Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM LETED FOR APPLICATION TO BE ACCEPTED Date: g Permit Number: RECEIVED ._ _____w _-m__ —.- Building rg�A Per icatian MAR 1 9 2019 Planning and Development Services BY I ST. Lucie County, Permitting Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential tz PERMITTYPE: Address: 15 Property Tax ID #: Site Plan Name: Project Name: 4qPt6 - 803 -003 - OOD-3 Lot No. Block No. i ut Sb�ov S� a+..F 4us 1A.C-4// 'Vew S[k�wdL yri��S w eeS 4 V L &o,16ce -wec4 Roev , VaH.tfier , Ft,,,S,; F.X{,,1aet �(o6s /c QIUw ii,e Additional work to be performed under this permit - check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _vriumbing _ Sprinklers Total Sq. Ft of Construction: i � U Cost of Construction: $ 9* 0 U b.y U _Generator _Roof Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Pitch C) OWNEMNIESSEE: CONTRACTOR; Name 9e 9-1- Gwen )y Name: e,'e- SO Sg Address: I-S(06 O(✓;Sweep+&Cie- Company: A ReSe_e iti City: Fell (2i y State. Zip Code: 34 01 & Fax: Phone No. Address: 3Y3Z SU; Eiaofe Si - City: is i' Stater Zip Code: 3i/S S3 Fax: Phone No -q?2 - - -� 3 �3 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail f�eve-SoSq 2/@ 6-� L • Co — State or County License 2 9 2 $7 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. 5U PLE ML GONSTi CdN LIEN lAW INFORMATION: DESIGNER/ENGINEER:_L1 Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: 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 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." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO IDA STATE OF FLORIDA� r COUNTY COUNTY OF L0 IF OF it! �n.IF. The for oing instrument was cknowledged before me this day of 20� by The forgoing instr ant was acknowlledgeg before me this J4 day of 20-M by © Name of person making statement. Name of person making statement. - Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identifc 'on Produced It-vIY (Signature of Notary Public -State of Florida Commission No. .•;„J>;;•., KARENO'ej�j4ELSEN =: ham -,State of Fto Ida-TT'�lotary Public I•'- Commission # GG 207484 %>� •� My commission Expires June 12, 2022 (Signat Ire of N Commission No. �y";a�•,, KAREN S. NIELSEN cx` �1'`_State of Florid ry Public - fission ��207484 %- M Commission Ex fires �O a„�`P� y June 12 2022p REVIEWS SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE FRONT ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19