Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I O _3 0 / Permit Number:�� e — s =RECEIVEDBuilding Permit ApplicationPlanning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To -Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION , Address: ,a5— s2 % >< d C uo 2l J C V I Lp i ot, Legal Description: 4(� r , t-1, S 4y Q� j / C,L ,,,,� g s S-P_ c 2_2 f u.1if 5_ L't G�45 r Property Tax ID #: 2-4 �- �7 D U cj Lot No. Site Plan Name: Block No. Project Name: Q I A 16 QaO�D TWO 0 Lu. A6k_"j Setbacks Front 3 L. 2-1 Back: ') ''23 Right Side: i 2�� �1 Left Side: 13 -OP DETAILED DESCRIPTION° OF WORK: VI LO(/kj� t4 DUI&R CON'STRUCTI'ON 'INFORMATION Xiti na workto e ne orme under this permit- Check a apply: UAC L _I Gas Tank ❑Gas Piping- Shutters E Windows/Doors rg Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq.,Ft of Construction: 3100 OCR S . Ft. of First Floor: '�'� 0ot� < <� Cost of Construction: $ Utilities: _Sewer Septic Building Height: OWNER/LESSEE:.. CONTRACTOR: .. Name OLiz A�ya.3�_ P Lv� ©t.c tALiA LLC Address: 5500 -Si Lv-PuLQ q►t 0124 Name: `.��21 iay %iP Ft Company: �� u � t4� �-l. �'� QkP -&O» i City:yi, n.�- to/ ir�2c-Y State: r1 Zip Code: -3 4( 5'k2, Fax: Phone No.. -) � 7-" q& 0 - (0 I ® Address: 6-50 0 $ Lu.e,, L (L City: fcsAX Q I ri,zc_:e Zip Code: 3 L, � ? L Fax: Phone No. %72— 1-tu0 [cl E-Mail: 6 rt %)t W_.,. be R�u OA State: FG E d bg o t C. mom, E-Mail: 6;d *tN-_ f,ow ��cFfn00, C Q,,, Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: S2u.00 •PLraca- Address: City: State: _=j Zip: 3LL' ti- Phone 30y" �e Jllf City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:' Address: City: I City: Zip: 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. 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 w rk or recording our Notice of Commencement. w Signature of Owner/ Lessee/Contractor as Agent for Owner Sign at of Contrac Licen a older I STATE OF FLORID STATE OF FLORI A fj COUNTY OF COUNTY OF - let;) TheIfrf inst e t w s ac owledged before me thiday o 20ff by I Th f ,rg instr a knowledge efore me t '�U day f 20aby Nam n making statement me o person king statement Personal Known OR Produced Identification Known OR Produced Identification Ion Type of Identification Prorduced, A Pr uced RACHEI A ( I ature of Notary Public- State of Flor' :: x'• ;`: Notary Public i Cornmissa Commission No. e31. ;�`: ' My Comm. Exp Bonded through Nat I s em' a Not ry Public- State of FI idra-);......... , RACHELAN 18993 zGG2 Notary Public - 5 r ,A, �r.,16,.2022 f-QL� � Commission ; on3YTv'atySAssls�. �'" h1y Comm. Expire Bonded through Nation V t G A I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1II I DATE COMPLETED Rev. 8/2/17 I Florida 16, 2022 tiry Assn,