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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APP6.CABLE INFO MUST BE COMPLE" a J FOR APPLICATION TO BE ACCEPTED ` 4 Date_ y�� _ _ __ _ Permit Number: \O1 �5a Building Permit ApplicationFd IVED Planning and Development Services Building and Code Regulation Division, 4 2,.11 2300 Virginia Avenue, Fort Pierce FL.34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R ermittin PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line S>=R III PROPOSED IMPROVEMENT LOCATION: III Address: 4-9 12. Legal Description: 4-y-, cA 12 ('NA ct 1� -3L-I 10 ?- ! ) �r� Property Tax ID #: 3L-I0a - (000a - 00"l a- 0 00 _a. Site Plan Name: I nd iof-\ I iyc r E�+e-, if.S Project Name: I`AUY-ra Setbacks Front RF5, 11. o17 Right Side: 55 r Left Side: a5.1% r Lot No.I Q IL Block No. 3 DETAILED DESCRIPTION OF WORK: I _ CI. BYau ;Am i -1 residence. wcle County CONSTRUCTION INFORMATION: MUU, �w{�UuaI worn LU uC CI1UI IIieU UfiUCi Ln6 perum—CneCK all appn/: ��[ HVAC Gas Tank ❑Gas Piping Shutters windows/Doors L"JElectric L�JPlumbing Sprinklers _Generator 2 Roof 12 Roof pitch Total Sq. Ft of Construction:-2-9 I LD S Ft. of First Floor: 2-9 1 LD ,Cost of Construction: $ Utilities: _Sewer L� ISeptic Building Height: 2-0 8 2C7 m 7 nn OWNER/LESSEE: CONTRACTOR: Name rO 12 W--,id ?Nlri YW 4kYfO4 Name: Pace- In Address: I e Company: I- ac-e. 2nm, Inc city: F(lYi Vte, Y P State:F(- Zip Code: 3L4 Q $ I Fax: Phone No. -11a - 9-11 - 7_53-1 Address: 1233 SE Qpr} Si-. LIALIC BIVd City: PO r L U.Ue, Zip Code: 314%1 Phone No."I Z ^ ?JL}C) Fax: -I-la - -1oZa.5 State: FL_ 340-150H E-Mail: Fill in fee simple Title Holder on next page (if different tom the Owner listed above) E-Mail: OA,►r 1 I (N (a) rP ZOOD homes nm State or County License: CRC 0591359 it vame or construction is y2bUU or more, a RECORDED Notice of Commencement is required. n Oil SUPPLEMENTAL CONSTRUCTIO N LAW INFORMATION: DESIGNER/ENGINE R: _Not Ap�_lic-zI ble Name:i� MC(17Y�I AKi11iCfIf�(i. MORTGAGE COMPANY: _ Npt Applicable Name: K. Address: 900 I=CIS+ 050cb1a s -- Addregs,s: S. US is iiay I City: ar-l- State: V$1 City:'V()r� S� L1LC1� State: FL ,ai1 _ Zip: 4GG4 Phone-1-1O-31CA - j Zip:3qg5a Phone:_ `1-,a-4L4U -817Q FEE SIMPLE TITLE HOLDER: , O 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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before cornmencing wo of Commencement. x Signature of Owner/ Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ' , • COUNTY OF S4. LL(Lc L STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledgec}�efore me this day of J 11 L /� n I .201 by The forgoing instrument was acknowledged before me this day of • 20_ by A ndmo Mairl jir> Name of persop making statement Personally Known 1 OR Produced Identification Name of person making statement Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced nn nn \ 11 )C(l S ) (Signature of Notary A blic-Sta p Florida ) PaulaS. Breier Commission No. �` Pa"ssion i GG030643 ar..... Bonded thru Aaron Notary ISignature of Notary Public -State of Florida ) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 �q O 1 y C -all 01/P 2007 00:59 77730'_ '3 ✓ PACE PAGE 01/02 ^F SAW DESIGN€€R/ENGI E� / Not plicable Name: JO h 1`11(C V(J. IrC . MORTG GE COMPAN • Not Applicable Name: :t Addres : Addr City: State: I -Zip: City: State: Phone -" -7- "7" Zip: " Phone: FEE SIMPLE TITLE HOLDER: 14_ 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 Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in corim with any applicable Home Owners Association rules, bylaws or anp 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 commencing work or recording our Notice of Commencement. signature of O Le s gent for Owner Signature of .r riT8 E OF FLORID, ORII STATE OF FLORIDA C UTNTY OF I IL� OUNTY OF Lf f,L The f r oing instru nt was acknowledge efore me thi day of U_ 20 by Andreto da /ii The fo ng instrument was acknowledg efore me tl i day of 2D by _..Ari dmi) Alad&lr) Name of pers n making statement Personally Known n OR Produced Identification Name of pe��r�5oon making statement Personalty Known OR Produced Identification Type of identification Type ofldentificai n Produced Produced Produced /per ( ` \I / U .l.C_X.a q . 7`1/�K�-�JC.J Florid Ujy S. B(BIBr (Signature of Notary P blic-.,SRg's (*,-�4- /� 4k�'�Commission NolaE�ber15.2020 Banded thnl Aerotl Notary6 (Signature of Notary Publlc�-5g0�g,,Qf FloridpAla S. Bider Commission No. se pi mhor 15, 20M `'%%f„� , m° Bonded lhru AarDn fdatary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 R01-052 5U LE ENT GC SoilT tO E LAW I FORM Tlq'; :• DESIGN R/ENGI ER- Name.Jo h M'( Not' .plica le Y i - h1C • MORTGAGE COMPAN - Not Applicable Name: Addres : Addr - City Zip: Phone State: - '1= -7. City: State: . Zip Phone: - FEE SIMPLE TITLEHOLDER: Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Not. Applicable Name: Address: City: Zip: Phone:. OWNER/ cowmcrQR AFFIDYIT: Application is hereby made to obtain a permit to do the work and installation_ as indicated. I certify that no work orinstallailon has commenced prior to the issuance of a permit. in consideration of the granting of this requested permit, I do herebyagree: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 permitapplications are exempt from undergoing a foil concurrency review: room additions, accessory structures swimming pools, fences, wails, 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. tender or an attorney before comm encine work or recordine vour Notice of Commencements Signatu r6 of OwftT7- "- as entforOwner Slgnatureof o STATE OF FLORID�-i STATE OF FLORIDA COUNTY OF ;S ': JJ.tCIB. COUNTYOF The f oing instru nt was acknowledg efore me, thi.day of C L 20by The f ng instru e�n,t'was ,nack'n,owledg ' efore me thisday of:,20by Andrea tiladQ �h _ J / tYYl(E'Jt� &ladAb i Name of pers n making statement � OR Name of,p " n making statement Personally Known OR Produced Identification Personally Known Produced Identification Type.of identification Type of Id@ntifica ' n Produced Produced (S gnature of'Notary P blic- f Floridlg G. BMW /� cc i MIN Commission No. '� (Signatureof Notary Publi - f FlorldP" S. Bar .. �' A GG030843. Commission No. *€ ''� s E2t154 ryNilll l�` Bm N Wo AM NM �., a� "`a BOidiid tlm AM NataiY /41pU REVIEWS FRONt ZONING SUPERVISOR PLANS VEGETATION SEATURTLE. MA6IGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW -DATE RECEIVED :DATE- COMPLETED, Rev..8/2/17