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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN OJUSBE COMPLETED FOR APPLICATION TO BE ACCEPTEDDate: ��1Permit Number: l ©� #L 13Y RECEIVED le Cou* - - Building Permit Application MAY 10 2018 Planning and Development Services ST. Lucie County, Permitting 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: Legal Description: S+1 I V I S i Cn 1-n-I-- 3 Property Tax ID #:� ^ `-— Lot No. 3 Site Plan Name: i�.Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED' DESCRIPTION; OF .WORK:. j �LA31 --Oct -P p E�5ef WCe -P—n+-r(cn0 e a 4-'Q►1 CONSTRUCTIO(I.�INFORMATI1QN: - - i - _.._ itiona wor to egej orme under this permit —check all apply: CIHVAC I-1 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors i Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: I S . Ft. of First Floor: Cost of Construction: $" `1 \) Utilities: _Sewer 0Septic Building Height: QWNER/L' ESSEE: CONTRACTOR: Na Name: Micheal Flaxman. Addre • Q�IQ(l ; r. City: "� onf `� rr�� 'State:-� Zip Code: d_ � Fax ' -3 Phone No: — 40 W —1 Company: Energized Electric Address: 4252 Bandy Blvd. City: Fort Pierce State: FL Zip Code: 34981 'Fax: 772-318-6672 Phone No. 772-466-1095_ .., //;; E-Mail: ( U� rr Fill in asimple Title Holder,onext page _(,if di a from the Owner listed above) E-Mail: jennifer.energized@gmail.com State or County License: DI 13 oo 21 If value of construction is $2500 or more, a RECORDED Notice of Lommencemem: is requirea. SU.FPLEIVIENT 1 CONSTRUCTION LIEN: LAUU'INFORIVIATI.O'N: DESIGNER/ENGINEER: _ Not Applicable Name: $"j`/;.; i Address: City: State:; Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: 4252 Bandy Blvd. City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Micheal Fluman . Address: City: FaitPleme State: _ Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: 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 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 vour Notice of Commencement. .AI Signature of Q4ribr/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA �� LJUCIC, COUNTY OF L` The r I Instru e t was acknowledg before me this dj of . 20 by ao Name of per n making statement Personally Known OR Produced Identification Type aflde ific tion Produce A n of Notafy Public- State of Florida ) CotnYbission No. \\\StIIIIII����i��Seal) SI NORS(]���i� Signature ofCohtrapt:6r/License Holder STATE OF FLORIDA COUNTY OF`. �T - ;Cify The ��r g Instru a s a knowledglTkore me this I- L, pa1/ of 20 I��XX by MI cl�al � X (VAS Name of pepon making statement Personally Known A- OR Produced Identification Type of Identification of Notgry Public- State of Florida ) n No. i (Seal) ; EN T&T LE REVIEWS F j N T:��' QI COQNT�R N UM l��ilVG REVIEWOR REVIEW I $REUIEV PIANS.S REVIEW ' I,-REVIEWVE DATE RECEIVED II COMPLETED Rev. 8/2/17 9: # GG �• � P\V ��� I 1L . OFF