HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COI'0 ' ETED FOR APPLICATION TO BE ACCEPTEDLr �1
Date: /S/l/� Permit Number:
`O i ,0gvf�
SCANNED
I :
BY
St. Lucie County
_ ------ - Building Permit ApplicationREcENED
Planning and Development services
APR 17 1019
Building and Code Regulation Division
per Department
2300 Virginia Avenue, Fort Pierce FL 34982
WNe County
St. Lu
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 2` -
PropertyTax ID #: — r ()fib
Lot No.
Site Plan Name:
Block No.
Project Name:
DE,�T/AILED DESCRIPTION OF WORK:
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! KPH J!' E ✓G a5 -r s...� c� s — ICe n,.o sn 4�47l" sl+i..sles
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4 i �- — —r--r.—e-
1;,, S eel /-oo45., E. �Zewoue /,JrreIf oo'- Cw a4
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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 % 12iP t`ch-j
_
/Sf'e21 doe-♦"/G>So
Tota4Sq Et;o_f"Eonstrucfiona ISoa.fsa Sq. Ft. of First Floor: ie0
-
/
CCostcfiGonst�ucfion $t �d0. Utilities: _Sewer _Septic
Building Height: s-''
OWNER/LESSEE:
CONTRM-TOR:
.
rl ame M.� s4e{4 Crowe lI Name: s t
Cra,w,e"t
Address: 27// 5 Company:f%d e,
n 4
ity:'o,� �ier-tom State:' ;
/ 'Address:Zip
Code: 3 h«f 8Z Fax: N� City:
IState:PhoneNo.
4z'07- Sf�3 ^???3 sty-?//Q-179 Zip Code:Fax:
/�E-Mail: c. ti f w� w. , /�o �' _Phone No•Fill
1from
�Q t0
in fee simple Title Holder on next page (if different E-Mail
( pp
the Owner listed above) - State or County License
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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.
y
/ a
SUPPLEMENTAL 00NSIT]]R! •.. LIEN ENNUI il.ON:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: PFjgr�e,
City: State:
Zip: Phone:
FEE SIMPLE TITL&H, OLDEj . _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
wvv1YCR/ �uim r nmr i ur% mrrruvi r : Nppiicauon is hereby made to obtain a permit to ao the worK and mstauation 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY (
Lun't�
COUNTY OF
OF �-yyll
The forgoing instrument was acknowledged before me
The for oiag instrument was acknowledgeo^before me
this day of 20_ by
this day of (�� 920by
/tee f (
Name of person making statement.
Name of person making statemen .
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identifigation
Produced n
n
f /(
(Signature of Notary Public- State of Florida )
Commission No. (Seal) '
(Signature of -Notary Public State of Florida)
Commissii o�/� 14`:« 1) ELLEN VA
GHN
:State of Florida -No
dry Public
•r Commission # G
270079
""'��"`
October 22
2022
REVIEWS
FRONT
Z
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 2/7/19