HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLE, QLF� FOR
Date: �-�
TO BE ACCEPTED
Permit Number:
SCANNgO
GV RECEIVEDde 0 WAY
' .
So. LU
Building Permit Application MAY 13 2019
Planning and Development Services ST. Lucie County, RYrmitting
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 COTt71erCial Residential X --
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #:
Site Plan Name:
Drnicrt Aimma- 1,411 l 1 /19%.(A / 1 KJ
Lot No.
Block No. Z
DETAILED DESCRIPTION OF WORK: l
1AAC7
Dili dyoAy—
I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - ch�ck all that apply:
_Mechanical _ Gas Tank —Gas Pipi g _ Shutters
_ Electric _ Plumbing _ Sprinkle s _ Generator.
Total Sq. Ft of Construction:: Sq. Ft. of First Floor: _
Cost of Construction: $ _ C6,066a JL-o Utilities: _Sewer _Septic
indoors Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE: ;
CONTRACTOR:
Name_/?%eSf%i
Name:
Address: lea/ /,&//-7y f�i4L(1,� G1`
Company:
City: '>dg)4r a .4JC/,5, State:
Address:
_�
Zip Code: "-�g% Fax:
City: State:
Phone No. 4019-a-J11 12919
Zip Code: Fax:
E-Mail:1224YJU `IZ % (T 19vl- • 60,W
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the Owner listed above)
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT
INFORMATION:
DESIGNER/ENGINEER: .L<_ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: 1 City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE -TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: —
Not Applicable; I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
'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 At 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
, Iml
Ign ure of Own essee/ nt actor as ent-for-Owner
Signature of Contractor/License Holder
S ATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5.)r . t- o
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this \—b day of W\" . 204, by
this day of . 20_ by
10 \e
Name of person making statement.,
Name of person making statement.
Personally Known OR Produced Identification
Personally Known, OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota Public- Stat
(Signature of Notary Public- State of Florida )
GIVENS
II DEANNAMARI # GG 022023
Commission No. CVs�=0.0.
3MYC bar 16,20`0
Commission No. Seal
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PUbIIL Under,00rs
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REVIEWS
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ZONING.
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
I
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re—v.2/7/19