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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEi ru FOR APPLICATIO TO BE ACCEPTED -Date: %�1� �6 � Permit Number: Y RE CEIVED APR 2 4 2018 Building ermlt Applic tion Planning and Development Services 5� Lucie Cou�fflrlijg Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Comm rcial Residential PERMIT APPLICATION FOR: PROPOSE-D I�N�PRO`�fMENT L®CATION: Address: h9c16 �-s�� o� Prres °L1'. ©I��'-Luic., FL. 3LfISb Legal Description: &,1(A 1J4 PLAC.e, I S' Property Tax •ID-#: .33o?-1 - Q00 - 0014- o bo - Lot No._Y_ Site Plan Name: Cal I m '.I" ` la Block No. Project Name: Setbacks Front Back: Right Side: Left Side: r D'Ei'AII.ED DX BOO IPTBMW' OF WO car �o i �' "ILk. e 1 S IT ,1-:. �. `-„... .:..-_ .� MR; sc '1 b'® q .� PI o t�� __ 0e�l tI ; ILL 1 q3r 7�� Ft 53, CO;NST UCTION I;N'FORMATI' N: Additional work to be per orme un er this permit - c ec k all that apply: Gas Tank Gas Pipin _ Shutters Windows/Doors _Mechanical _ _ _ Electric _ Plumbing _ Sprinkler _ Generator V Roof Pitch Total Sq. Ft of Construction: S-o Sq. Ft. of First Floor: Cost of Construction: $ 3 GI �� Utilities: _ Sewer _ Septic Building Height: I "1 f� OWNER/LESSEE:1 CONT aACTOR: Name MA F R A4 --• Name: . �- Address: I0a04-e: c rr Company:"M-eue_ n �- aot�•x, �• City:,Pn�,�- oSi • Litua_ ,` - Si_ote:_L Address: .�•, .QloLrl Zip Code: .. 3 K1i SI .. Fax: City KI- 6+- Lau'e- State: FL> Phone No 9 `ld - 4(oLl- 3gaLo I Zip Code: 3YJ9f Fax: Ila-33(, 9-5111 E-Mail: 1•J r d- %i C,0 c.z�rn Phone No q -?a.- 3jC ' 3 HD Fill in fee simple Title Holder on next page ( if different E-Mail Pvn{u - d, • ✓tip from the Owner listed above) State or County License If value of construction is 2500 or more, a RECORDED Notice df Commencement is required. :r SUPP �M N L C©NSTR ION LIEN LAW I I NS IFOR ATIDN: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name:. Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 Commencemen our paying twice for improvemen o you proper ice of Commencement core and pos on the jobsite before t -firs inspe f you intend obtain financi , co t with lender or an attorn before commP rin nr rpmording your Notic of Comm cem t. 5 a gnu.1raciaLicense Holder ",g STATE OF FLORIDA STATE OF FLORIDA COUNTY OF (b A Of COUNTY OF MA �n The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged efore me this —day of raj , 20'1 by this %-I day of 14pa:J , 20Vby -c— Gn41d�(Name -- (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Sign ture of Notary Pub ic- State of Florida ) Personally Known � OR Produced Identification Personal) Y Known OR Produced Identification Type of Identification Type of Identification Produced educed e e�� Notary Public State of Florid C ela. Frantantvni Commission No. 5 ��5'"''Commission pz Co mission No. f g7s1 O JF;oy e04�ry Public State of Flot FF 975783 oFrio Erpires O5/?.9l2020c'I Q Canneia Frantantoni Commission FF 9757E REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED t�� DATE COMPLETED Rev.