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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONu A11 APPLICABLE I FO M ST BE COMP' i i ''D FOR APPLICATION TO BE ACCEPTED Date: 4 lhk�/ 1? Permit Number: - 701 ©517 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: �}t 1ey rC® Building Permi %P-': ip Commercial is-rly on FEB 2 7 2019 Permitting Department St. Lucit,,County, FL I PROPOSED IMPROVEMENT LOCATION: I Address: Property Tax ID #: Site Plan Name: Project Name: w l-- f/ 1- o©©/- Lot No. Block No. - I DETAILED DESCRIPTION OF WORK: I tP /° s !a' ?( CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ J1 % B© • 610 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ) L A M 1 PAJ r Name: B W /�)p & Address: & LOA !U -?—Igoe Company: /ll City: / State: Zip Code: -—7 Fax: s, n, Phone No. ,`� Z Q ` o[ac %3 Address: City: State:_ Zip Code: Fax: Phone No E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License 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. SUPPLEMENTAL CONSTRUCI'tON LIEN LAW INFORMATION: _ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable Name: Name: — Address:— --Address:— _ City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 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 bylaws rules, 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 commenci work or recordin our Notice of Commencement. ` NA Signature of Owner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA� //��p COUNTY OF STATE OF FLORIDA l )� l 1 (` 6� COUNTY OF The forgging instrumeotwas cknowiedged before me The forgoing instrument was acknowledged before me this day of V(7AJ .26 1 by this _ day of 20_ by w1llram , nn)'2 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatio y Type of Identification Produced IF Produced / (Signature of No LLEN (Signature of Notary Public- State of Florida ) l GIiN Commission No. :State of Florltl - ry Public Iaelon�o'n Commission No. (Seal) x70078 My Commission Expires October22 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.