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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' �rJ '�� SCANNEDPermit Number: BY 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 PERMIT APPLICATION FOR: Roof Address: =RECEIVED Residential X_ _ 1-4 . Legal Description::.1(pC) WQYYie _ - L1,`-3 V-r)0. i qc N Property Tax ID #: l7(72_f-:k { Lot No. Site Plan Name: Project Name: 1]HVAC PElectric Block No. U Shutters ❑ Plumbing Sprinklers Generator © Roof Roof pitch Total Sq. Ft of Construction: I I I`{ 5 Ft. of First Floor: - Cost of Construction: $ nc) Utilities: Sewer Septic Name A np e,la Address: City:S\ .1�;e_ State: Zip Code: �3yCa52_ Fax: Phone E-Mail: is\IA Fill in fee simple Title Holder on next page ( if different from the Owner listed above) U Windows/Doors Building Height: Name: f,%ckr,-cA N . a\\eA- Company: Address: (,, M 1 City: 'FN . 3?�Qcc2 State: V--L Zip Code: 3ugg2 Fax: Phone No. q22-2ta 3M-$�{51� E-Mail: roc ',�CSs714P+36 c3) Qom:\ State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 10TVIC1014:7I0101[d1�iL 43 Name: _ Address: City: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: State Not Applicable Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable 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. a, C�"_k v. a)6�6� , V, a4(6&�_ s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF EA . lvvra t I COUNTY OF 5�, LAM -<, The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Iq day of cv , 20 %-by I this ]9_ day of dyne , 20 Vg by �► G ��r � �(. C.�11 e.��,' 1�, � chi r � �I C.� I le�!-�' (Name of person acknowledging) (Name of person acknowledging) �6bg n (Signature of otaryPu lic- Pate of Florida) (Signature of otary Pub ic- State of Florida ) Personally Known ),�— OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 SALLY PORTES Commission M GG 4762 y Commission Expires November 15. 2020 Personally Known �4 OR Produced Identification Type of Identification Produced mission No. SALLY PORTES Commission rr GG, 47ROq My Commission Expires November 15, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Addre3s: 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: 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 commencine work or recording vour Notice of Commencement. aaL�id�Qu� 14 � .' I 1 ,/- A a' _A 1 / , erA po�,� s Signature of Owner/Less a Contractor as Agent for Owner Signature oT Contractor/License Hoer STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ',)� , l mac_ ,e I COUNTY OF 51, The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me this � day of Sim-, m, 20 ]�by this day of —3vr-Ia , 20 _JZ- by (Name of person acknowledging) (Name of person acknowledging ) Q J Q. A 1�61 h/Q (Sign atur Notary P blic- State of Florida) (Signatu f Notary P blic- State of Florida ) Personally Known _X OR Produced Identification Personally Known L OR Produced Identification Type of Identification Produced I Type of Identification Produced Commission No. a SALLY P O RT E S Commission No. e, ,�� rer r�+., (Seal) My Commission Expires •�`�%:,°`,,;,`,°�`� 3i ;= Commission N GG 47625 Revised 07/15/201 November 15, 2020 �4.;;,°�'`MY ion Expires2020 November 15, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS