HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS,IW APPLICABLE INFO MUST H COMP! i eOR APPLICATION TO BE ACCEPTED F,�
Date., kC\D(o-.0L-L . �Lea5e Permit Number: Lq
SCANNED
B RECEIVED
- - -- - - - — - \ d ,ast Lucie county JUN
B ldi g Permit Application ozPaKme^t
Planning and Development Services permits`^9;o count\/
Building and Code Regulation Division St.
2300 Wginla Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resid
PERMIT TYPE:
[2Rr.IP7Y4W7tdPPnw:"rrdt i /N ATinm-
Address: Q A'M
Property Tax ID #: i 3b1 - ro 07 - O O G75 - ppp 3
Site Plan Name: Block No. l—
Project Name: .case — PCxs:t3
Additional work to be performed under this permit —check all that apply:
%Mechanical
V Electric
_ Gas Tank
Plumbing
_ Gas Piping
_Sprinklers
Total Sq. Ft of Construction: (oQ�
�Sq
Cost of Construction:l_0.:�
Utilities:
Shutters /X Windows/Doors
_Generator TRoof Pitch
Ft. of First Floor: I a6C�
_Sewer LSeptic Building Height: Ila
OWNER/LESSEE:
CONTRACTOR:
Name l_7 ikLLC_'
Name:
Address:33<�!b '�lecco�t Se tbl
Company: L (-C.
City: C� C� 2y�SIPCC�U State:I
Zip Code:
Phone No.
Address:C O �5•te, to
city:e��SlPos [� state: lyC
Zip Code: oi�itllti Fa>r: 33�- $a-
Phone No 1ia-`4_<3 (LL 3
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mai �.oCa4z� hJcreS
State or County License C C l a57
if value or 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 19 required.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: K- NotApplicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: __yNot Applicable
Address:
City:
Zip: Phone:
)WNER/ CONTRACTOR AFFIDVIT: Anolicatinn is hPrPhv made to nl,raln a no..ntr r.. a., fke,.....L.,..d :....._v_.:__ __ ,.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
Is inoconflictawith any applicable lHome Owners tAssociationl rulesabylaws or and covenants that build
subject
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
as Agent for Owner
STATE OF FLORIDA
COUNTY OF Ste• (�C <�
The forgoing instrument was acknowledged before me
this '�; day of 20� by
Name of person making statemen
Personally Known __)LOR Produced Identification
Type of Identification
Produced
Commission No. llf.t MTCUMM �wr,
ir't—c_ — I IIIIRES: Sus 5.2022
STATE bFILORIDA r
COUNTY OF -,�.
The forgoing instrument was acknowledged before me
this day of 20 19 by
Name of person making statement.
Personally Known
Type of Identification
of
Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER I REVIEW REVIEW REVIEW I REVIEW
W COMMISSION & GG 237558
2022
SEATURTLE MANGROVE
REVIEW REVIEW
It
,All APPLICABLE INFO MUST BE COMPLETL., :'JR APPLICATION TO BE ACCEPTED
Date'. np (O _0t
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 349E2
Phone:(772)462-1553 Fax:(772)462-1578
PERMITTYPE: S ��
Address:
SCANNED Permit Number:
BY
St. Lucie Con*
RECEIVED
JUN 1 loll
Building Permit Application Department
permlttin(j.
St. tuc'.e County
Commercial Residential_
mam
Property Tax ID #: 13bl - % O`1 ` (� O (�� - 000 ^� Lot No. 1
Site Plan Name: Block No.
Project Name: RCUk_r� KA.D PCC)3
DETAILED DESCRIPTION OF -WORK:
Additional work to be performed under this permit —check all that apply:
Y Mechanical _Gas Tank _Gas Piping XShutters X Windows/Doors
�C Electric Plumbing _Sprinklers _Generator TRoof Pitch
Total Sq. Ft of Construction: /�GC:oc Sq. Ft. of First Floor: I cam
Cost of Construction:$ utilities: _Sewer X.Septic Building Height:_ 11n�
OWNER/LESSEE:
CONTRACTOR:
Name 'U,) V\Ur_
Name:
Address:336b 16t
Company: UQ7 >\—\ L(—C..
City: C��e�RSbGc"l7� State:�Y *
Zip Code: a�IL-((C) Fek:�3lo-oZ$a.-3C C*
Phone No. 't`l a
Address:3&-`O ozoV11�15i%101
City: GState: mc�-
Zip Code: a �) D $a
Phone No 1'7a—qSZ— 'Lf
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mai . ciorN&o@uT�1 a rcv i OcaCS
State or County License t t�. k a n
It 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 19 required.
NUPNLt:ME-NTAL CONSTRUCTION+LIEN LAW: -INFORMATION:
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: C� Not Applicable
Name:
ress: — —
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Address:
City: city:
Zip: Phone: Zip: Phone
)WNER/ CONTRACTOR AFFIDVIT: Aoolitatinn is hprphv madp to nhtafn . nprmit tn do the,.,..rl. m..rl inef�II_a:.._ __
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
as
STATE OF FLORIDA I STATE bF4LORIDA 7
COUNTY OF s�• ICOUNTYOF. ( c cC P
The forgoing instrument was acknowledged before me
this_9 day of `� 20_�_q by
5� 2 JLOAkcle �_o
Name of person making statemen
Personally Known _)LOR Produced Identification
Type of Identification
Produced
The forgoing instrument was acknowledged before me
this _day of 204 by
Name of person making statement.
Personally Known
Type of Identification "'".`"•. KAREN ��—
DrnA.,..a d _ .� 5 MYCOMMISSION#GG237558
twgnamre or Not
(Signature of Nota
�✓:t?""•.. KAREI ' NOFRIO
MYCOMMIS G237558
Commission No. i •: �
Commission No. `
KAREND'ONOFR10
MYCOMMISS(�®�G237558
•a:
E
EXPIRES: gus 5,2022
Boded ThmNawyPublic Undernllem
b`
"�•61vCoe•NatM
EXPIRES: August5,2022
Pubil;Und enn0els
REVIEWS FRONT
ZONING SUPERVISOR
I
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW