HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te:_I, 6� ������® Permit Number:
`, `-x-- ---' ft Lucie county RECEIVED
Building Permit Application JUL I S 2018
running and Development Services
Bui'(ding and Code Regulation Division ST. Lucie County, q ?rnii�iEing I
23 0 Virginia Avenue, Fort Pierce FL 34982 _ -L
Ph', ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
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FPEI��MIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
AddrLlss: ►'r_x. (J�T� 5 Imo`' 1 ')U. � rj" r1�J r1. QC:�= 'S Fd � Q'Sy
Legall�Description: _I�%.QI .— I.D6 _ 514 nIJ� o �- Cuyld-O B YI . PO K ,'
I o l 5 a n4_ Pr b - Cc -% A SlnQ� (.0-- i ►n Cr VImrnv--)o -9A v r ( 4116-.L7q,
Propeli y Tax ID #: '6 Oe2_ !�U I ^ 1 �2_ 5�' 00 0 '� Lot No. 1 D ( e
Site PIII n Name: (;' ar1.Z Q) p z:- hvz_�K C. y ,+z_j0 S j oln `I' goa4 (1 Block No.
Proje I Name: &on-L Gt (P z bL-e e -A6oat, X, &
Setba III s Front Back: Right Side: Left Side:
5 .d u':�aixra`F).., y n•�
DETAILE'DDESCRIP�TIONOFpW,ORKh;F� :;��;�" $ a
1�i� I �. t Q i�` lia E1• \...I� I 6YiRc_^) V3' D �-QCl'h
.e C_
11 Elf
Total Sq.
Cost of C
- cneCK a
�C L I Gas Tank UGas Piping "Shutters
tric 0 Plumbing Sprinklers OGenerator
t of Construction:
nstruction: $ tp.,00a
S Ft. of First Floor: _
Utilities: Sewer El Septic
QWindows/Doors
E]Roof Roof pitch
Building Height:
� �r '�;� x+- ar r e-: a a
OWNER4/LESSEE ;r r��i�a,G
Y..
a-. ... 'r� wa i}<�.•%n `t�rx 4'aY�e,N fr yY w",}t' t'r+c,�.fji* ,J
CONTR�At®R4y°"�ti=x?�Uf�y✓ N` .y,y ..
Name Y� IC�L�i%1.Q5 LLB
�
Name: 1 V �
Address: 7 LN6 t-_;' W C6J r, c-
Company, (y01cbC (4 $- &a- ; + LL
City: ��'� I,2G, �l State:
Address: 15M 4 la 4(
Zip Code: Fax:
City: Po VY) dj State: J
Phone NoA IS �Q `' I - Go ®
Zip Code::;S+ �� Fax:
E-Mail:
Phone No. 7 a Li vJ� 5
E-Mail�`D 06 K DR , e 17�
Fill in fee simple Title Holder on next page ( if different
from the O�n� rner listed above)
State or County License: Ldr? c �51. ®awl
If value of colistruction is $2500 or more, a RECORDED Notice of Commencement is required.
II
UPPLEMENIAL CONSTRUCTIONUEN
LAIN INFO'RIVI/�►jTION�
..
..,.
c t.
ESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
dame:
Name:
1 ddress:
Address:
ity:
State:
City: State:
lip: Phone
Zip: Phone:
�EE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: Not Applicable
ame:
Name:
„ddress:
Address:
1 ity:
City:
Zip: Phone:
ip: 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.,6cie 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
str ctu re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Th 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
DARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
irr1brovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
be'fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
re of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor icense Holder
'ATE OF FLORIDA STATE OF FLORIDA l�/� /
)UNTY OF 54, LU611 _ ILE YI�COUNTY OF LI W_, 0(Q�yi��X
forgoing instrument was acknowledged before me
A.1#4'day of 1_T LLAS4 , 20115 by
�n �l i �_ i�v�► i.e. �
Name of person making statement
sonally Known OR Produced Identification I/
e of Identification
duced Ci b(, L;C
The forgoing instrument was acknowledged before me
thisU,±hiayof::IuAq ,26LI by
7&
Name of person making statement
Personally Known OR Produced Identification V
Type of Identification
Produced . nC-
iature of Notary P
(Signature of Notary
-Florida
mission No. r
CAROL A. PREWCAROL
A Notjr k, State oEW
f Florida
Commission No. ��y
o Notary Pdb1R%tA. tee of Florida
:
Commission# FF 149300
:
Commission# FF 149300
My oomm. expires Aug. 10, 2018
My comm. expires Aug. 10, 2018
/IEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
CEIVED
,TE
,MPLETED
8/2/17