HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date, l Pennit Number: ! J
SCANNED
BY
St. Lucie Cguntyq
Building Permit Application y2 . F
Planning and Development Services9p ' 0>
M" O
Building and Code Regulation Division O c�
2300 Virginia Avenue, Fort Pierce FL 34982 O�y°e��
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _4
PERMIT TYPE:
>P,ROPOSED INPROVEMENT LOCATION:
Address: 3 U Grccn ))01PVIlfN .St- ff Fierce fL 3y451
Property Tax ID #: 1301— 61b6 — OZ61 —p0 d0 Lot No. I3
Project Name: r. + sninglc 071, /•it;4 U�.
DETAILED DESCRIPTION:OF WORK:
e~u-e Sln% I r-oNa') Zcic
0 f_ L S 0
)G Un r Ati
CONSTRUCTION INFORMATION"'
Utilities: Septic Sq. Ft. of First Floor
_Sewer
Cost of Construction: $ 5.3�.0U Total Sq. Ft of Construction: 2A06
FL'OODPLAIN DEVELOPMENT`PERMIT forstructures exempt fr"om Building Code'that are in the '
floodplain
Nonresidential Farm Building ._- Tem-Bldg /Shed used exclusively for construction "i
Mobile/Modular for temp. construction Office: — Bldg. involved_in distrib.. of electriciry
Other:. Flood Zone 4 BFEr_ Floodway? Y/N If y;'
No Rjse Certifi5ate With _supporting.data-attached? Y/N
;A11'other applicableg state and federal permits shall be'obtained prior to commencement of
construction. w. :a'.` .,.. e °. .
OWNER/LESSEE: ` .
CONTRACTOR.' - -
NameE•.j17A e
hGf
Name: Luke
MC60`111
Address:6311 Cvr` Ool i :5t
Company: M0 i ooflr4
Zn
City: Fi- Flame State:FL _
Address'?PZ.o o(� cke
HW SF Suite
City: Vern Bea&A State: FL
Zip Code: 3a951 Fax:
Phone No. 772 -q2S — 540y
Zip Code: S?_U L Fax:
E-Mail: S Plare 0601 • C0M
Phone No %72-20°� -6N53
Fill in fee 4ple Title Holder on next page (if different
E-Mail L. u ke . 100 2 @ 1 r 6e • CO A,I
State or County License C i 1326 117
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SU�PLEMENTAL;CONSTRUCTION LIEN LAIN INFORMATION. "• ;
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 1 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
commencin work or recordingour Notice of Commencement.
Signature ofbwup4 Lessee/Contractor as Agent for Owner
Signatur ontractor/License Holder
STATE OF FLORIDA I
LLGI t
STATE OF FLORIDA
C
COUNTY OF 5+
COUNTY OFS1- Lu C I
Thef�r��, oing instr nt was acknowledg efore me
The fa oing instrument was acknowledg efore me
�
this L� day of uo _, 20�by
this day of "a 20My
Luke 1"c-(cA tI
Lo IWonfl
e
I
Name of person making statement.
Name of person making statement.
Personally Kno O oduced Identification
Personally Known OR Produced Identification
Type of Idletc i n
Type of Iden Of n
Produceo
Produced
(S n of Notary b'c- t t I i
(S re of Not y Public -St to of Florida )
TYLERIWARSHAW
mission NO. �:°`: Mary P(al)ita[e ofFladda
m i55iOn NO. 7VLSHAW
Commission#GG 187062
��(%62, e My Comm. Expires Feb 18,2022
•
g, {�•_ Notary Public -State of Florida
lu: Commission#GG 187062
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Rev. 1/9/2019