No preview available
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 arc► Permit Number: V1 di J �i33 -� SCAN 9U BY t Il a.a C A Build�irig Permit Applicati ning and Development Services ling and Code Regulation Division ) Virginia Avenue, Fort Pierce FL 34982 ne: (772) 462=1553 Fax: (772) 462-1578 Commercial RECEIVED JUL 26 2018 bj-,lt �,gpwity, permitting PE I MIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 1vN ,� PR' i'OSEDM!?R01/EIVIENT 3 �. �4 ,• Pro Pro !ss:fz - l ) Description: -:? r)_ b 1 rty Tax ID #• d b o ( c3©b Ian Name: A Name: �Q�� icks Front inn- clack: Right Side: Left Side: W :ional worK to ne errormea under mis permit - checK all apply: � VAC E] Gas Tank ❑Gas Piping _ Shutters .Electric Ulumbing Sprinklers E Generator Sq. Ft of Construction: 113 C > Sq. Ft. of First Floor: _ �f )f Construction: $ �(Ca (Gi2Dv Utilities: _ Sewer L optic F Lot No. Block No. Windows/Doors Roof Roof pitch Building Height: Nary JJOfL-i %1e ��o,-t 1��c�\ �5�z"rd����� Name: )LCJI l lyti Ce- Addtltl; ss:-2401 _GoLffig&n L C,,l Company:,Pcicc- tzar- 'Entc-c,26s --TnC City' State: EL Address: n(c,0 IZ501�" Kai t� Zip ode: Fax: City: Lja)1Le CAS Stater Phoi a No. Zip Code: 3ZQ7_q Fax: E-M il- -9s1; S)2C-AZ�rn G,op � Phone No.' �S�o `� Fill i fee simple Tide Holder on next page ( if different E-Mail. t°� p"`r✓e{ Ofe J fron the Owner listed above) State or County License: �- � - . -�F -� ` i 3 If val'ge of construction is $2500 or more, a RECORDED Notice of Commencement is required. i • Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MO•RTGACE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone- SONDING COMPANY: _Not Applicable Name: Address: City. Zip: Phone• )WNER[CONTRACTOR AFFIDVIT: Application is hereby matte to obtain a permit -to do the work and installation as indicated. I certify that no work wi installation has.commen.ced prior to the Issuance off -a permit. it. Lucie Count� make no-represe, t tion that is granting•a-permit ill authhorize the pdrrnit.holde to -build thwsubject ructul e which isle conflict witch any.applica��e Norge Owners Association rues; bylbws 4r antl wvenants that mey"r+astrlct.or prohibit such tructure. Please consult with your Home Owners Association•and review your deed for any restrictlons which may apply. n consideration of the granting of this requested permit, i do hereby.ag,ee that I will, in all respects, perform the work n accordance with -the approved plans, the Floedda Building Codes and St, Lucie County Amendments. the following buildir►g permit applications are exempt from undergoing•a full concurrency review: room additions, rccessory 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 ittay result M your paying twice'for imrovements to your property. A Notice of Commencement must be recerded and posted .on the jobsite befpore the first inspection. If -you Intend to obtain financin-S, consult with lender or an attorney before commencing. work. or recordina-vour Notice of Commencement. S gna ur of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID STATE OF FLORIDA COUNTYOF �%&Ve.t COUNTY OF 'Su wAexneC- The forgoing Instrument was acknowledge4-before me this � day of _Jan to 20. by _ ma�.d�v_ _ �hezheen Name of person making statement Personally Known_ OR Produced identification Type of Identification .,tItNMMS..- (Signature of Notary Publt�30—te of *Ncld i I1 commissionNo.�� �a�o Seal) ffie(lar4a 1 _ REVIEWS I FRQNT I ZONiNG j COUNTER REVIEW !*%d the e The forgoing instrument was acknowledged before me this ,� day of Aje f� 20L% lij wil l i aww ?- car i ce- Name of person making statement Personally Known k-.4_ OR Produced Identification Type of idehtificatiori e'ssi Cam. - - - -.Niy► Comm. Expkes Qct.1, 20 No. Coai"p Na FF 9MM REVIEW I VEVIEW N I S RE EWE i PREVIEW' 1 --- - -rr..__..... ►• btate: Phone i SIMPLE'TITLE HOLDER: Not Applicable 'ne: -1"--- MORTGAGE COMPANY: Not Applicable Name: Address: t City: State: ZIP: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: ZIP: Phone: 0�, NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. III ertify that no work or Installation has commenced prior to the issuance of a permit. St.' t Lucie Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure w ich is in conflict'with' any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such st cture. 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. TI%' following building permit applications are exempt from undergoing a full Concurrency review: room additions, ac ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use W i1RNING TO OWNER: Your` failure to Record a Notice of Commencement may result in your paying twice for ImprovEfirst-In our property. A Notice Of Commencement must be recorded and posted ont he jobsite be ore spection. If you intend to obtain financing, consult with lender or an attorney beforeome Work or :ecordin our Notice of Comniencernent_ r as Agent for owner :'FLORIDA C I STATE OF FLORIDA OF J t ,1vf COUNTY OF L&y C� f�orgoin Y nstr�entwas acknowledged before me d a of h-w o ,N eWf 20 19 by e of person making statement. orally Known)&J' OR Produced Identification of Identification . a JESSICA PRESC ,ary Public, State i Comm. Expires Oi ommission No. FF The forgoing instrunient was acknowledged before me this"day of _26& by Name of person making statement. Personally Known X� OR Produced Identification Type of Identification 'of Notary Public- State of Florida ) - rl No.�o� JES,�ICA PR180W Not JES Mile, Stete.of FIo ,�, ;� My Comm. Expires Oct 1, 20 9 FRONT ZONING PNS CO COUNTER REVIEW S REVIEWOR REVVIIEW I VRE EWON _A TURTLE I MANGROVE REVIEW REVIEW L _, -•�• ivu� r�ppncaote N me; MORTGAGE COMPANY:' Not Applicable '. A' dress: Name: Address• Ci y State: City: ZipPhone State• Zip; Phone: F SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY; _Not Applicable N me: Name: A Tess: Address: Zi Phone: City: f zip: Phone: O ER/ CONTRACTOR AFFIDVIT:: Application Is hereby made to obtain a _- ___ I cef, ify that no work or installation has commenced prior tothe issuance of.a perrmimit.to do the work and installation as indicated,. t. St. L ' cie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject:structure whit is in conflict with any applicable Home Owners Association ruses, bylaws or and covenants that may restrict of prohibit such stru ure, Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In coy sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in ac ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The llowing building permit applications are exempt from undergoing a full concurrency review: room additions, acce ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another rIon-residential use WA NING TO OWNER: Your failure to Record a Notice of Commencement mayresult in your, paying twice for imp f vements to your property. A Notice of Commencement must be recorded and posted on the jobsite be. a the first inspection. If you intend .to obtain financ` or► us,�it with lender or an attorney before. commencing workor recording your Notice of CnmmP ramanr ��71uz T wwn'er/ Lessee/Contractor as Agent for Owner • nature of ontrac rise Haider ST FLORI STATE 4F FLO CO QF COUNTY OF Thep or$oing Ins ment was acknowledge efore me The forgoing instr ent.was a ledgTby efore me this V day of 20, by this / day o 20e Nant of person making statement. Name of person making statement. Pers nally Known, OR Produced Identification Personally Known OR;Produced Identification TO Ipf Identification Type of Identificatio Prodced ii Produced ig ture of Notary Public , Notary Public, State of PIO loritla�`' �w M` IIISigna ,ure of Notary Public- St awry Public, Stair of Coin' ission No. *' _* . m.Expires.Oct.1,. lggommissinn No. r • C * omm. Expires Oot Commission No. PF { minission No. FF S RE EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW nail Aress: State: Phone FFIF SIMPLE TITLE HOLDER: Nof Applicable If me: � Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 01N ER/ CONTRACTOR AFFIDVIT Application is hereby made to obtain a permit,to do the work and installation as indicated,. I ceII Ify that no work or installation has commenced prior to the issuance of.a permit. St, l; cie Count makes makes no representation that is granting a permit will authorize the permit holder to build the subject.structure w.hi is in.contiict with any applicable Nome Owners Association rules,:byiaws or and covenants that may restrict.or prohibit such stru ure. Please consult with your Home Owners Association and review your deed for any restrictions which may app►y. In cc nsideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work in a ordance with the approved plans; the Florida Building Codes and St, Lucie County Amendments. The li slowing building permit applications are exempt from undergoing a full concurrency review: room additions, acce sort' structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another ikon-residential.use NING TO OWNER: Your failure to Record a Notice of Commencement mWA ayresult in your, paying tuirite'for imp ovements to. your property. A Notice of Commencement must be recorded and posted on the jobsite be re the first inspection. If you intend to obtain financing, consult with lender or.an attorney before co ` mencin work:or recording Vour Notice of COmmPnrpmant as Agent for Owner ract 71 Lic+:nse Holder TE OF FLOWPA STATE OF FLOR LINTY OF � _ _ COUNTY OF forgoing ins meat sac wled ed f g e ore me The forgoing ins ent was ack wledged fore me da of Y 2il by this day of 20y 4 A e .of person making statement: Name of person making statement j of Known ,W.OR Produced Identification Personal) Known i of identification Yf OR Produced Identification ea Type of Identification ae� gnatpreOrNotaryi�ubli Nataty Public, State of Flo `J No. * r worm, Expires Oct 1, 1Commission No. 4" .. � , commission No. FF FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW Public, State zm. Expires nission No. Fl SEA TURTLE I MANGROVE REVIEW REVIEW