HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COIVt, _1ED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: Ro - ow
SCANNED
D `� St. LuBy
Cie County
RECEIVED
Building Permit Application \\
Planning and Development Services OCT_ 03 2019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 st. Lucie Countv
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Xx,c
PERMITTYPE: �Win, ly IQ zsio(�n %IGtl�._
IMPROVEMENT
Address:
Property Tax ID#: oL,3/n - 150..— 0/00 Lot No. 91?
Site Plan Name: PAI- m /3 R, r—E Z e- b
Block No. Al 14
Project Name: /i10R—A/1AlCyr,reLe� PI-i-/-1SE
c
/ f " /He_cL2- 13a-U. / 'zl ,
Additional work to be performed under this permit —check all that apply:
✓ Mechanical ' _ Gas Tank _ Gas Piping ✓ Shutters
Electric ✓Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 2,.3, 3 6
Cost of Construction: $ 113,660
Windows/Doors
✓ Roof 6//2, Pitch
Sq. Ft. of First Floor: /7 (n 3
Utilities: ✓Sewer ' _,eptic Building Height: 17
ON�I
3h 4..
ESSE. ,. '{ , , , ;,
•.
COIVTRACIOR
. ..YER,. _ ..a-...
Name Re ,dr c Hoeninge,dz I lL
Name: Qz-iev,,\
Address:J7. < d raspt /e eor nilvl �wfk
&mpany: } sr\o r
City: �II.LN H "L- State: FL
Address:3125 S
Fn S Mpn �ty l �u I< to
Zip Code: Fax: 77J, / 9 A. 1l ! S5,
City:
State: Ff
Phone No. '/�%')_ ZL 7�d/�
Zip Code:
Fax: &03a.q/
,.
E-Mail: RHo1OA(,?zW E_ e c rpn r.g �!!Y7
Phone No 77J — 4e),�
'%d'6-D
Fill in fee simple Title Holder on next page (if different
E-Mail_ &4n .ID A IL6W
E. ( Q_F tiI A'r?. i4l')1 aS
from the Owner listed above)
State or County License
213 C
••-..•..-..•-..•..•.. •..... vuw v, mv,e, a ncwnucu rvuuce ui wnunenaemenns required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone -
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER:
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
the permit holde{ to build the subject structure
• and covenants that may restrict or prohibit such
!ed 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 theapproved 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 OWNEJC YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS 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
WRIT vn11D 1 canto nD AN AT nWD DecnDe DCPnnnD1/ vm •n e.•��e ns• �nvuc�•na<u�•� a
as
STATE OI
COUNTY
The forggoing instrument was acknowledgg5j beforeme
this 2�i day of S, nk r n 201`l by
LlSk YYl rtP 1 c�
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Commission No.
REVIEWS
RECEIVED
May
Holder
STATE OF FLORIDA
COUNTY OF S F l_U e
The forgoing instrument was acknowledged before me
this dayofl .rnUw .20ja by
OTI 0AJfJ A _ J
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
ibmmission # GG 104656
Expires May 19, 2021
b ru Budget NotarySeNims
FRONT COUNTER I ZONING REVIEW SUPERVISOR REVIEWI REVIEW I VEGETATION I SEEVIEW MANGROVE