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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i M �I» Date: l \ Permit Number:C�7' RECEIVED`S SCgNN �� FEB 2 6 By 101Bt tU ------F Building Permit Applicatipn c>e Cou ermitting D4ponrngnt hty m Planning and Developent Services , St. Lucie COMP Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL'34982 • ' Phone: (772) 462-1553::.Fax (772) 4621578 ,,,,,Commercial Residential PERMITTYPE: PROPOSEtI IMPROVEMENT LOCATION: Address: - 0ca y' Imo% Rive/ P.-,,r PropertyTax ID #: ) `30�) ` D3 ��i�. �� �`� Lot No. Site Plan Name: KASH M I M1t T- SH rtsill ArITI+-d' OOVSIE Block No: Project Name: -t SL/ DETAILED DESGRIP ION OF iN®RK: CONSTRLIrCrTtON INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical /Gas Tank �-GasPiping _Shutters Windows/Doors /Electric Plumbing _Sprinklers i' Generator _ Roof Pitch Total Sq. Ft of Construction: 6o'r' Sq. Ft. of First Floor: zv/A, Cost of Construction: $ 2 Lip rae ^ Utilities: —Sewer _Septic Building Height: OWNER/LESSEEt&&InnCON ... 4 AC*+TOR: Na e: Jo NM• M14Y Name l<!}SH/'/�V '� SHAS*#" /3012CA Address: R 8 �`} SW �/zR/tom'` ^ Comp y: e.0 Siren oeLs /dam • City: 1 a2T ST G(/e/t i ' Stater Address: /e 3 'DYe-r tz'.o/ City: S T State:�L Zip Code: 3 9 9 Fax: Phone No. • 7/ 1 - t - G I Zip Code: 3 5 ( Fax: _. E-Mail: K b� "a- ee-L'+'I`smM. CO— Phone No 08 21 Fill in fee simple Title Holder on next page ( if different E-Maii arts s ..dt-'VL2 State or County License 6 `� 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. PER 'AL -CANS �KUCT ON UEN LAW. N�GiRM TON: DESIGNER/ENGINEER: Not Applicable Name: C.✓R-?�S .. Sir✓�,/•Atl+—, r+'�� ' MORTGAGE COMPANY: Name: Not Applicable Address: �'2-S� Mrt.f� n�c�+� 3 A s: City: Pa.�� G Zip: !I �f t P' Phone S State: FL• L r- G 3,0 -� T �� City: Zip: hone: State: FEE SIMPLE TITLEHOLDER: Name: /�� SH i"►Ea+-i. a- Not Applicable S'h/rS�sr l,��rTR/1 BONDING COMPANY: -'Name: _Not Applicable Address: >i✓ .r ✓`vayam••..¢ Address: ' Zip: Phone.: 7 t'7•- r 7R -6 'P'� Zip: Phone: ' OWNER/ CONTRACTOR AFFID' Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has cohimericed 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 "WARNINC 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 NOTIC OF COMMENCEMENT." ev. Sign ure of Owner/ Lessee/Contractor as Agent or caner Signatur of Conti actor/L' ense Holder STATE OF FLORIDqq COUNTY OF S-F-, LUGC� STATE OF FLORID COUNTY OF • LV U e. The forgoing instrument was acknowledged before me day of t2%Y7�_ 20� by ent was acknowledged before me The forgoiJoL)'-UCkV- this Zb 20��iby �t/his`�b mil Name of person making statement. Name of p rson making statement. Personally Know OR Produced Identification Person y Know OR Produced Identification Type of Identification Type Identification Produced Prod ced Q� (� ALP, .X�- S / CP,[/� p� CiJt_. ,�.1 it , (Signature Notary Public -State ofFlori ) cW rr�� Commission Nol7t."a Q7� ryPup�S§Mb of Florida My Canmiaeiai GYG 282685 ree ovt trto2a (Signature of Notary Public- t 'ridi`e�iFypublb6drdFloAae H®1� 0 DrBV/dy Commission No. 13�'a. �ulon f3ti 282�5 �� 1A023 REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED ' DATE COMPLETED MORTGAGE COMPANY: _ Not Applicable Name: DESIGNER/ENGINEER: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: vwrveK/ CON 1 KAl.1 OK Ai-muv11: 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 SIITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WFIrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI[F OF rnmmFturFntcwT A ignature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA, STATE OF FLORIDA COUNTY OF �1 LIU-MP COUNTY OF The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this �ayof�2j4 by this_ day of .20_ by ICc�s'hrrnr R�c� . Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica ionL Type of Identification ^ ProducedL Produced Oign re of Notary Public -State of Florida ) (Signature of Notary Pu Stat f, �) ELLEN VAUG :State of Floritla•Nota y Public - Commission No. '-,a . ICommiertian N.©G "niin��`� My0®t®b�f 7pQj,9 Sion No. (Seal) gl2,'g® � REVIEWS- FRONT ZONING SUPERVISOR VEGETATION MANGROVE PLANS SEATURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.