y�i51 Legal Description: UAL+zv.-5ood C-'Krk-- Qy- �t 9 BLIL 1 OCo 1—OT20 Property Tax ID #. I-5 O l - C911 . d 125 - coo -- FJ Lot No. Alk 20 Ste Ran Name: 1�)afr c-)OS LeC, Pre-ci,nos WV�%Y e, Block No. 1 Q CD Project Name: o r r ti ovS 1, 2.e (' f eC-% oo -s Ly h ► Irt- UQ-Z' Setbacks Front- V14 Pr Bade t) IN Fight Sde: ON Left Sde: NR DETAIL® DESIMP11ON OF WORK Peer oF� exisfin5 51;,ti�1e rooF Wnc1 f'eplcxuc V,vt -v me-1--'1 GOOF 5yS fcr-) OONSI OION INFORMA-nm .IUILIVI Icu VVVI F%LV UG I1U1 ll lcu UI IUVI LI 110 PGI 11 Ill -U 11 OWAC _Gas Tank ❑Gas Piping ❑Bectric ❑ Plumbing 0,9)rinklers ` Shutters ❑. Windows/ Doors Generator of IZ Roof pitch Total Sit. R of Oonst ruct ion: +3, ] OD R. of First Floor: _ Cost of Construction: $ Utilities Sewer 0 Septic Building Height: 1 sk" OWNB�I LEA OONTPACTOR Name ni,r'icjS cvo Pfxc*%w3 Q�- Name: Roht6 U%1\ter, Address-,No-3 Company: D i 110 N Q-mo 'A na LU . City: r-6%.t' Pnier2.� :late: F Address: ILAS O 5E Ave Zip Code: 51AW,� I Fax Oty: Pori St. L-%-)�je gate: VL Phone No. 7-'2-to7,U-93UCo ZpCode: 31 62- Fax E-Mail: Phone No. 772 - `I ct`a - 06 3°I Fill in fee simple Title Holder on next page (if different E-Mail: D111or, roo�lr� L�-C �ttoc�l�• from the Owner listed above) gate or County License: cc_c_ 13 4 9 If value of construction is$2500 or more, a REOORD®Notioe of Commencement is required. SUPREME VTALOONSMCTION LJBI LAW INFOFMATION: DE9GNEF?JE iGINE2 Not Applicable Name: Address: % City: gate: Zp: Fhone MORTGAGEOOMPANY: Not Applicable Name: Address: City: Sate: Zp: Phone: FEES MPLEl1TLEHOLDER Not Applicable Name: BONDING OOMPANY: Not Applicable Name: Address: Qty: Address: My: Zp: Phone: Zp: Phone: OWNER OONTRACTORAFA DVIT. 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. Et. Lucre Countymakes no representation that is granting apermit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home OwnersAssoclatlon rules bylawsor and covenantsthat 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 thisrequested permit, I do hereby agreethat I will, in all respects, perform thework in aceordancewith the approved plans, the Florida Building Codesand Et. Lucie County Amendments. The following building permit applications are exempt from undergoing a full eoncurrency review: room additions, awry structures, swimming pools, fences, walls, signs, screen roomsand accessory usesto another non-residential use WARNINGTO OWNER Your failure to F:k-cord a Notice of Commencement may result in your paying twice for improvementsto your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtainifinanang, consult with lender or an attorney before mmmencina work or reoordina vour Notice of Commencement. Signature of Owner/ Lessee/ Contractor asAgent for Owner. Signature of Contractor/License Holder STATE OF FI_ORI DA ODUNTYOF STATE OF FLORJ DA _ 00UNTYOF--1_Vld,(QAA_ Ri\yr lbeforgoing instrument wasacknowledged before me The forgping instru nt was acknowledged before me this day of 20 by thisday of 20Lr� by < <0r, Name of person making statement Name of person making statement Personally Known ORProduced Identification Personally Known ORProdueed Identification Type of Identification Type of Id,�(�tificatiory� F l Produoedl't- null 1� '"IS IJo^9 `t-03— i Produced (Signature of Notary Publio- gate of Florida) (Signature of Notary Public- Efate of Florida) Commission No. (mil) Commission No. �� v l"`,. 9MFRESA DISIST( MY COMMISSION N FF188C 2? EXPIRES: January 08, 2019 REVIEWS FRONT ZONING aJPEFMSOR PLANS VEGEfAl10N SFATURTLE MANGROVE OOUNTER FZEMBN REMBN REVI REVIEW REVIEW REVIEW DATE FEr.BV® DATE OOM PLErED l Rev. 8/ 2/ 17 THERE SA S ONDI FF TO My ® EXPIRES: January 08.2019 „SUPPLEMENTAL CON STRUCTI LIEN SLAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: I 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 restrictioris.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 al Notice of Commencement may result in your paying twice for improvements to your property. A No "ce of Commencement must be recorded and posted on the jobsite before t t t inspection. I� "rrNotice d to obtain financing, consult with lender or an attorney before com encin work or reco in_ of Commencement. of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA Cp COUNTY OF ” COUNTY OF,-� The f r oing in dent was acknowledged before me ThLc�Wiing i ent was acknowledge efore me this day of 20A by thday of 20. by Name of person making statement Name of per on aki g statement Personally Known _ � OR Produced Identification Personally Known L R Produced Identification • Type of Identification Type of Identification Produyed Produced (Signare of Nota ublic-..State of_FLpr_ - Uv *•.^r ,: M GUERFE M. ESTOCK Commission No. MYCOMMISSION #FgftQ .. 7-7- FIRES: October 5, 2019 t w: Bonded Thru Notary Pub*c UndenrriterI Commission Notary Publie- State of Florida ) SIGN # FF 238495 October 5, 2019 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED je DATE COMPLETED Rev. 8/2/17