The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMP1'e fE'D FOR APPLIIiATION TO BE ACCEPTED -k Date:_ ��aANN�n hermit Number: BY RECEIVED ��Q►��II�` Building Permit Application APR -4 2018 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. LUC OLI nty, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resadentia'IF PERMIT APPLICATION FOR: C-e . Address: r.2 b s lLP C V- YZT,> Legal Description: 566 PT of CERT I D En t >t FAS IYNU 1-� T 41 G A+T CC' Ll F-F � ►� Cy �e� Ir�9 I'�i ®��1 -R©C r lz� Property Tax ID #: ) - �p © 0- 4 Lot No. Site Plan Name: A t )-r6 t-3 i �a! 14G 1 '® EMS #CAQYYINpck No. Project Name: -SiA WNC Setbacks Front Back: Right Side: Left Side: 500 PIS' ®F 3I'T T DOWN G' A.) R®CtL CzQD yv� TOP-) (2,A-rrLc CATE- f-qo PST I COi�STR�IJCTffJN IIN'F®'RMATION: Additional work to be performed un er t is p rmit-CheCk all that apply: _Mechanical _ Gas Tank Gas Piping _ Shutters _•Windows/Doors _ Electric _ Plumbing L Sprinklers _ Generator _-Roof Pitch Total Sq. Ft of Construction: Soo T Sq. Ft. of First Floor: I Cost of Construction: $ *1601) . U 0 Utilities: —Sewer _Septic Building Height: OWNER/�LE�S�R 10001TRACTOR: Name & 1JTOO N �11 C LY ELCA t�-) Name: Company: Address: '2 4 O 2 /40 LLI ,bA(±'F City: PO 2T loilEfZCc State:P L. Address: City: State: Zip Code: 3L499"2— Fax: Phone No. 2 - ) P, - LY1 Zip Code: Fax: E-Mail: A 1, /N G 4aQN Fill in fee simple Title Holder on next page ( if di erent E-Mail State or County Licen from the Owner listed above) I If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. TBO T1 l l' N W F • ► tt DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable N;ame:. Name. Address ' ' Address: City: State: "City: `" "' State: I Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable I Name: Name: Address: _ - Address: City: City: Zip: Phone: Zip: Phone: 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 grantil g 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 permlit, I do hereby agree that I will, in all respects, perform the work in accordance with the,approved plans, the Florida BuilIding 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 obitain financing, consult with lender or an attorney before commencing work orrding your Notice of Commencement. N N �5 � •2 AQulie`&f'0Wner/ Lessee/Contractor as Agen wIT" Signature of Contractor/License Holder STATE OF FLORIDA m STATE OF FLORIDA COUNTY OF cnw � ICOUNTY OF The forgoing instru ent was acknowledg befo The forgoing instrument was acknowledged before me °° s thiday of 20V& by this day of 20_ by ��, (Name of person acknowledging) (Name of person acknowledging) (Signature of Not Public- State of Florida V (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification LI-11, Personally Known OR Produced Identification Type of Icipplification Type of Identification Produced �,� ��) �� . ,2, Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.