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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ Q - q qq Date 0, 7 .� ' Permit Number: UI B k P 2 3 2019 �i�d4'+Mit Application Wit. 64t.e. t.Ou ty; Pyrrnit Planning and Development services 9 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 - - - Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential I/ PERMIT APPLICATION FOR: • 6UY NOR --raw Address: l 3 / F57 " �iV C1jf)N-_k!)VC_ ✓l _-Vg)V� � �ZL Legal Description: R ^,ry Property Tax ID #: �: l©7• I,7-e- X Z( - �(X/ [p Lot No. Site Plan Name: Block No. Project Name: "_AlDk-T0N Setbacks FrontBack:. N(& Right Side: A// Pr Left Side: s 4 Y {'� ��{ �► Zt j _ $ si �' t'� �`s �',cX � F---•-,+r M�,� •��,., a ir...�,. x+., era Tv L ��NG(�H7c�pZ elf+ ..�..:..s,.:::'s's".a� ' r+:^ ..9.. Iona wor o e pe rme un er is perm -c eCK all thatapply: Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors ✓Electric _ Plumbing _ Sprinklers ✓enerator !_ Roof Pitch Total Sq. Ft of Construction: 4 1= Sq. Ft. of First Floor: 16`1 Cost of Construction: $ 9 Q 5 Utilities: ✓Sewer —Septic Building Height: /L/ A °�1,yLI��4. �/ )'.2f_ s�y��1.`r i..E.r..y\!igZ„�•.-. �i.. � � - f.%.:�'°`'%'�` Named Gy >' NO2rbN Name a GU,,y' S.. l� l l�t%L — Addre$s , Z 3 / �Sr2iir0 R'v2 ;".( DZ- Ct m an` G, �' m �ot2 )- ter P Y city: FT Pi t /l GE ` Stater Addresss: ZI F�" _4EF. 2440!ZtJO ,p fZ Zip Code:. '^ ' Fax: ✓ City: U&" GIB State:_t-/- Phone No. 11Z7Z; ,ZOO„ 3/ y5 Tip Code: Fax: E-Mail:- aA Phone No ZJ - 36b Zz1S Fill in fee simple Title Holder on next page ( If different E-Mail GGN C00-t-64,ST, N G from the Owner listed above) State or County License_ If value of construction Is 25W or more, a RECORDED Notice of Commencement Is required. r �l L. VD-ti C 0 D ! i . Vv --- DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: — BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: 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 J makes no representation that Is granting a permit will authorize the Permit holder to build the subject structure which Is in conflict with anapplicable Home Owners Association rules, bylaws or antl covenants that may restrict or prohibit such structure. Please consult wth 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 commencins work or re):ordine-vour-Notimnf-Cnmmpnrpmpnt_ -d //(frozeIN d //toml Signature of Owner/ L ee/Contractor as Agent for Owner Signature of Contractor/Ucense Holder STATE OF FLORIDA p . STATE OF FLORIDA COUNTY OF VjA ol(� /Liuoi COUNTY OF The forgqlng InstruTptwas acknowledged before me this day JifM The ff Ing instrunlppCwas acknowledged before me of . MAI by this�tlay of ezu" . 20A,''by (Name of personacknowledging)(Name e.t2e_17t� of person acknowledging) �• GUtCt1�rA6 (Signature of Notaryublic-State Florida) (Signature of Notary Public- State Florida ) Personally Known OR Produced Identifl-cation Personally Known OR Produced Identification Type of Ideobficatio " ... Type of Identifi Produced ' . 0 d�ONBU �S LIAMSURGEON Produced t .....Z1AYCP0W IT. " EXPStEB t282021 f. 'y.MISSIONSGG1384A9 Commission No. ud�n Commission No. i 'f` k9 NftvPLftWdwbm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED re—v.