Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` Date:�� Permit Number:��� 53 W �5 RECEIVED Building Permit Application OCT 1.6 2018 Planning and Development Services Icrmitking Department� Building and Code Regulation Division gat, Lwcle County ��/, 23001 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential' C1� PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED, IMPROVEMENT LOCATION: Address: /V(4 �'7�iC 2v4" p%e2eG@ 13 olk (0 Legal (Description: 4401'� l 81k 1Y b A Propel Site Pian Project rty Tax ID #: - 01- o / �3 - 0oo- Lot No. Name: �' Block No. Name: -01 Setbacks Front Back: _/,-4— Right Side: /b likoAkeft Side: D Of�) DETAILED DESCRIPTION OF WORK: 9 ILd Pew s1VJ1La F¢;-iil y 4ok-te. 8i6d2oa'h CONSTRUCTION INFORMATION: rti na workto a er orme under this —checkpermit a apply: 9VAC F] Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 2'Electric Plumbing HSprinklers []Generator 2-Roof 2 Roof pitch Total Sq. Ft of Construction: 3,37qS . Ft. of First Floor: 1-2Q(A/v I l'Lc) Cost fConstruction: $_ iB �O7,�i�n-� Utilities:Sewer�Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ltj aq-9.S I/[, Name:_raztf�'Q.1�S' [/i' ©wlUG[� 1314 Company: , / Address: J,�!j �weett> t�[��.P�iGULQ 4-1 Address: lag QLtee_)v chki llAj.I' City:,mil` yole[Zee, State: �L Zip Code: Fax: — Phone No. ��D'� % t% /-3 AOV E-Mail: O GM4J , eon, City: !' t!'fe 'Cf c State:_2�L Zip Code: _ HfZ Fax: — Phone No. Fill in from fee simple Title Holder on next page ( if different the Owner listed above) E-Mail:' �[� n pQu �6l►'C�' State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. /r P4Aell -�' \--, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER- Name: / pdi if rc Not Applicable �4-wC MORTGAGE COMPANY: _ Not Applicable Name: /v,-,) A) e Address: R i9k e_),az s4kAL 41/<_ city: x -Pt'e2Ec State: VL, Zip: 3 !yySZ Phone rJ%2-Yiv -'717, / I Address: City: Zip: State: Phone: FEE SIMPLE TITLE HOLDER: Name: t,-6ot Applicable BONDING COMPANY: Name: Address: ,/Not Applicable /1%DW 1° Address- City: City: Zip: I Phone: I 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. St. Lucile 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 accoirdance 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-lendern attorney before commencing-wbrkc 6?hrecord ine vour-Mtice of Commencement. Signaiu6 Ow er/ ressee/ 6 ontractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLOR nn STATE OF FLORIDA COUNTYOF�- �,�1� COUNTY OF he fgrgoing instr met as acknowledged, efore me The fooing instrument as acknowledged efore me - { day f 1� 20 by t -> d y of UC 201-F-� y Name of perso making statement Name of -person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatio roduced on Produced (Stg ature of Notary Publi Sa'u}-Flo rida ANIELLE8.IEWELL ;.. Sign ture of otary Pu For' LE . . otayPublic-State of Florida Commission ' - Nota��``Public -State of Florin No. ' •' Mission Q( �, mm ion 9 GG 129300 Commission No. gQ,}� My�Et�rtt�f Expires Oct 31, 2019 My Comm. Expires Oct 31, 2419 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev. 8/2/17 'fe'z"4 P, a A 1Z