HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0- 01-1�1
`• RE?CEiVi:�
o e
Building Permit Application
SCANNED OrT, ® 8 2010
By
Planning and Development Services Per tting Department
Building and Code Regulation Division
Lucie Cdu� "" cle County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
Addri
Legal
HT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
OSED IMPROVEMENT. LOCATION:
S: 10D10 SbOuk�f rrn6A -7 r-A;, E'
ion:
(r,?- #eta- SUS Or (L4(pI - 47VI I
Property Tax ID #: -3 1 1 ( 11 — Qoo I
Site Plan Name:
Projet Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION, OF WORK:
Lot No.
Block No.
r�i' rpoVj-(� vVlt1 o v,?K P) Uj w 6 0 d US I` rt9 3D ID -rt l f- Ma l�.i;
CA
6-0 3 -t l - r a %69'31, (o
CONSTRUCTION INFORMATION:
-A-dditJonal work to e e orme under this permit - c ec a apply:
❑HVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
r1ilectric
0 Plumbing Sprinklers 0 Generator EIRoof Roof pitch
Total ISq. Ft of Construction: 9123 S . Ft. of First Floor:
Cost of Construction: $ 1141 l0O O Utilities- � Sewer E]Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name)
I-0`4 P,Y1 l'°e 1' I i I'Y1 ii F-(d Pf fYU
Name: 62)e j 4 l.c lJ 1`r1 ri O
Address:100 0 n W (A
City: State: 1
Zip C de:,5QQ %�- Fax:
Phone No. (,P
Company: I UV I Ck /l 6 1ro o i iIU ( (D =1;= i
Address: J C9 09 \,&S 1A W
City: UAV U/ 0 ht-P Stater I
Zip Code: 3 \'4 Q 7 2� Fax:
Phone No.
E-Mail:
Fill in Ifee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: CC ( IE377 32
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1010812018 14:50 LUVIANO ROOFING
I.
IFAM63 357 3566 P.0011001
SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION:
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
me:
dress:
BONDING COMPANY: _Not Applicable
Name:
Address: _
City:
Zip:. Phone:
WNER/ CONTRACTOR AFFIDVIT: Application is Hereby made to obtain a permlt to do the work and installation as Indicated.
:ertlfy that no work or installation has commenced prior to the issuance of a permit.
Luucie Counttyy makes no representation that is granting a permit will &uthorize the permit holderto build the subject structure
itch is in onflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ructure. Pease consult with your Home Owners Association and review your deed or any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work.
accordance with the approved. plans, the Florida Building Codes and St. Lucie County Amendments.
following building permit applications are exempt from undergoing a full concurren , review: room additions,
ssory structures, swimming pools, fences, walls, signs, screen rooms accessory 'us to an
non-residential use
XNING TO OWNER: Your failure to Record a Notice of Co a cement ma suit in your paying Wee for
it rmnts to roperty. A Notice of Commenceme m st be reco a and posted on the jobsite
oIe�first}gspect n. If you intend to obtain financing con ult with le de or�p-arrt�rney before
'ATE OF FLORIDA
)LINTY OF•�
for oIng Instrument
day of, o&�
Am'erl, I
�m�of
Known
of
REVIEWS
7
Owner
wgf`KvOrvunuaum/LImim nuium
STATE OF FLORIOA
COUNTY OF
Ls acknowledged#afore me The
20Y by this
VI
aking statement
OR Produced Identification per:
Type of
OR Produced
me
MARLiNA UUPINCL ""' NIARLINA a 0DIN9Z
MY COMMISSION #(I Ip,236 commisON 0 684faw
EXPIRES June 13. 2I121 EXPIRES June 13,2921
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW