HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �� Permit Number:
SCANNED
BAP RECEIVED
• St. dude county
— - - Building Permit Applicat on AUG 0 9 '019
Planning and Development Services ST. Lucie 6WKY, Permitting
Building and Code Regulation Division ---- - -
_ 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: 3\ '\b
a �ha a
PROP03E�D MPROVEMENT LOI:A' ON:
Addre�s:_13355 SKY.1NG DR PORTST. LUCIE, FL 34987
PfopertyTaz:ID_#_ 4224- 5m1 - m0a4-0fdfb- Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DE-5GRIPTION OF WOR (
"EABRI • FIBER R 1 FORL REfE " x ° W x 6" M RS 0 Sri
GENE'RArOR I NSiAULATION (I Z3 LBS 5 ET FROM 5T UKE IA A iTACHfO REF2RFNC� PAGES p 24-26
111111
E N L tT IN.STALLATICN1 MAWUAL A04-S R2QI (ISSUE ) la-2613
EVICTIrIG 714E MINIMUM STANDARPS, SIX 07,01MBN13 ARE PROVIDED, ^`
GONSTRUCTIO INFO MATION:
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'; • Pitch
Total Sq. Ft,ofConstruction: 40, 5 S4 FT. Sq. Ft. of First Floor:
Cost of C—onstrutt : $ 5Q7Q1.00 Utilities: -Sewer _ Septic Building Height:
OWNER ALESSEE:
CON ACTOR:
Nameame NEa HUMPHRIET
Name:
'ddress: 15355 SkYKING DRIVE
Company:
Clty: PORT ST. LUCIE State: FL
Address:
`Zip Code: 34907 Fax:
City: State:_
(Phone No. 63), 35-7. 9696
Zip Code: Fax:
E-M� a` FIOTEK010 OMAIL, COM
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
State or County License
from the Owner listed above)
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.
P I =NTA CO S 11111
CTION L E
F I A O;
MORTGAGE COMPANY: _ Not Applicable
Name:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone_
State:
City: State:
-Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 r
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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
-
'Signature of Ow�eh essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 6Sr. LQz2yk
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisaN dayof R .20 t\by
this _ day of 20 by
tJo a.\ tiyM �l+c�t• 5
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
ProducedyL_ y
Produced
(Signature of Nota Public -Stafe;:of'FTori 9��6 gp
dMIAISSION Z
'( ignature of Notary Public- State of Florida )
bVrtS
Commission No. GCtOa 15eal��y�o7x�YP��"
commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19