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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMG'c�r ED FOR APPLICATION TO BE ACCEPTED 1 Date: (0 • o�' Permit Number: / t� a,7 r WANED Sf.Lu�leRECEIVED - - fu* Building Permit Application JUN 20 2019 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 PERMIT APPLICATION FOR: Permitting Department _$t. Lude;Cpunty, FL I"PRnp()SFn INlPR()VFMF'NT i46rX' InN•'f ' � A e. ", -ir VI Address: Co(000 W0rZ7'� jfICl� L J10 yf /- p `"f P! Legal Description: �/ 3 L! ?" Property Tax ID #: / (/0el 170 t3o C) 1' e O tlZ ? Lot No.� Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: _Mechanical X as Tank ?'cias Piping _ Shutters -Windows/Doors _ Electric _--Plumbing U_ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ �� e/ % % a 0 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: -OWNER/LESSEE:, CONTRACTOR: }° f .. ,•Y' r �� Name:... rt .i2cUC Go fc, 'Addr'e9s.'?.3'9,ad—°" N' +$"G9 of 30'/ Company: �� rYJRrlF.vDa City: ' -d✓L� "PtC� "''" � C. State: _ r.:r. ran i:.. ,.,.. ` --Zip Code: c%4% "� "" Fax: Phone No. Address: ��(a L tl %%'�` PRi City:-S�Eua1�.4w Stater Zip Code: 3oL9SW Fax: J a'od 61roc, Phone No 6 0 G E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail X voc, L Q Q4 r Q O'aJAffa . Gd^- State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. ISUPPLEMl NTALC$ONSTRVCTION LIEN LAW,; INFORM#10N1 . DESIGNER/ENGINEER: —Not Name: Applicable , — , :MORTGAGE COMPANY: m-e: _ Not Applicable Address: + `">%I-.�` City:' `"'' Zip: Phone State: V Adgrelss: City: ` Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: q.Name: Not Applicable BONDING COMPANY: _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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recordins vour Notice of Commencement. /% dzc) Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA r IZ C COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of 20_ by thisLCL-dayof JXJ"-e 20_Q by Frei c t! / /4-c Nr9t? G (Name of person acknowledging) (Name o p son acknowled mg) (Signature of Notary Public- State of Florida) (Si ature of N ary lic- State of Flori Personally Known OR Produced Identification Personally K own FOR Pro ed Identification Type of Identification Type of Identification VV Produced Produced IY723o ZtZ 7 �►'rw,'+. SHERRYTOOMEY `r Commission No. (Seal) i = Npptqg�, I�Irybac - State of Norlda Commission No. `l:arimission NGG 221308 'ti r iva%' My Comm. Expires Jun ], 2022 '••' londedthrou REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED KeV. //1U14 e� _ �-- 1 6? rip 0 <l-'-g 0 Not MORTGAGE Name: Name:_ Address_: Address: City: '" ` State: City: Zip: Phone Zip: — FEE SIMPLE TITLE HOLDER: _ Not Applicable Name:---- - - Address: City: Zip: Phone: NG COMPANY: _Not Applicable Address: Zip: 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 which is in conflict with an structure. Please consult Y is granting a permit will authorize the permit holder to build the subject structure iwners.Association rules, bylaws or and covenants that may restrict or prohibit such ers 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 approvedplans, 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 first inspection. If Y04 intend to obtain financing, consult with lender or an attorney before k ur Notice of Commencement commencin wor or reAfic in o Signature of Contractor/License Holder nature of Owner/ Lessee/Coo , ctopsAget}t.fai.4er STATE OF FLORIDA STATE OF FLORIDA r a C COUNTY OF a I2 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 6 dayof rQoLq .201ffby thisLO day of2012 by F)gi e N/at% G (Na fe of son acknowledging (Name o p son acknowled ing ) 7 (Si ture of N ary lie State of Flori i nature o tary P tate of Florida Personally Known OR Produced Identificatiort Personally K own�R Pro ed Identification_ Type of Identification (1 Type of Identification `t Produced 'Z ZiZ 7 4 �""•:, SHERRY t00MEY N • State Florida Produced ,9 ,,�dar q, SHERWMOMEY- `s P N bitc - Statt Of Florida `•, ate; pp ppyy jt`: �bHc of Commission No. - MGG224308 Commission No. l hNsslon8GG T11308 ' �''+.;orh MY comm. Expires Jun3, 2022 am ssion '`. w.. MY Comm. Expires Jun 3, 2022 " 1Bonded through National Notary Assn." 8 d thr REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER7 REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.//LU14