HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' I q . Permit Number: I q Ce2, 40578
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:
Address: 731
Building Permit Appli
Commercial
ST- Lu&,5 A3 WY&
trr�
FEB 2 8 2019
Permitting Department
St. LucieXounty, FL
Property Tax ID#: 33al- 864-60/3-U0D-'pp7 rrDD Lot No.
Site Plan Name:,MMCSSH LA'AJDJA)( %%} II G/�(%�i� Block No.
Project Name: i' ESPINOS/1'"
DETAILED DESCRIPTION OF WORK: -
RE-M obei, nuETb r-nee Pac/577/Uh WIPE c7RECeP7Xi0
&PLAZE All 0001Y EN UA/i'f ,TuSa>1Z1 Ti�ISUC/i;70AJ 0 (m-r7U'57A7' Ale &Ja ya
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
IV
Mechanical —Gas Tank —Gas Piping —Shutters —Windows/Doors
_Electric x Plumbing —Sprinklers — Generator Roof Pitch
N5u4 —
Total Sq. Ft of Construction: 2fD7y /p /f /R Sq. Ft. of First Floor:
Cost of Construction: $ %O�dOd Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name i C I k E�PIAMSName:
L'
Address: '7311 YMQf
Company:
C
'8aeJ
,%U.
City: 066ff-TLUCI6, State. _
Zip Code: 3 (/ Fax:
Phone No. % -2 2. (7 19 I �.
Address: DIM
City: PDe I-Srwcic
Zip Code-
Phone No.
State:.](-L-
30 Fax:
77�;?-)I d -413g0 _
E-Mail:
Fill-in fee simple Title Holder on -next page -(-if-different- -
from the Owner listed above)
_E-Mail_LIY E
CLLSO' N�1
State or County license
&1C 6 7-21
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: _— AL P
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 holderto 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."
rL&JI"
Signature of wner/ Lessee/Contractor as Agent for O
2nature of ntractor/License Holder
e
STATE OF FLORIDA
ATE OF FLORIDA
ao
COUNTY OF =�
OUNTY OF
a:
'Z2
=o `�° a
The fo oin instru nt was acknowledged before m = z
g pg g o A
°'
he f�grr ping instr e t was acknowledge
re
this day of � 1 .20,/0 by �y
�—
hiss 5 day of J 20 by
sw z
E �x
C-P
r
Name of person Making statement. `=
ame of perso making statement.
m
Personally Known OR Produced Identificatio g a
Personally Known OR Produced Identific
-
Type of Identification g:, a
Type of Identification
'g,;. .,.: r;=
Produced
I fAI /,�C[�!n/I` I/-�' /
(Signature of Not&9 Public Florida)
IICA�LBLJLfiYXUJ ' ,a—w2.
FlorldS)
-State of
(Signature of No Public -State of
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rev.