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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CON` MD FOR APPLICATION TO BE ACCEPTED Date: / e%- Permit Nui cow, (93 11 SCANNED BY St. Lucie Coul Building Permit Appl 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 OCT 7 2ojy Permitting DePaIrtment St. Lucie County, FL Residential PERMIT APPLICATION FOR: S Pnyle Fp,,.t+� lZsSr�e c; PROPCISEDINPROVEIVIEIVT.LOCATION Address: ttid o3 gene NIterlle Dr;ve 1''r Q,'eru. 3v4y,� Legal Description: 1_�T ?b SvSdaveceon Qiree 14\low Property Tax ID #: Z 3:2) — S02 — 002 -z o 0o (o Site Plan Name: .J Project Name: T;Mm cm< �Yhatrtn i2rsrd�� Setbacks Front 75, 3 Back: 163 , 7- Right Side: 3 4, 7 Left Side: 35 , 1 Lot No. 26 Block No. &.-Mechanical _Gas Tank _Gas Piping _Shutters /_Windows/Doors ,.—Electric ✓Plumbing _Sprinklers _Generator > Roof )(r Pitch Total Sq. Ft of Construction: 3( 1 Sq. Ft. of First Floor:- ..2 .524 Cost of Construction: $ Utilities: _:,ewer ✓'Septic Building Height: OWNER/LESSEE, Namer'1;,c1C T; mm6n5 ct.4 lPV.Ja lMaiyl)n f Name: rnick,.L Iis�T2vrctict� Address: Company: D',^iiwcesw C'u�sTwc{n> X.� City: State: _ Address: 3 wo" Ldae :Sow, b I L City: r- i P State: gc Zip Code: Fax: Phone No. 392. 4-� 6 3aR 0 Zip Code: 3'4q 4 T- Phone No'72 got — 7-747 Fax: 7-72. 465- -1173 E-Mail: CI,vel< Ttmmcn5 III P t,,c,'L , ca7n Fill in fee simple Title Holder on next page ( if different E-Mail d i +Fran com-4 11rc @ 4o l , e a1 State or County License 6 a 4bb 31.2-1 from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTA,U,CONSTR CTION',UEN LAUV'INFORMATION,"i _ . r,"" ,a.. .; •'... i. :.,. '.-� .,._,.„..., a .task. r.�x'- x ,. P,� .. _ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name:_ Li_Cav3i iDestSr 6-r,,,v Name: fA1k _ Address:_ �3t7o G r .6-T-m v 'o,;vc Address: City: 4ZT- 4 I e V-C4 FL— State: F- _ City: State: Zip: 3vaS2 Phone 777- 71S 646e Zip: Phone: -FEE-SIMPLETITLE H-0LDER. _ Not Applicable BONDING COMPANY: _Not Applicable Name: A 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 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 commencine work or recotrdine vour Notice of Commencement. _Iot.1G.C, d4_11 Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORI COUNTY OF yp, COUNTY OF_''y�ceP, The for oing mstryq�ent was acknowledgedbefore me The f oing instry�e t was acknowledg efore me this, day of CJ i1� 20by this day of (%�f 20 by (Name of person acknowledging) oary (Name of person acknowledging) i - (Signature of blic- State of Florida) (Signature b otary' Public -State of orida ) /OR Personally Known OR Produced Identification Personally Known Produced Identification Type of Identifica Type of Identification ;•'••+>"'•• AUDREYB.HUMPHREY Produced "ra: N>fGG300817 Produced •Im..eYy;•, AUDREYB.HUPdPHREY' +n EXPIRES: March �j 2023 Commission No. "a••••-o"� rnruNoiap^r•a@tlundelwfiere •••• _. MYCOMMISSIONIV 17 Commission N =+i b�_�_�- 1 '-- o S: March 202 •••,OFF�..' aOIdCd ThN Notary PIlSAC UadE1WI1IC19 ;1" REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Hev. 7/2U14