HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COIC,r t�TED FOR APPLICATION TO BE ACCEPTEL - (�(� r� l
Date: \o • y- \�1 Permit Number: 10110 ' 0 aOizL
�� (� ( S
`';-C �.-.n=„'^.�-�."� UJ �l BY CANNED
RECEIVED
- • J St. Lucie County OCT'09 2019
- -- --___— - Building Permit Application
Permitting Department
Planning and Development Services St. Lucie county
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982 ✓/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: PROPOSED] M PROVEM ENT LOCATION: ;
Address: WNUAws P,sy.., �.l. "C-I!E
Property Tax ID #: 3LkkR- SN6- Oo�iR- o;:�n—\ Lot No.
Site Plan Name: Block No.
Project Name:
,DETAILED. DESCRIPTION OF WORK:
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: '' C)' Sq. Ft. of First Floor:
Cost of Construction:$ o. tsn.Cf--i, Utilities: Sewer Septic
7- Windows/Doors
V Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name . E
Name: �.a.
Address:3ay VRiv. N1C
Company: �1C�Pctv7o lZi�
C1ty: mac_ State:_
Address:%tLS�C.�w�tcv�+a
.
Zip Code:-�4rF%q Fax:
City: Cr P.ecr
State:
Phone No.5b!PA-r14'--Vk% 5
Zip Code: Fax:
Phone NoN,'9 -'a'lML
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail hf�ecV- . tE�.SE �eotrrs�SoL
e�11d�O
State or County License &W-\Xnsn'32qt\
GMwY .Dorn
from the Owner listed above) a
If value of construction is $2500 or:morr a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more; a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU N LIENLAWINFORMATION:
DESIGNER/ENGINEER: _NotA Applicable
pp
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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
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:
UK AN AI IUKNET BEFURE RECORDING
as Agent for Owner Signature of Cont ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF uj� !' S"W
The forgoing instrument was acknowledged before me
this�A day of C»' C%MXL_ 20_. by
Name of person making statement.
Personally Known "OR Produced Identification
Type of Identification
Produced
Commission No.
REVIEWS
DATE
COMPLETED
The forgoing instrument was acknowledged before me
this day of Qnnr 20V�S by
LmJAI
Name of person making statement.
Personally Known `1 OR Produced Identification
Type of Identification
BONNIE LO7GG
(Signature of Nc
MY COMMI�ry p Commission No.
EXPIRES Septemb
COUO TER I REVIEW ZONING I SUPERVISOREVIEW R I REV EW I VEGETEVIEWON
""'B'ONNIE LOVITT
MY COFI�SION AtGG143436
EXPIR S eptember 17, 2021
SEATURTLE I MANGROVE
REVIEW REVIEW