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Home My WebLink AboutBUILDING PERMIT APPLICATION=.► All APPLICABLE INFO/MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ry Date: ' 2 Ill a/1 Permit Number: - \jU SCANNED BY fS� �% REC 1VED ® St. Lucie County a - - Building Permit Application MAR 21 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: Ff_nQ ff PCX-tn') 4- PROPOSEDIMPROVEMENT`LOCATION`' "# ress: � Ch✓i S 1 S-eln Ln21�. _I. 1percx- Property Tax ID #:Lf(:)/3- []2 V l `l i� -(�� S Lot No. Site Plan Name: 'f wl �C�l/l l �✓ r%C i - Block No. Project Name: DETAILED DESCRIPTION OrVORk: -9 a a WL)Uclrn f-r-%('e wl l v,)e l IP C n --, htf ply►�c✓fi CD -F k I n h-c i ra . n S iV(S'r-d vn rI +-if Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters -Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ I >�� r Utilities: -Sewer -Septic Building Height: OWNER/LESSEE ;,r = GONTRACTQR: + r Name I j 1 lit Na e: �(i( {�C( .• Address:L2.�t�1 C.n-W-» ELI. J t Company: City: FOri l9i6 Oe StateF1• Zip Code: 3 tigi YZ Fax: Phone No. -1,-' 3 L ( _L;nO10 . Address:.3LP) sW 61elrv-\OLaO (eVi City: State: �PL . Zip Code:,5LiC4Fax:: Phone No '-l-1 I - E-Mail:-PI orI'd Q Ml ll In&f lItop" Fill in fee simple Title Holder— t page (if different from the Owner listed above) E-Mail Ux u AL State or County License If value of construction is 52500 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. DESIGNER/ENGINEER: _.,,t-NotApplicable MORTGAGE COMPANY: Ll'otApplicable Name: Name: Address: Address: City: State: City: St Zip: Phone i Zip: Phone: FEE SIMPLE TITLE HOLDER: Address: City: Zip: Phone: "Not Applicable BONDING COMPANY: Name: Address: Zip: Phone: Applicable 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. no the permit holder to build the 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." e i ature ofbwner/ Lessee/Contractor as Agent for Owner lSidnaturof:ConfiacEar/License Holder STATEOFFLCOUNTY b u(� STATE OF ORIDA OFO (,'��i'(f l>✓ COUNTY OF The forgoing instrument was acknowledged before me this day of MCLVr in 20IG by The forgoing instrument was acknowledged before me this day by S�All-LA) �►'Gckf+h,-, _ of 20_ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of [den cation Produced LiLtnw `I�/ Type of Identification Produced —is,3'it4,03 (Signature of Notary Public -State of Florida j gnR iire`cif, Notary1_Puti6F-State of Florida j Commission No. EEq529 (* I WO MMISSIONtFF pmmission No. (Seal) 0 e E%PIRES:NwMberZ 19 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE C RECEIVED t DATE COMPLETED Rev. 21i/ly Q T/ ,. _ :50PPIEMENTALCONSTRUCTION' IEN LAW.INFORMATION '. DESIGNER/ENGINEER: of Applicable Name: MORTGAGE COMPANY: _ of Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _LINot Applicable Name: BONDING COMPANY: — of 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 thedpermit holder to build the which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may rests In consideration of the granting of this requested permit, 1 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 COMMFN[FMFNT" T " ! � SCANNE ature of'Owner/ Lessee/Contractor as Agent for Owner P%S g afufe'of-Coritractdf/L`Icense Holder by St. Lucie Co f�p/� COUNTYOFSTATE OF O J (,`Llf't+ L.i1C�e �� f L.l e COUNTY OFO��C� it lCl The forgoing instrument was acknowledged before me this2 I day MCtVC,4 % by The . instrume t was acknowledged before me of 201G thisfor y of 20101 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification \of� Personally Known OR Produced Identification Type of Iden ' ication 1' ` 1 ��5 W Type of Identification C_ ` Produced 1.1 Produced �C 6�, (Signature of Notary Public- State of Florida) I (Si _fur"e=of t3_ota ".'P&Igi State of Flo A a ) KimESC Commission No. )- Lq * � WCOMMISSIONIFF ";":.°^�0 AIRA MESCAM fission Not'F`� �I * au MY COMMISSIONIFF November °� EXPIRES: November Z 19 a EXPIRES: .� �° BmdediNuBudgetNatary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTL_E..._ MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE oL— COMPLETED I-L! k-4 p V