Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: ao 9 Permit Number:, SCANNED REC BY -- -- St. Lucie County APR 0 2 2019 Building Permit AppliCat CMLucia County, Permitti Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: -�oY a vJA,%X:1 Address: Property Tax ID #: 4.S91;t - S OI - 0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK- Lot No. Block No. �-n�s�r�ll oZ �u�seC�-ems. K2T2Pc�A-bl� flw.virucf S,, .n ,nel2T fD S TS _ © oP s e,fi aX- .2. Pesfi� CONSTRUCTION INFORMATION: Additional work to be performed under this permit -,check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: r Cost of Construction: $ � i ce— Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name -7 Mu R R" Sh 4- Name. N e-ff Address: pO,SpX 4.;L0g88 Company:I...i.Ktlme ODICaP-L4YV1%P city:5NmmeRL.►,✓d 4<gV State:FL Zip Code: 3`304Q, Fax: 'T Phone No. 306—'?0t--) — Ra-V q— Address: OVerle-4S I-f-W City: StfMYrJof 4*-J i%State: F=111 Zip Code: 3'50 t%;L, Fax: honeN0305—:714 '.ZBe4c-) E-Mail: X a SOL2 Am Yn as teQ reqLjr Fill in fee simple Title Holder on next page (if di even M from the Owner listed above) E-Mall k i aP.. LfAi rn b oall c ffis . C o►Y1 State or County LicenseGBr- 0,27 11 q 3 L --> tl 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. SUPPLEMENTAL @ONSTRUCTION LIEN LAIN INFORMApTI©N: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: 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 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 WITU YOUR LENDER-ORiAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMWARMENT." Sigore re of Owner/ L s e/Contractor as Agent for Owner Si Lure of Contractor/ is se Holder STATE OF FLORIDA wis STATE OF FLORID I 1 ' L U Cf COUNTY OF�� • COUNTY OFF • The forgoing instrument w acknowled -before me thisZMday of 20J I by The 9 oing instrument w s acknowledged -before me thisGT day of I�i� 201by 7 • 1 I. l ulrat t 4)0-A � s • ml WrIlld ' Shc I Name of person maki g statement. _ Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced %,� &,o '^ ' J e of Notary Public -State df Florida (Signature of Notary Public -State o Gi�(t ;.":/a, SHELLI LEST Commission No. I4(c +� State of Florida-N R ROSS U5- SHFI LI LESTER R CabyrRpM No ""•"'°<°':3i�� f Flortda-Notary _• -Commission Q qo - G 194634 °" '�'- -Commission q GG 79 -.+,4gr•�?c` My Commissio Expires �T M commission Exp - '•,unn•• are SUPERVISOR PLANS REVIEWS FRONT ZONING VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. Z/7/19