Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI i ALL AIPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dat": ����' l d 'SCANNED Permit Nu I' �Y . ; St Lucie Counjy Building Permit Applicatiol I SEP 18 2018 �P ing and Development Services Permitting e;a tm nt ng;and.Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 St. Lucie Coum nyt ^� FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Kesidential— PEF'MIT APPLICATION FOR: To Select.from dropbox, click arrow at the end of line 7 0 Description: c 1, A&pi, -P L/6 IJ Prop;l rty Tax ID #: �—/� —5 1� 'M5 —� Lot No. �Z Site Plan Name: Block No. Projr'ct Name: ��✓1 �i9/ �-1^" D p Setbacks Front �0 Back: a/ Right Side: -�— Left Side: �44 rrwu�,l lvb� itiyyona workto je ne orme under tis permit —check all apply: �fVAC LJ Gas Tank []Gas Piping _ Shutters E]Windows/Doors _ Electric Imbing Sprinklers Generator � IuRoof I Sq. Ft of Construction: �Lr/ S . Ft. of First Floor: `e� , Utilities: Sewer Septic Building Height: _ of Construction: $ / � _ �!, i?'" f' 4 4� �.: ! ^y; uN,SA� y. C'.; 4 tl 3 1fE�ary �T J7a'� �0111NE LESSEE � Ifi i,b �_� xONTRACT®R p�,s ryry�, . ilmla.b.vr, S�Mnm' w i.YaU�.� �>rs..R .1 :..i�- ,:.-.f at a ..r yx. �.3�fijd ryig,jl �kd'j�i aj''�ry(fXdy, A;M1k �.} 56^At'1'. 5"k 6Xj-(r'Nik. �:. 3:.. k Ft '� r - 4n.ifi,{...,.k. ' Na_�l Address:'©.,.:�D`/.� Citly;� Zip t ne , re c�r , , � he ( � Name, m Copany: %/ic ,^.. ' � �t'^: bA<Xe rT�.9 Address 7 4 ' �c i 4- v City:.% Ur O , . � G'rI7<f State: �(GL ,S rC7C C f/C Lo ';Uw '. /)'eel `';4 _ State: rf Code:. y �f S` �., Fax: Ph I' E-M' Fil fr �m �I ne No. 7.?.2 7 ? ail: Zip Code:. Fax: Phone No E-mail: <'�'? �05 140."'Vcs 40 0 -'fQ' State or County License: 1-re 110 1/ in fee simple Title Holder on next page (if different the Owner listed above) If Value of construction is 5z5oo or more, a KOLUKUW Noxice of t.ommencelim— - 1 cyuu cu. I, nI C!> J4 1 40 ti ..+..i7i� i"..trvih"N,4 t' �� � �� � ..7 L. ^°ti)...�' DESIGNER/ENGINEER: ' _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: 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 commencing work or recording your Notice of Commencement. ature of Owner/ Agent/ Lessee ure of Contractor/License Holder STATE OF FLORID (( ]] � �/ p STATE OF FLORID _ COUNTY OF -t�- li(. r P� COUNTY OF 4. �i `U The for oing instr ment was acknowledged_4efore me this day of 20 l by .-4) e,—) In (Name of person acknowledging) T ure of Notary Public- State of Florida ) Personally Known " OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 The forgoing instrument was acknowledged efore me this i / day of 20by { (Name of person acknowledging) (Sign t e oQV4M�g e of Florida) Personally Known OR Produced Identification Tvpe of Identification Product PuWr.Steteof Florida I mmission No. Julle Baird my commit'lon FF 183288 Ng ublic state of Florida Jf�A@Va Ird My Comminion-FF 163265 REVIEWS FRONT COUNTER ' ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE I INITIALS - J S`IrI�E�P' i ENiENTAL�C�NSTRU �jTlf}NtL[EI1� LA11� II�CFa[�MAT[OI�I `fl+ .!. i i3'Y yi:. �l , { f: M Y.{ 4 �iM,� M1...h '� �i�' R DESIGNER/ NGINEER: Ny� t A �licable �'!� Tt- Q MORTGAGE COMPANY: _ Not Applicable Name: �CUt^� ,<�KG�. Name: Address• o aAcr ✓ Address: City cJazy' Stat City: State: Zip:I, �go Phone: 7 ` I Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: _ Name: Address: Address: City!, City: Zip: �I1 Phone: I� Zip: Phone: Ice Ify that no work or installation has commenced prior to the issuance of a permit. St. L 'cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure whichh 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 co ,'sideration 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 ICI 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 your Notice of Commencement. ST, this of Owner/ Agent/ Lessee ature of Contractor/License Holder OF FLORID ff STATE OF FLORIDAOI i fY OF �`I� • ('� ICOLINTYOF J � l ,tjC�) ing instrument was acknowledged fore me day of 20 11by person acknowledging) ature of Notary Public- State of Florida ) nally Known "- OR Produced Identification of Identification Produced ission No. 07/15/2014 The forgoing instru�t<nowleclgecl before me this L / day of20Z by C.n (Name of person acknowledging) +. (Sign e of Notary Public- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced MM Publ,SIM"0Fbdda �mmission No. Julle Baird My ocmmlaalon FF 183285 Nppttaa�r :Wk State of Florida JbA�4'��lyd My Comminim FF 783285 11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE it COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIIAI S