Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI} All APPLICABLE INFO MUST BE COMPCeiED FOR APPLICATION TO BE ACCEPTED Date: �g Permit Number: RECEIVED Planning and IDevelopment Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address:c Legal Descri Building Permit Applicati n NOV o 6 z018 SCANNED ST. Lucie County, Permitting BY Commercial St Ucie.98094ntial D _ Property Tax ID #: Lot No. Site Plan Name: Project Name: Side:Setbacks Front Back: Right Side: Left , • , : .. ,...... � .. � • r: a. .: ^a � , rr e . � � : •: a: t • . ,. mip ?o ;r. ' :i: ft':i • ' ii;a f :L' • ' i ; i';.� . i:.i!' :i,i° [�'i �.:k 7 .jL,�?,,7. 3 ?i'!1 !i';2i�:i';'rt d! nT 0 5,.. ... ' (': t !. 1 � .} •• y:..l: � . u.y'.eTo'j3°'i�ti� 334y :A Sll,r, . !1 !,� .... !•�1:f. '� • ,d � , I, .r , y ; h/.� :i'S, �. !;it. S (�n•�rl:{�,• 1,;{�,{g,fiii.; :. .ai•: �,t••. ,• •.iti.•!'�g;l✓:u ._,,ny lI.. q?i "i: �.:.a"•Cnp oc::•:..iylf•., .ra'A,, : 7i�"?ii•• �: �y?.,, , 7 r, �.1:,i{i i:`>ra!:. �:;o� +:). .}: �1.•.;r:�)Ga•.. ..(.,. •{ j n [�ati:: iINK lS,f�i't✓•a�::,;•e,-F,: .:L:• ni::",Y S,;�t•:: • ,3'S :,t ; .11.,r.'{:•. s ,,, ;ar•11'•t,.i, . • „ i :.f ,!?;:>• e.c,;r;;;.y1�i;{ii! i'S1 D :. D ©• i�� © e! t ::r :t.f a..,r; ,{Ipt:!; Si'9:'r :i!f1° ,!•4t1;;, ai a' , er ,• !:{3.f°•{f •. Ee3.,' i,Sil.. i� 3.;t .( ,!:x.+ ti.. La_:.idl_ Ir ' HIM ;1 l rfv<is,Syi�, fi,r?!„arE I?I?9p, �,. —r Total Sq. Ft Cost of Con Name ,l Address`:' City: Zip Code Phone Ni E-Mail:_ IFill in fee from the roar c to be 'performed under this permit— checK an that apply: nical—Gas-Tank Gas Piping —Shutters lambing — Sprinklers — Generator Construction: S !2=L uction: $ , �3' l'�inC) - r Sq. Ft. of First Floor: _ Utilities: —Sewer —Septic Windows/Doors Roof Building Height: L! -LC� ,•, aQ / Company: J State: Q Addresss^s: % Ll Fax: City: l—T b l Ly �LG State: I93 99 Zip Code:,3!IC Fax: U 410 3 Phone No Title Holderonnext page (if different E-Mail listed above) State or County License if value of construction is 2S00 or more, a RECORDED Notice iof Commencement is re wree DESIGNE /ENGINEER: _ Not Applica Name: Address: City:, ll State: Zip: 43,2.9,E Phoneme FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY::. ;_ Not Applicable Name: Address: City: State: Zip: Phone: BONDING'COMPANY: Not Applicable Name: I� Address: City: 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 Comimecement must be recorded and posted on the jobsite before the first inspection. If you intend toobtain ncing, consult with lender or an attorney before cnmmencin� work or recordine vour Notice of Coencement. Z' Signature of Owne / Agent/ Lessee/Contractor Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ��� O COUNTY OF The forSqIng instrument was acknowledge efore me l9 20y The forgoing instrument was acknowledged. before me this day �i �`/ - 201 by this,day of Cam— , of , (Name of person ackn wledging) (Name of p rson acknowledging ) i• ure of Nota ub, ic- State of Florida) Sig ature of Not lic- State of Florida ) r� `� Personally Known � OR Produced Identification Personally Known OR Produced _Identification Type of Identification Type of Identification Produced ArMa SHERRI FEHkMAN • Produced SHERRI FEHLMAN Commission # GG 187160 Commission.No. s i30* March 14,2022 Commission No. * • * Com i� GG1i87160 . OFF%6 Bonded Thu&IdgBlNOt2IySerfaS �22 9�FQFFLOp\o! Bonded ExpiresMaget rch14Notary3erviees REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED "02 Rev.7/2014 C y/