HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS - i M.
ALL I PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �Io -
RECEIVED
Building Permit Application OCT o 8 2018
Planning and Development Services
Building and Code Regulation Division PermittingtLuucc Department
t. ie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 4CAILWr
RRO,POSED IMPROVEMENT LOCATION: , .
LWele calif
Address: 0_0 O 1 o 4 roctd enj
Legal( Description: 31 13kD, FY? all itSS RA P-I VJ 1 V IS o SJ l q AC
Or Iu�I-�-0�►1
P or perty Tax ID #: 3 13 1 1 / / - 0100 l a bon -D
Pi
Site Plan Name:
i
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
��- rDD K w i j rnX (,l aVtr pl �Mcl Ll� i 05 30 l b 60 W)dv'tce rv,),tYl
P� nk ((r-�&t P r b ace
CONSTRUCTION.IN FORMATION:
Additional work to jeperformedunder this permit - c ec a apply:
�!HVAC E] Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1 00 S . Ft. of First Floor:
Cost of Construction: $ (0 1 155c) Utilities:lnSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameT-01YO i I r ` i t-C d
i
Address: 10006 Pj
Name: 0
Company: I GW 1'G(rt U Y 0 0 P-(
City: D�V�-Q- Q/71)ble State:EL
Zip Code: 3yO72:: Fax:
Phone No. IP3 - -7 (o 3
Address:
City: State:
Zip Code: _9",4Q _7a` Fax:
Phone No. $(0� 3S-7 - 5'9S3
E-Mails
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
digiCounty License: ( (.c / �27 !-:,
It value'ot construction is 52500 or more, a RECORDED Notice of Commencement is required.
b
.; 1010812018 14:50 LUVIANO ROOFING GX 063 357 3566 P.0011001
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
!DESIGNER ENGINEER: _ Not Applicable I MORTGAGE COMPANY: Not Applicable
Name:
Name:
lAddress:
Address:
,City;
Stater
City: —State:
Phone
Zip: �— Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: —Not Applicable
Name: •
Name:
Address:
Address:
City:_ -
_
City:
Zip: Phone,
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 permlt.
St! L4+cie Counttyy makes no representation that is granting a permit will authoriza the permit holderto build the subject structure
which is in onflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
strvcture. Pease consult with your Home Owners Association and review your dead 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. .
Th'e following building permit applications are exempt from undergoing a full concurren revlew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms accessory us to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Co a cement ma\gA�
t in your paying twice for
lmppr m nts to roperty. A Notice of Commenceme m st be tacond posted on the jobsite
befoj le�firstJ pest n. If you intend to obtain financing con ult with le rney before
S i Ig?*fuhAf Own esMe/Contractor as Agent for Owner
i
STATE OF FLORIDA
COUNTY OF����_
The for Ing Instrument was acknowledgedoefore me
this , day OCXo 4@ 1-- 20� by
C � YI;
ITiM0 of pars king statement
Personally Known OR Produced Identification
Type of Identification
sign@turgor wonzracwriucen>a nulum
STATE OF FLORIDA
COUNTY OF
The
this
Type of
OR Produced
me
MARLWA i30PINEL
MARLINA GODIN 'Z
ommissio ''s MY COMMISSION #( p4236 Commiss Q PAANSGION 0 safto
j (pIRrB June 13. 2621 EXPIRI=8 June 13, 2021
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW