HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CO L ED FOR APPLICATION TO BE ACCEPTED J
Date: ' Permit Number: Q ��
6 C = RECEIVE
•
- Building Permit Applic tion MAR-2 6 2019
Planning and Development services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 y
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: ho-nqar SCANNED
PROPOSED IMPROVEMENT LOCATION: BY
Address: � 53
`` 11 \ . -ucle County
IV Q �.
��./U\\r\
Property Tax ID#: `�tDA —y/U'�I- 0095-000 _0 Lot NoA
Site Plan Name: Tmos(^tr,P_ l A1i'liarK Block No.
Project Name: NAn- s n i� Y a L4ar
ha
DETAILED DESCRIPTION OF WORK:
0 0� W 51"x AXI(
CONSTRUCTION INFORMATION:
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
1I11 /�/(�
Sl 1l 1 Total Sq. Ft of Construction: `1 DOO S? Sq. Ft. of First Floor: `- ST
Cost of Construction: $ 3r��� Oa Utilities: _ Sewer '� Septic; Building Height:
OWNER/LESSEE: CONTRACTOR:
Name
M cbnr 1 `F
-
Name: �-A�1
Address:__ 215 SW C 1'llle.
Company: QCP 20T1�X_) � rlC.
City: T)C1y l State:FL
Zip Code: 33� Fax: 1
Phone No. C) 5L4 -ta99 - H Z`A 5
/1^ i
Addre-, S ` 45 %I �,i t 1 k' �S&Q -61
City: Y�V+ � I 1 l C 1 e, State: & I
Zip Code: _3 LAQg'J Fax:17o,-3�V) -13`t
E-Mail:
Phone No 9 - 1JQ --I 5
Fill in fee simple Title Holder on next page ( if different
E-Mail MJM I
0 .WM
State or County License Cy)o. or- $5q
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.
F
INFORMATION:
DESIGNER/ENG VEER:
Name: tl
Not Applicable
� 1 S
MORTGAGE COMPANY.
Name:
Not Applicable
Addre s:
i S�(pQ
Addr I
City:
Zip: 3� � I SS Phone 5l
State:
a I - � - ln�
City:
Zip: Phone: 'I'1 a
State: F
0 ' C51-I
FEE SIMPLE TITLE HOLDER:
Name:
� Not Applicable
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 Count, 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 T OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y Arr RNEY BEFORE RECORDING YO ICE OF C
ev.
SUPPLEMENTAL CONSTRUCT ON LIEN LAW
r2/7/19
o
gnature o Owr essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA c�L / ' •
COUNTY OF lY7 - L/LC/ E,
The f ing instry� It was cknowledge afore me
this day20�by
The fo ing instru t was cknowledge afore me
this day of 20 by
Al�clrPil ) I�fnda,oj�
Name of person making statement.
Name of person makin�gj statement.
Personally Known y OR Produced Identification
Personally Known r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary B blic-State pR�4(�Sja) Paula S. &BIBf
mmisslon i GG03
Commission No. ��(1-vgYJ=ae (��olres:Septemberl5
Bonded thN Aaron N
(Signature of Notary Pu lic-St pyg� S. BfelBf
yr = mission i G6030843
mmissionNo.�'G'630`� *=j 'Septa , tuber 15 2020
`'�•,,'a' ,,.�° Bonded thru Aa
r
All APPLICABLE INFO MUST BE CCr....'1ETED FOR APPLICATION TO BE ACCEPT -,
I
Date: Permit Number:/ q a D
.. �y---
� ItARVED
�
- Building Permit Applic tion MAR 2 6 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
Yr
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:� SCANNED
BY
PROPOSED I.IVIphQVEMENTLOCA}�T10tVa 1110, r fit;
LLiCt ti)lit $�a T
�'K1
Address: l . �J Q inn'
I �- 71�J'�Vv�//.^^. \
Property Tax ID#: LAZ2.L-I - 5yI- 000p5-00 0 - 7 Lot No.—
Site Plan Name: 1 �u �g tre- l cn A, r I Yi (� K Block No.
Project Name: ma rhn 11 ha i'Y)ar
DETAILEDESCRIFTJON
e:in �d..�i.v..+.....11.'t�v%.�v�.o:Yve .. +.,..�i �n+�;°'�.�.+.is3 .u, C��^il!51 u3 �%X'�As �`��"c ���.:3A_��./'W.n/,�i'—.d N.�°e�:.�Ss.'izw,�v�R'i; r. .✓�4 fan,
lo0'�c�SO ho.:t�iCt� ���+h ire-l-eYnQl �hn� i5'$"xaa�lo"
CONSTRICTION INFORMATION
'3^
a_C...1.dk .a...N«b.A..
yy
N..«C u'�. ,,...,�'. .:.r `ti },s. �eM a, �..^� �''•n.
Additional work to be performed underthis permit- check all that apply:
✓ Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors
I"' Electric Pllu1m�b7ing _Generator' Roof Pitch
(_Sprinklers
` -r
ST `t �l
Total Sq. Ft of Construction: _`I 0oo Sq. Ft. of First Floor: Jl 1 S�V
Cost of Construction: $ Utilities: —Sewer �A Septic Building Height:
wA
Name
-
Name: r� e ` �Q 1\
n,
Addre}ss�: I525 SW �� �\rnI t.
Company: Q(e' 2000 1r c.
City: 1 )O\/ le State:F—L
�
Addre�s:445 f J pr- , Yl VISdQ FN
City: L �l'+ S�n I J e Sta�rter
Zip Code: -J�J� 1 LA Fax:
1
Phone No, grjy-(Xq9 - 8Z'i5
2lC
Zip Code: �q IoJ Fax:-17a-�J`ilJ"q-2A4
E-Mail:
Phone No 1 a - Rio - _J-Z3
Fill in fee simple Title Holder on next page (if different
E-Mail i yn I Y)0 Once zorn oyn Q S . C-am
State or County License ei) 0. 05q 85q
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.