Loading...
HomeMy WebLinkAboutBUILDING APPLICATION PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: MAW �' �Pr St Lucie coup�' Building Permit Application Planning and Development Services RECEIVED Building and Code Regulation Division JAN .P d 706 2300Virginia Avenue, Fort Pierce FL 34982 ' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Rnittm, ;:3attn„ PERMITTYPE: PRQPOS;ED lKPROVENi,ENT LOCATION: •,:.:! Address: 32'f,( f4IDea Dki F4, baecfc F/ Property Tax ID##: 2-!31) 5-02-' 90/?i 0670, !�— Lot No. 17, Site Plan Name: � Block No. Project Name: I'L J r✓� Additional work to be performed under this permit -check all that apply: XMechanical _Gas Tank _Gas Piping _Shutters )(Electric Plumbing _Sprinklers _Generator Total Sq. Ft of Construction:_ (y Iy�,{� Sq. Ft. of First Floor: Cost of Construction: $ '� b rl WOW OW Utilities: —Sewer * Septic 4 Windows/Doors Roof L1lI1LPitch i 17%5 � u Building Height: ?-2 /D tOWNE-R/LESSEE r`CONTRACTOR t.. ^' Name Ngeic 4JALLIAN 1W&P Name: DA 01 D Oc eA Address: 32.w4f 4.lelt 00, Company: PAdlc� C>n"D��rrtt 0*es �l /� City: la. 1'iefur, Zip Code: " Fax: Phone No. q l q '5-a _ to State�� S I `f Address: 00 ';PPJ?10 P' City: P • I'PAC16,. State: Zip Code: Fax: Phone No -771 ZIIa Sri71 E-Mail: rl4)6AJ11) 1 110IMP ,C04W Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-M ail r (� A u r-. (>Ot.l7 Fill I n' A5 State or County License _bC i Z f 31 G 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. J dPP C'YXFG ��•L �NS �L�N 1104 IA,VY'iIJj{�4(I•i''J,fti�r {SSA&yid'rt.;833:i{'�W'&,?vf ATTION ' ?y q r War ,a ,3: c.. lHpb?`Sfi3.i.tM.�:£P:-.Si.n -. ✓i :."+ ,>,8>,,A,z.}J`wFIW,��.-':'Y DESIGNER/ENGINEER: Not Applicable Name: Sn}tnl }a IFS W FLL MORTGAGE COMPANY: _ Not Applicable Name: - Addrens5 SO2 r✓ul Z "% ST Address: City: V C F F F Stater City: State: Zip: 3Yy�v Phone b3 (a - I 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 contlict 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 i pection. If you intend to obtain financing, consult w' lender or an attorney before commencin k or eco in our Notice of Commencement. , Signature f wner/ Les a/Contractor as Agent for Owner Signature if Corrtractor/!_Oe6se Holder STATE OF FLORIDA COUNTY OF �' STATE OF FLORIDA S im�a COUNTY OF ac: p The f oing instru ent was acknowledge beforeme thday of 20 � by The fo oing ins ment was acknowledged before me thi day of by 0 (-k LI A \ 9)' n �200V9 Name of person making statement. Name of person making statement. Personally Known N113 OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced I J 11 961`I' 11�1 mo�/t' ► � � �1�Int� ` c O � lC `G� t iv.-o WnatLre of Notary Public-Sta a of Florida) (Signature of Public- Stale of Florida ) Commission No. ,,'• •••"• ;: LASMWI�•RAHMING •"•• LAS Commission ''=wtIINAING GG2750G0 `•�• n EXPIRIM,Decewier20,2022 •, .: ING ' ON�GG2�506p a :i EXPIRE -. Ttdu ORIMG SUPERVISOR REVIEWS PLANS VEGETATIO ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I4I1 RECEIVED DATE COMPLETED ev. 18 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Jy� /n Date: 07)) �� ) 9 Permit Number: % Q)^y5e22 Building Permit Applicatio MAR S 2 2019 Planning and Development Services mom., •y1� Building and Code Regulation Division C�a/17Qj� �v" r i Ing Departme 2300 Virginia Avenue, Fort Pierce FL 34982 U _ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resid • �ucie`County, F PERMIT TYPE: k;' PROPOSED IMPROVEMENT LOCATION: Address: # 3ak ul IIf`iv .— IW�e� FL 3 4a8-1 706,t,�fl�o�� Property Tax ID#:'a Lot No. Site Plan Name: Block No. Project Name: j �I/^ �� yC�c' DETA)LED DES-tCRt TION OF WORK: �� qq II ,1 add"+ I I �, vI I �., �, ,� �yr+� ►�, . �: :; p^ w S 'F5 a�c� Itiew �1S12d'y'oo+. tL�S ,yT lohS�wt�I— at, CONS 111 1I0N I FORMATION; 1 1 Additional work to be performed under this permit — check all.thAt pply: Mechanical Gas Tank _ Gas Piping ;.'z, ;_Shutters Windows/Doors _ %O'Electric Plumbing _Sprinklers ;t;:> '!`" Generator of Pitch Total Sq. Ft of Construction: Sg:"'k 64ikt Floor: Cost of Construction: $ _ $©Q �g D •O Utilities: _Sewer _ Septic Building Height: OWNER/LES fE:ONTRAGTOR: Name �_ Nrc��as �'� Name: Addr 39_4 LA jZiVz� 06'yf; Company: City: For+' Pig-c,4- Stater Address: Zip Code: 3i{- q� Fax: City: State:_ Phone No. 771—q CC 095-5 Zip Code: Fax: E-Mail: `eujeAkL IQ_ycLao cow% Phone No _ Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County Lice _ If value of construction is $2500 or more, a RECORDED Notice of Commencement is reqJ V o ..JJ If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. I It SUPPLEMENTAL GONSTR il AN1011EN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize, the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs;,screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ignature�o -Qwn� Lessee/Contractor as Agent bojrg$ Signatureof Contractor/License Holder R � STATE OF FLORIDA °_- `�' STATE OF FLORIDA COUNTY _ OF at..I COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledg d be -for this day of /7J�1) . 20Z.byAlZog this _ day of 20_ by 7 POD} `Qjb�4 S W N� °a Name of person making statement.,, Name of person making statement. Personally Known OR Produced Identification Personally no OR Produced Identificati Type of Identification Produced Type of Identific Produced (Signature of Notary Public- State of Florida) h� (Signature of N ry Public- State of Florida) Commission No. (Seal) e Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19