HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SGANNED Permit Number:
a7 BY
St. Lucie County REC@IM
- _- Building Permit Application JUN o `3 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St.mnude County
2300 Virginia Avenue, Fort Pierce FL 34982 ✓
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT TYPE:
Address: Z S-
Property Tax ID #: Lot No. /t
Site Plan Name: Cl Block No. / Y
Project Name: Y15SPv.��f
!/P/lh tA4?1.
Additional work to be performed under this permit - check all that apply:
Mechanical
Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction:
Cost of Construction: S osoo cr
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:_
%Vindows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
SE�CONTRA'GTOR:
Name 4 SP
Name: ` ✓ WIPw l//
/
Address P.`?. c l/1%.A
Company:
City: 05• /'yc P
Zip Code: 3 ?4yj- - . ' Fax:
Phone No. ZD - 5-7 -
State:r6
Address:
—
City: orw P State:L
Zip Code: 37 5o`/ Fax:
Phone No S2,/- 7 2q , ri6,fS-
6Mail: 'YrS sL'Jillp.. m w 6? 3,marl eoKt.
Fill in fee simple Title Holder on next page (if different
from the Ownerlisted,above)
E-Mail 7/�a 46". 'nupn . m..
State or County License lSC?Cl 131/6-/OI/
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.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
r I
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Piton¢
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Nance:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
�.. s.9 1 �vry 1 RA56I UK At-t•IU V I 1: 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. ucie Countyy 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 wills the approved plans, the Florida Building Codes and St. Lucie County Amendments.
the following building permit applications are exempt from undergoing a full concurrenry review: room additions,
accessory structures, stviturning 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 JOBS BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURLENDER OR AN ATTORNEY BFFORF RFrinarinur. Vnr 1n'nnm�c n
416nas ire olyp Lrl�esse Contractor as Agent for Owner Signa`0r 0
STATE OF FLORI STATE OF
�
neN ^ `7 / COUNTY 1
The fo oing instru ent was acknowledg4 efore me
this.aday of rl\7�1V > .20 �ty
Name of person making statement.
Personally Known `' OR Produced Identification
Type of Identlncatlon
The for�oin ginstru ent was acknowl dg eef re me
this da of
Name of person making statement.
Personally Known +' OR Produced Identification
Type of Identification Produced
- ffi? ,fit Pa�I
(Signature of Notary Public -State of Florida )
IaiRn"wrc us rvusuryr Commission N :•iixY° TARA HEND
1�>8 TA RA HENDERSON =?: i otary Public- State of Florida
Commisslon No: -+ fp: ? i Notary (gyp j-State of Florida � `\74i Commission M GG 224739
Commission #GG 2214334 ovtL°t ` My Comm. Expires Sep 27, 2022
My Comm. Expires Sep 27, 2022 Bonded through National Notary Assn.
REVIEWS •' .; - FR__. ' ZONING SUPERVISOR PLANS VEGETATION SEATURTLE [MANGROVE
,COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
UAIt _
COMPLETEDF' "'.
Rev 2/7/19
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