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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `- Date: Permit Number: T` SCANNED BY --�----------� �141Building Permit ApplicationSt Lucie County Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential J PERMITTYPE: C10CL ,l_. li-F+ PROPOSED IMPROVEMENT LOCATION: Address: 10 005+eG� 14_ CA- i rf - Pi r, F L y *34gq Property Tax ID #: I C11q _ '70I. 0(g5 •DOB -Lo Lot No.� Site Plan Name: Block No. 9 Project Name: Additional work to be performed' under this permit- check all that apply: Mechanical Gas Tank Gas Piping _Shutters Windows/Doors a J ` i — _Electric _Plumbing _Sprinklers _GeneYatoro�: �` Roof .? Pitch Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name UJi� CQY`n Ti PthC.h Name: Soy 'S` -1 Address: QaQg5'�to116 F1`..i7r Compa:ny,;�S K�nfYipr.I-in,,z- Mom/ (on. City:,) I 'i 2J r_A'" ' I State: Zip Code: 34 45I' " -Fax: Phone No.g5y5UQ•Lp(:)LOLI @ityr k{ :,. i of C e ". ''. Zip Code:34CWL.e Phone No Tla. 4Lo .UNC) Fax: 11O•41.nL State ,7.-PO E-Mail:pnnG-P_Q--P_f cQ n nl. col*% Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MailSOMn 2ftin S MCLYiPe Cnft&i rUC%iCyl ®_ State or County License od,iQlr- If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: - marl'* _�1 Not Applicable MGRT�QGE Gemp 1I�9Y: dot` _ Not Applicable Name: Pi—Td� ISooA L;4S Name:fbl% Ivelch Address: 4b` S l i . R Address: 19IRSt,� i +more. �* 11 City: Stater City: PSL State: FL Zip: 3`4ggl Phone:na-`fi.ul•4l 0 Zip: 94CIV4 Phone:-1-7a•1 •EMS; FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: I 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 comm nced prior to the issuance of a permit. St. Lucie County makes no representation that i granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home 0 ners 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 Florl'da Building Codes and St. Lucie County Amendments. cations The following building permit appliare ekempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, alls, 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 TWI CE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Age t for Owner Signat ofo tracto /Li ense Hol r STATE OF RIDA V SIF FLORIDA UNTYr / COUNTY OFSF•LUG/ E_ OFJJJJ l� VGI� The forgoing instrument as acknowledge,bby re me The ing instr ent was knowledg be ore me this day of % i L G/ 20L b this day of (� 20rw b ;� V S Von Cy Ct-r\ �r /��n Name ofpersonmakingstatement. Name of person making statement. Personally Known Vel� OR Produced Identification Personally Known �< OR Produced Identification Type of Identification Produced Type of Identification Prod (Signature i0f NotaryR07,739.."5, (/yyG�INGE P NESTER COMM(S@��I#FF912939Comm Public tgfQ,?rida )EUGENEDJAEGER ( ature o o ry Commission No.Q► slim/GG1/4691 *'% EXPIRES August25. 2019 Commission No.V *(SWr&sJanu&y20, FbriEaNwaryServiw.eore I dos F<°omusMOOaJ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19 ALL APPLICABL INFO. UST BE LonAPLETED FOR APPLICATION TO BE ACCE,, � J O Date: �/y —� V Permit Number: C' RIkv Building Permit "Rnication JA Planning and Development Services BYST. LucieBuilding and Code Regulation Division St, )_ucie '- ,,uilty 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidentPERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end o PROPOSED IMPROVEMENT LOCATION: Address: IL17 Legal Description: 0 ct &1. Property Tax ID #: e) oa q — Lot No. Site Plan Name: Block No. _,L7— Project Name: pC_lAe Setbacks Front Back: Right Side: L S DETAILED DESCRIPTION OF WORK: 061/ PX/rS�i/vs G Oc� i i CONSTRUCTION INFORMATION: itiona wor to e e orme un er t is pe it c e all apply: 11HVAC ❑Windows/Doors Gas Tank as Piping _Shutters ElElectric ❑ Plumbing Sprinklers I Generator 0 Roof Roof pitch Total Sq Ft,of Cons,�ructiop r Sq._ Ft. of First Floor: 5 Cost of C nstructibn �$'��dd % '+ lI Utilities: Sewer Septic Building Height: 4 i " OWNER/LESSEE: CONTRACTOR: Name Name O V Address: % ` -.V. r E'.^' 10K. Company: �Ce i9N 2/z //S�NC• City: � %` it State:/ Address: 3 G AR 'S G &x/ City .GJiyi%`" State/* — Zip Code: Fax: Phone No. Zip Code: '/ -7 Fax: E-Mail: Phone No. G Fill in fee simp Title Holder on next page ( if different E-Mail: -J® /Y7 e�f State or County License: Qe V 4/3 Z from the O er listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL LIEN LAW INFORMATION: DESIGNE ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: fir^ Gt/2 chi " c Name: Add: s Address: City: 1-ini Gc S ate: L City: State: Zip: Phone 2 Zip: Phone: ' FEE SIMPLE TITLE HOLDER: Address: y City: Zip: Phone: Applicable I BONDING COMPANY: Address: Zip: Phone: Applicable )WNER/ CONTRACTOR AFFIDVIT: Annliratinn is herehv made to nhtain n nermit to do the work and installation ac indiratpd 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'cbnsultwith"your Home Owners Association and review your deed for any restrictions which may apply. Inconsideration 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 flill'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 bef first inspection. If you intend to obtain financing, consult with lender or an attorney before , w4rimending vmrk or recordihiz Your NoticeO Commencement. i—t Sig ure o f fnef/ L see/Con dor as gent or Owner Si to a of o tra for License Holder ATE OF FLORID I STATE OF FLORIDA COUNTY OF COUNTY OF /t riiy The f going instr rpent was acknowledg before me The forgoing instru enit was acknowledged before me this Fc day of�J 20_M by this �i day of 20� by ame of person making statement Name of perso eking statement Personally Known OR Produced Identification Personally Known = OR Produced Identification Type of Identification Type of Identifica ' Produced Produced EXPIRESOecemberlB,Z022 ,, d. ' BatEedTlw Moir PdffothNlrMM (Signature of NotaryPublic- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. " '..qKAfSE&I)S. NIELSEN Commission No. (Seal) ar ,.,State of Florida -Notary Public -- ?� •` Commission # GG 207484 - My'Commission Expires REVIEWS FRONT PLANS VEGETATION SEATURTLE' MANGROVE ZONING SUPERVISOR COUNTER REVIEW. REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17