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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �fj Date: I SCANNED Permit Number:! ° " Y' 6�'q BY llecftFo M, - St Larip rminty MAR 3 0 2018 Building Permit Application peS ►tLugDepart Ment Lurie count". Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION _- Address: 151 S E &n i, I—C- Cf Legal Description: j� %J-e1r" 1"CL r K U f) % �- S EL� K 1 I pi Property Tax ID #: 3 —1 ` CI — 11�—H o— (D 0 t) Lot No. _ Site Plan Name: e- Oo F— r Cc r be rct f9p:pe rga-C. S te-Vir-fiLlYe Block No. S— Project Name: Setbacks Front Back: Right Sid',e: Left Side: DETAILED DESCRIPTION,OF= WORK: a' q 9'+rU c.fv(t 3. to 155uare .S us i rn CerA-al e)ktd, 3FIy moc t fed r—1► to-7oCi-ey CONSTR.UCTION`.INFORMA"TI'ON: s Additional work to e performed under this permit —Check a apply: LHVAC Ei Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: -5. t. D Cost of Construction: $ I 1 D- 0 . U Sq. of First Floor: _ Utilities: I Sewer Septic Building Height: _(I OWNER/LESSEE;.. CONTRACTOR.: ,. Name 5 ,1, Name: S laC`�I 11C. Address:_ �,E BCJJ Q�(�74�-� City: ��'�' c�+. (U� State: ZipCode:,&CR Fax: Phone No.' Company: 'I inhi Address: 2 0"C', fV1 k City: cIU1�Jli'�I� State: Zip Code: 33y17 Fax: Phone No.7 7 6 -7uS- 1:1 Jy E-Mail: fdS f,4r NA mTeo hn o E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: XC If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 1863 QP'_trM,4 —1/ j1Y 1 r.M%.r vn mrriuvil i : 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association`rules, bylaws or anscovenants 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 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 your Notice of Commencement. Signature ofOwner/ Lessee/Contractor as Agent for Owner Signature of Contractor/license Holder STATE OF FL¢KID COUNTY OF"1_Ak The f-or�ning instru nt was acknowledgebefore me this K day of 20 � by Name of piers n making statement Personally Knowr�_ OR Produced Identification Type of Identification Produced STATE OF FL A COUNTY OF `� BeQA The fo oing instrument was acknowledged before me thiGs/day of 20A by is Name of persoyi making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary PuT)Iic- State of r r. r dap CHRISTA-LYN AIIt�em" e o Notary Publi - Sta ALMO c`i°•' V''•; •"�P +•, CHRISTA-LYN$ Commission No. _ 3 ,�5 MYCOMMISSI 9FF969995 p ,+tti Y:;t+, MISSION#FF :. .o,; EXPIRES: Ma c�gDi'H Msion o. � / %� = 4 s aMY COM March 10, ":,"Bonded Notary ublie 0ndenwritore i•' �/ EXPIRES: BondedThru Notary Public REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE DATE COMPLET Rev. 8/2/17 SUPPLE.MENTP;LiGr01V}STRUCTIO'f� LIEi� LA,W'11`NE�RIIVI%ATION x } r .�... ,.ANA:.:... DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY, — Not Applicable Name': Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE FOLDER: _ 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 permitto 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 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 .:�, r.,li ' 1Ir 1�I r\tirn of ('nmmAnl`I�m PYIt'. 1.V 111111/G/i 1�.11114\.. a.Vl \wv..• ...v.....-.-. ��...... ___--.��-/-/-j�D -V/yV�V11♦VI ��/) %///J Signature ofiOwner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORino STATE OF FLORID COUNTY OF—' COUNTY OF / wit&A C_ The forgoing instrument was acknowledged before me The for ing instrumentvyas acknowledged before me this day of 20_ by this day of /XIy h. 20J2 by 1 Name of person making statement Name of person making statement Personally Known nsZ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced -o (Signature of Notary Public- State of Florida) (Signature of Notary P blic- Sta .� a) CHRISTA-LYNSALMON •'e°' -""'; MY COMMISSION # FF 9 Commission No. (Seal) :«; Commission INo.� ;�, f s eal)EXPIRES:MaPublic 2 ""•,',Ipd�4o •' BondedThNNotaryPublloU REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION ,SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17