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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE WMPIPLETED FOR APPLICATION TO BE ACCEPTED Date:�_Q Permit Number: I D L) 3 VU V ', AG RECEIVED • �3NNVO. ECEI RV MAR f2018 9 Building Permit Application MAR 6 2018 Planning and Development Services Permitting Department St. Lucie County Per ing Department Building and Code Regulation Division t. Lucre County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 46211578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Y91? C4 ris7e-s Legal Description: Property Tax ID #: Site Plan Name: C h r I'S `>l'Cas , ,� AG r`tiS 606 4,(/ -1 Z 3Yos`" Goon oDo?-- pda -S, Project Name: Setbacks front Back: Right.'Side: Left Side: 1.1 Lot No. Block No. Mrao'e It►fc4r-Cwo K. e1 -C 4Guf1_4 p(St4tic� P-ek�JSS f:JT Gouu•-t/ `$ i✓ i✓N 4ct W�nl_�_,�•y TD 1]HVAC Electric Plumbing OSprinklers Roof pitch Total Sq. Ft of Construction: �' ��� �vt 4 SIC . Ft. of First Floor: Cost of Construction: $ 41CW10• V Utilities. Septic Building Height: LJ Shutters Generator QWindows/Doors Roof tOW�V�Rf LESSEE h 4 dt� +n�.``r..if "v rt8 ..✓v:k_i. NC rY y„m�,.'ua_.L ,m'4; fr i.. .1.1, a-.k, ,.. ,,5�?C.t.r r'd.,i: ,, z�, r r ��JNTRACTOR t - y ,.rXa.k art .^:. k�, k?..t*°.;:, t1ysY,,::u,1k.., r�•,n4,St^.1� .,.t y'�.✓.wE.' Name Name: �Ckw�l ►'�iu5 Address: gl 641f f el"S-cl, AI Company: or- Kft,-z5 1wL City: ��Y f��'t� u State: ,EL Address: If$ Zip Code: 3L6 9 Fax: City: d9S L, State: Phone_ �1' No. �S�- 30 - 7`>':ji- Zip Code: N922 Fax: E-Mail: Phone No. 3 9 Z " 62(0 -50©® 'Fill in fee simple Title Holder on next, page ( if different E-Mail: Nowr ip S-00148v► l W4 f wks'som from the Owner listed above) State or County License: 413290OU62o If ,value of construction is $2500 or more, a RECORDED Notice of Commencement is required. a •,��.��aS1:f.c" RPL ENTALN f � ;t;�x'�G5 ..F�,+'hG.✓. tr !e' .&n,Ck..: ��'SY,�r!c���w�fiah����xjjv'Y' ,wi. •,.33y1<. i,,Ryy.'LW.:_Ml��y1. Y�+,_�-." Yrt x..Y;. FY .t4 ,U':,'t�l�Y.l+4)�C:i,4»uz'ay,:�`��oF:e?; b�!y;Tu ,,i',1kad �'y.»it :NotApplicable „ .K�Amn, .x.,,•%:9.::I. .?e#Y `Yt..b.Y ;'.,.";4,. �t.cltAi�1ptpn"b7b..'F'"F.'✓s.rfIG•- *]N:nfrq•:,.':._ ta`fdry lv.if._ .1_eb . DESIGNER/NGINEER: l. ictJI�iN+a""'k l� MORTGAGE COMPANY: No.t+ Name: Name: Address: I Address: City: 1 State: City: State: Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: I I 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 thegranting 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 aIre 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. f�qu intend to obtain financing, consult with lender or a ttorney before commencine work or re r n vour, Notice of Commencement. / I er/ s e/C tractor s Agent SignatZEF�/�FLOIR for Owner Signat� ra or/ ce se older STAT ST tSF FL A COU nNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this - �--1- day of _ , 20 16 ben iq b �--1�1 �r (A I by this j�__ day of V4,1k,LC14 .20 l g by C-A Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- to of Florida) (Signature of Notary Public State Florida ) Commission No. (Se ,IIIIUn, , ��" "�: Commission No. (Seal) REVIEWS FRONT ZONING cn F OR PLANS VEGETATION SEA TURTLE "Jam M N COUNTER REVIEW o EEVk REVIEW REVIEW REVIEW DATE 30°m c3� T= RECEIVED N ' J0 3 0' ° m DATE COMPLETED c� o C o y. d rnRa tev. 8/2/17 N° w o N X " -n y V C; N�' N � )JI n y a C: