HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICI��JBLE INFO MUST BE C01371-01TTED FOR APPLICATION TO BE
Date: d' Jq,
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Building Permit
Planning and Development Services SCANNED
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE:
1 y I.�eS1 r1r�vU �
icatio MAR 2 5 2019
permitting Department
St. Lucie County, FL
Residential
Address: _,r�000 (5-,W / , 4;yc F7'P)'rr<c. /lL 3y70/c
Property Tax ID#:71,V3Oa fO-000- S
Site Plan Name:
Project Name:
Lot No.
Block No.
Additionalwork tobeperformed under this permit -checallthat'apply:
Mechanical _Gas Tank _Gas Pipingl g- _ ,( Shutters Windows/Doors
t/ Electric rAPlumbing _Sprinklers! -i ` R Generator Roof,, Pitch
Total Sq. Ft of Construction: , -.Sq_ Et _o 4First Floor:
Cost of Construction: $ 675.00O, Utilities: _Sewer _Septic Building Height:
'OWNER/LESSEE:
GON'iRAcrms,
Name Y1,olc
i
Name:
Address: 1416.go
rA
Company:
City: piKrct
Zip Code: `/ Ve
Phone N•o�.®6i/S -
State I ti
Fax:
o2 o- 36,917
`i
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: p✓;TViC&'WA011" 92 1/ 40- Coal
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
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.
SUPPLEIlt1ENTAL„COVSTRUCTIt7N LIEN LAW INFORM
P� w.,.
TION,: .,a
a�:. :ter„
DESIGNER ENGINEER: _ Not Applicable
Name: C•-h; �Wc yryN�C 2A)
MORTGAGE COMPANY:
Name:
Not Applicable'
Address: M014 ZV1A_aa1z4 ifl4l
Address:
City: x -?ti eti Stater
Zip: c . S Phone VfAr - /aO- 7-7s-/
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 BEFRN�JMDING YOUR NOTICE OF COMMENCEMENT."
as Agent for
STATE OF FLORIDA
COUNTY OF 1�
The tgrgoing instrument was acknowledg fore
thi day of %�'l� 6 20Wby
Name of person
Personally Known OR Produced Identification
Type of a d� Identifiication V' `
mo'
Produced P I , L (Signature of Votary Public- State of Flo da )
Commission No.
(Seal)
of
OF FLORIDA
rY OF
Holder
forgoing instrument was acknowledged before me
day of 20_ by
of person making statement..
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Florida )
Commission No.
(Seal)
.T
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ i/ ly
V
All APPLI%BLEE INFO )MUST BE CG.*&Lef ED FOR APPLICATION TO BE ACCEPC'�
Date: rJ'a—,- /q, Permit Number: C
SCANNED
' �1 ° ^ � BY
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:
St. Lucie County
Building Permit Ap
r
Commercial
25 2019
Va 61VII
permitting Department
St. Lucie Coup
ential J,,l
Address: ''N600 CLfod y QA;VC A4 39f74/c
Prope"Tax ID #: 1,V 3 1— %Oj— 0 a r0— 000 — S Lot No.
Site Plan Name:
Project Name:
Additional work to be performed under this permit —check all.that apply:
Lz/Mechanical _ Gas Tank _Gas Piping; :: M1 ;_Shutters
V Electric ►-Plumbing _Sprinklers; 'I Generator
Total Sq. Ft of Construction: ":Sq_Ft: -First Floor:
Cost of Construction: $ 26.000• F Utilities: Sewer _Septic
Block No.
/.1-1 Windows/Doors
Roof Pitch
Building Height:
Of11tE{jIESEE
3 £,
f.. 3IUTRAi
fOR
t ^y tt + a ;
Name_ tndN;C9 M GoTTr
Name:
Address: 1-/6d0 &r&Q%t O2
Company:
City:.G'TPl +rrcc State: %'�
Zip Code: -3Y�r1G Fax:
Phone No. 62 Tr- 3 5-? C/
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: &ZONi eo P?&,r7, 0D 1101 0. eOV
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
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.