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Home My WebLink AboutBUILDING PERMIT APPLICATION�'ED All a,PPLICABLE INFO MUST BE COPJ; FOR APPLICATION TO BE ACCEPTEI Date: Permit Number: V of SCANNEDYRECEIVED 5t. Lucie Coo* r JUN 2 0 2019 ®�o Building Permit Applica ion Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: 2'IMMI fall Address: ( Oaf 6opEFC� - ,agC- —:Pyl 3o-;0 3g92 I Legal Description: VG T- l i C�i S d} IS tl'bk5 Sc.6�j,yi5 ie.a - SI �tlE'..T G2 \[J •lW�� OY2J 11 ' PropertyTaxlD#: - c�SclS 'CsI -OGG-Z Lot No. 1'7-1 I Site Plan Name: Block No. Project Name: Setbacks Front Z_ Back: Right Side: LeftSide: IIEi $Zi2$@&4e+iSY.L9RtFSN�c"kTS TElFWiR Yd5 ST,AY J I-1c k C i W � Z- Ca�Z �t thirii'�C ditio� wor to a pe orme un er t is permit-= c eck all That apply: i/—Mechanical _Gas Tank _Gas Piping _Shutters .Windows/Doors ✓Electric ✓Plumbing _Sprinklers _Generator ✓ Roof Total Sq. Ft of Construction: 3 G4 ( Sq. Ft. of First Floor: 30y ( Cost of Construction:$ Z30, cec) Utilities: _Sewer ✓eptic Building Height: Z6-S IN . j Name: r-2Qr__) Cc.,s�x Name �v,N -F E5fC(a17!J1(�CS Address �Oyl t,)L,6 CJ�zJ1oC-Z1i.lc 1Zj Company: �aJ 124YwG"� City: �t 3� Stater F{ Address: Z.80,17- 'Atyf-c 14AMkwe�-X L-� City: %oZT� ?t k lam, Z.C_(C State: Fl Zip Code: �`(9 �(c, Fax: Phone No. `/ r) Z- zz l- �� S�i Zip Code: 34(t Z• Fax: T7Z- 40 -b 32j _ E-Mail: Phone No. Fill in fee simple Title Holder on next page ( if different E-Mail: IZ" YMc 8 C(( So Q_rt4 State or County License: CFt, i 3z `► Z-93 from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. Name: City: --Po T Zip: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: 6CE,fls— tJaz,�. �t �a Address: so Ku�iEg s, 5u +c ZIs— City: 6 TU ar State: *L_ Zip: 34gl3q Phone:U—'7404ir4q I BONDING COMPANY: _Not Applicable Name: Address: City: 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 jobsite before the f i spection. If you intend to obtain financing, consult m4tbJentbpr or an attorney before comme 'ng k oprecording vour Notice of Commencement-- i7 Lessee STATE OF FLORID STATE OF FL COUNTYOF COUNTY OF The f\ofg^oing instrument was acknowledged before me this � day of _;� kX\47,_ 20_�n by \Cif 9t xx\,tCS (Name of person acknowledging) Personally Known Type of Identifical Commission No.©co OR The for oing instrum�e t was acknowledged before me this: day of 3 Qq\9 20_\�S by (Name of person acknowledg g ) Public - Personally Known Type of Identifical Commission No.�C`J��iFC`�1� �'�a��e4Ly�jyeamaxaarsds `i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED