HomeMy WebLinkAboutBUUILDING PERMIT APPLICATION 4-24-18ALL APPLICABLE INFO MUST BE COMPLETED FORAPPILICATION TO BE ACCEPTED
Date: SCANNED perm it Number:1803-0876
WSt Lucie Cnulntv REC&Ift
Building :Permit Application APR.24 20
Plan ning-ond Development Services PermittigrV Dew
Building and Code Regulation Division St. Gue cb�
2300 VirgjnioAvenue;. Fort Pierce FL.34982
Phone: (712) 462-1553 Fax-(772)-462-1578, Commercial ReSidentia] x
PER MITAPPLucATiONFOR
-,,PR,0Pott.WM ,RdVt t,'TTI,"
Address: W-110t
Legal Description.,
,OR
Prc)pertyTax lD#:4 UX-0V_LnUV_j
Site Plan Name:
Project Name:
Lot
Block No:
Setbacks Front Back Right Side: - — — - — - Left Side:
7"77-77.
Vl�
DD R
b6 W) M � P'i 1;n9s
i iona Wor o-be-o-erformed 'underlhis permit - Check- all that-
pplyl:
❑Gas- Piping F]ShuttOrq FIW'indows/Dooes
LIHVAC Ga's Tank
DElectric F-1 Plumbing [].Sprinklers EJ:Geherator Roof Roof pitch
'Total Sq.'Ft of Construction- Sq. Ft. of First Floor:
Cost of,Construction.:,S, Utilities: OSewe , e Septic Building Height.
JER-/LESSIE
Name. _JradQWb�d 1.Narne::
Ron A. DeQfazia,
------- -------
Company: _QQRE_GLfflLera
Address:_iomas Qogn-Drime—
City: Jensen Beach state:.FL
Address: PO Box=64371` I
City; ynr_Q_�ea h State: FL
Zip Code 34957 Fax:
Phone
Zip Code: Pax-888-858-1492
E-Mail:
phone.,Nd. 772-234-4250
Fill in fee simp le Title Holder on next[page if different
E-Mail: _gLmL1n@_co_[%ccp_M_
State or County License: CGCA26812
from the Owner listed abdVe)
if value -of construction is$2500 orrnore;,a RECORDEO NOtice.,of commencement isrequirea.
t
SUPPI:EM�NTALCC)N$Tjo
A RUCTIONLINLA1111FtRMATIt7N
72
tr � .t +
.y
DESIGNER/ENGINEER: _ Not
Applicable
MORTGAGE COMPANY: :Not Applicable
Name:
Name.: .
Address:_
Address,:
City:
Zi.p: _ _ Phone
Mate:
City: State:
Zip: _ Phone
FEE SIMPLE TITLE HOLDER: Not
Applicable
BONDING COMPANY: Not Applicable
Name:
Name:___. ---_— _-----_--_ _--�—
_
_
Address:
Address:_
City:
City:____ — —_--- —_--_
—_—
Zip:__ Pho.ne: _—... -- _—
Zip: Phone: I
I
OWNER/'CONTRACTOR AFFIDVIT: Appi cation is herebymade'to obtain a permit to-do the work and'installation as,indicated.
I certify that no work or installation has cornm need prior to the issuance of a permit.
St. Lucie County makes no representation that s granting a permit will authorize the perrnit holder to build the subject structure
which is•in:confliet 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 request�d permit; I do Hereby agree that I will, in all respects,. perform. the work
in accor.dance-with the approved plans, the Florida:Buiiding.Codes and St; -Lucie County Amendments.
The following building permit applications are empt from undergoing a full concurrency review: room additions;
accessory structures, swimming pools, fences, II valls,.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
ce oposted-on Commencement must be recorded and posteon the jobsite.
improvements to your property. A Noti
before the first inspection. If you intend to obtain financing, consult;with lender or an attorney before
commencing work.or recording your'Notice of Co►'t1me''cement.
ontoactor as
STATE OF FLORIDA
COUNTY OF �YiO t�-tl'1
The forgoing instrument was acknowledged f me
this _1 lQ day of _ 4r(5 20 f kby
Name of perso-n�laking statement)
Personally Known . _____ OR Produced Id intification.
Type of Identification
Produced -
(Signature of'Not)y Public -
Commission No,
REVIEWS FRONT ZONING
COUNTER REVIEW
D AT E _._.m.-_,w a ..._... Z t�l
Signature
STATE OF FLORIDA
COUNTY OFl%l
The forgoing'instrument was acknowledged before me
this lap= day of _ �� 26A by
Name of person rna ing statement
Personally known w OR Produced identification
Type of identification
Prod used _-
f PublioState of Florida (S' natu re of Not rj Pu b e FTToTida
iy R. Cathcart '1 Notary -Pi
)mmis9ion•GG'197420j Brand I
m 03/18/2022 i CO 'mission No. My.COV
l
or ti 6irea C
i
SUPERVISOR PLANS VEGETATION SEA TURTLE,
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETED i
Rev: 8/2/.17
State of Florida
athcart
afiGG 197420
MANGROVE
REVIEW