HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONR Ad APPLICABLE INFO MUST BE COMPLI 1. ; i FOR APPLICATION TO BE ACCEPTED
Date: �a'3�1� Permit Number: On d6IG
I 1� S$ bmiAr',WN RECEIVED
Building Permit Application Planning and Development Services MAR 2 3 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permltting
Phone: (772) 462-1553 Fax: (772) 462-1578 COmlmerciaA Residential
PERMIT APPLICATION FOR: Renovation
Legal Description: �tY1C S l }� ll..trr� �-� �V1 l� � � �'(
Property Tax ID
Site Plan Name:
Project Name: I
Setbacks Front Back:
Side: Left Side:
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Plumbing
.Sprinklers
"Shutters
MGenerator
Lot No.
Block No.
Windows/Doors
Roof
Total Sq. Ft of Construction: S�Ftj of First Floor:
Cost of Construction:-$ 17,600 Utilities: L_I Sewer 0 Septic Building Height:
Nan
Add
S
State; r
Zip Code: ;5v&VJ 4 Fax: G
Phone No. n a )
E-Mail: n1g�,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Justin Thiery
Company: Island Kitchen and Bath
Address: 10875 S. Ocean Drive
City: Jensen Beach
Roof pitch
State: FL
Zip Code: 34957 Fax:
Phone No. 772-678-8219 - 772-237-7348
E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com
State or County License: CBC1259508
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
N am e: Justin Thiery
Address:
Address:
City: State:
City: Jensen Beach State:
Zip: Phone
JZip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
i BONDING COMPANY: Not Applicable
Name:
Address: 10875 S. Ocean Drive
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby n
I certify that no work or installation has commenced prior to the
St. Lucie County makes no representation that is granting a perm
which is in conflict with any applicable Home Owners Association
structure. Please consult with your Home Owners Association an!
In consideration of the granting of this requested permit, I do he
in accordance with the approved plans, the Florida Building Code
de to obtain a permit to do the work and installation as indicated.
;suance of a permit.
will authorize the permit holder to build the subject structure
ules, bylaws or and covenants that may restrict or prohibit such
review your deed for any restrictions which may apply.
by agree that I will, in all respects, perform the work
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
improvements to your property. A Notice of Commel
before the first inspection. If you intend to obtain fin
commencing work or recording your Notice of Comrr
of Commencement may result in your paying twice for
icement must be recorded and posted on the jobsite
incing, consult with lender or an attorney before
encement.
i ature of Owner/ Lessee/Contractor as Agent for Owner
Co tact
/License Holder
ATE OF FLORIDA
Zi�aturoof
F FLORIDA
COUNTY OF St Lucie
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me I
The for oing instrument was acknowledged before me
this- day of 20� by
thi day of
20 , by
Justin Thiery
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification x
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Prod ucedDrivers ucense
i
Produced
'
(Signature of NotA P blic- State of FI Pvrida)
(Signature of Notary
ic- State of Florida )
MICHAEL RAAZ
Commission No. * SOY
EXPIRES: July 28, 2019
Commission No. i
;
`�Y P"'
za ; •••,� MICHAEL RAAZ
SegYkOMMISSIONiiFF9041
* EXPIRES: July 28, 2019
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REVIEWS
FRONT
ZONING
SUPERVISOR
VIEW
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW,
RP
' REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
l
COMPLETED
tev. 8/2/17