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HomeMy WebLinkAboutBuilding Permit Application I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q U q Date: \ alb t Permit Number: RECEIVED SEP 292017 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X _ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ni k-, AV%a PROPOSED. IMPROVEMENT LOCATION: . Address: qq®& 5t7,Nsisr, ; Bwt,-, Q1ef-C'E , FL 3Li,Of qz- Legal Description: ItJ-b) ?_WVL E51M� QN11 01 - BLK 47 Lai A'1 (1W 3Y�DZN� 6R 3550- 17A-Q Property Tax ID#: 3L4©Z -- iQf3 - OLH - 000 Lot No. I I Site Plan Name: Block No. 3 _ Project Name: B iSetbacks Front / Back: / Right Side: / Left Side: [7PETAI DESCRIPTION OF WORK: j7EV I L W,17;5k Yr—XTr�k(Adz 01 CONSTRUCTION INFORMATION: ACIClitional work to be erformed under this permit-check a apply: 11HVAC Gas Tank Gas Piping nGenerator Shutters Windows/Doors ❑11 Electric X Plumbing Sprinklers E] Roof Roof pitch Total Sq. Ft of Construction: _ S Ft.of First Floor: r lagZ Cost of Construction:$ , ��ZC�• Utilities:Sewer[]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Rosa;mA&cz RA",IL Name: M �9-P11 ly/k*,C Address: qqQ6 SWSL-r BW',b Company: PL&GM13/Wc- Pc I ///c- City:Ilftsr fhMgLC.E State: F-L, Address: ;, 9c S. 40AJXY ,lS X lllz-- Zip Code: Fax: City: State: �L.`�` Phone No. (72z) 67L- I Zz\ Zip Code: 3 -5— Fax: S;&/--27 E-Mail: tq&y Jo cgDd'h Phone No. g-2g60 Fill in fee simple Title Holder on next page(if different E-Mail: PI 4 m,6110-4YP0�Q ,, from the Owner listed above) State or County License: C 4'C If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: , DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _ of Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: 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 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 rec r otce of Commencement. e � - s Signature of Owner/Lessee/Contrac or as Agent for Owner ZATE of Cont ctor/Lice se Holder STATE OF FLO DA / � F FLORIDA COUNTY OF l atc COUNTY OF P �I The forgoing instrument wa acknowledged before me The forgoing instrument was acknowledged before me this day of 20 aby this Lb day of 50��1me,20 L7 by (Name of person acknowledging) w111111I (Name of person acknowle ' g) PH/�� `I;. •% fin •� (Sign at up6zMotary Public-State of rida•�_ (SQDat, re o u Ic-State of Florida) % 'My Comm.Exp es Personally Known `' OR Prod ed I • �; Rers>�tal.ly Known V OR Produced Identification AType of Identification Produced e-rr d7R7Q TypQf Identification Prod �j •: � � o+a`r° Not Wis State Of Florida Commission No. +q �� .;°UBL�C:•' `emission No. G Grep Esposito Jr O o My Commission FF 919163 �OF f��� E% ife& )1/2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS