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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater �CAl�i�u Permit Number: RECEIVED:... St Intl Building Permit Applicat on JuN o 4 zoos 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_ PERMITAPPLICATION FOR: To Select from dro�box, `�' -r7 V%� click arrow at the end of line �,a z�J , ;PROPOSED :IMPROVEM�ENT.LO:CATION: Address: iy \ Legal Description.: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Sii iNTA, LED 'DESCRIPTION OF WORK: p cv . ir\ MA cJv �Ao PIS- S Left Side: Lot No. Block No. CONSTRUCTION INFO_ WATION AdditionaiworKtobenertormedd under this permit — check all apply: 11HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing []Sprinklers Generator Roof 3�1 Roof pitch Total Sq. Ft of Construction: �Q d Cost of Construction: $ Sano Uti S Ft. of First Floor: _ s:T] Sewer 0 Septic Building Height: l © C)\\ ,_OW N`t-R41LESSJEE ; 'COl1fTRA10TOR Ae s{C x.W. r P:ro F4..,tp,K, } J'. • .if, -, i, ..ah' .i'11. v k Name S\1'_L -4 rJ Name: John E. Murray o. Address:) Li U44 'INPru Cit� State: V—Lr1 Company: AMS Inc. Address: 941 SW 8th Street r' Zip Code: 31-E9t S l Fax: N l A- i City: Pompano 'Beach State: FI Phone No. i Zip Code: 33069 Fax: 954-782-0995 E-Mail: aA k A- j Phone No. 800-226-6677 Fill in fee simple Title Holder on next page ( if different E-Mail: maryannp@amsoffla.com from the Owner listed above) I State or County License: CC C042787 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SSUPPLEMENTAL CONSTIRKTION UENIAWINFO, MATION: , DESIGNER/ENGINEER: _ Not Applicable =i �NIORTGAGE COMPANY: Not.Applicable Name: James Bushouse Name: Address: 3300 NE 10th Terrace City: Pompano Beach State: Fi • Address: City: State: Zip: 33064 Phone: 954-956-2203 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ NotApplicable BONDING COMPANY: Not Applicable Name: W1I6WF_ GvkLok,4 - coczP. Name: Address: l-,ao�v-\ s%s AQ._ Address: City: M, City: Zip: Phone: Zip: .33\G74' Phone: 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 mus rec rded and posted on the jobsite before the first inspection. If you intend to obtain financing, c ult wit ender or an attorney before commencing work or recording vour Notice of Commence6i0dht. STATE OF FLORIDA STATE OF,FL COUNTY OF S'T . LyLI COUNTY OF The forgoing instrument was acknowledged before me this a day of 4V-N &y 20 la by FyCN L,J PRSA (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known t�f,_ OR Produced Identification Type of Iderr.04tion ProdAuuccNd ILLER Commis si% s * MY COMMISSION # FF 195499(Seal) 5, 2019 �f�rFOFF%,0"%! Banded Thru Budget Notary Services Revised 07/15/2014 The forgoing instrument was acknowledged before me this '�L day of 20 XS�_ by . _ John E. Murray (Name of person acknowledging) i (Signature of Notary Public- State of Florida ) Personally Known _-><� OR Produced Identification Type of Identificto9p Produced ALAN MILLER Commission hF *. MY COMMISSION # FF 19,V&a1) RM. May 5, 201 W��°' FI wl Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE ' INITIALS