HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONN
All API ICABLE INFO MUST BE COMPLE'+rF_` FOR APPLICATION TO BE ACCEPTED }
Datei Permit Number:
l SCANNED
I'L,l-'l(V RECEIVED.
•+ � � - Building Permit Applicati n AUG 21 2018
111 Plannlrg and Development Services ST. Lucie County,; Permitting
Buildi and Code Regulation Division
2300 11 irginia Avenue, Fort Pierce FL 34982
Phony „1:.(772) 462-1553 Fax: (772) 462-1578
PER ,I�I IT APPLICATION FOR:
P fflgF ?SED I! I I P. , REN Ej0, E Ni Lt7CATIOfi
Addres II: �i � i uJil"o-5 in�vc,
Legal DliIscription:iy�r
Commercial Residential
3119
BW
5Z
2 z�) �a 33-7.2 �z
Prope IyTax ID#: IqJ 1-5-10 -b143 -0D0- 6 Lot No. A
Site PId Ill Name: Como►;. ����e� a Block No. /7
Project'IName: Avc,-----
SetbacIls Front Back. Right Side: Left Side:
Ill P�Okct" rf-oh Si�cl Irt4n 11 ---- v� - i TencPi
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Additl iial,worK to be perrormed. under trus permit — cnecK all tnat apply:
_IVII�Iechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ E, actric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq Ft of Construction: Sq. Ft. of First Floor:
II
Cost of lonstruction. $ Utilities: _ Sewer _ Septic Building Height:
W
ER/LESSEE:
,1N�ame�
.Company
Address: 1.12S 3if C,r
State: rl
City: vt/., .�L�� State:
Zip Code: 3 29G'7 Faxs T } ❑d�aa w
Phone No,��: n Sy ib��+�.y7 .;yL s �4n 44 A�s:
E-Mail
Zip Cod,
Phonedd
E-Mail
Fill in flee
e: �`I�S2 Fax:
o. ? 2 2-342- ZSSS
simple Title Holder on next page ( if different
from the
Owner listed above)
State or County License S�J+ G C CGC 152 6335
If value olll construction is 2500 or more, a RECORDED Notice of Commencement is required.
S PPLEiUIE� ,AL �4 Sl' -
Ttt} l�E CA [�
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:'
Not A licab'le
pP
Name:'
, Name:
Address:
Address:
City:
State:'
City:
State:
Zip: Phone
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
II
Zip: 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. j
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject struc ,ure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibi '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 jobsitIe
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
S' ture of O er/ Lessee/Contractor Age it for�OwnerrIg_na ue C6
STATE OF FLORID STATE OF FL(
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me
this Q\ day of _ �lA , 20kP— by
Name of person making statement. ,[
Personally Known OR Produced Identification
Type of Identification
ProducedL �L
(Sig -mature of Notary Public-
cState
Commission No.aU� b�6
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED -
DATE
COMPLETED
TRICIATIBBETTS
Commission # GG 108016
OxPires May 24, 2021
Bonded Thru Tmy Fein Intursna
The forgoing instr ment was acknowledggd_efore me
this'?..\ day of 20 l by
Name of person making statement. /
Personally Known OR Produced Identification
Type of Identification
Produced �Ir �L--
1q, A — I \0 \\\ nI l \,
j(Siqoaof Notary Public- State,TRICIATIBBE:ttS
NCGI--1\1S60� f•e {�mleslon#GG108018
g xp rea May 24; 2021
Bonded Thru Troy Fein Inourenu
SUPERVISOR PLANS VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW