HomeMy WebLinkAboutBUILDING PERMIT PLANSAll APPLICABLE INFO MUST BE CON;_ __rED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber: _` • ®O
SCANNED
BY �1 /'
St. Lucie County ( e 1. 634 QED
Building Permit Application Orr 11 1#10
Pe
Planning and Development Services rm,hn
Building and Code Regulation Division St Lugo °g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential k>c,c
PERMIT TYPE: FT7r ly ICl[srci�n-%IGt�_
Address: J Y / PoL fZ f n
Property Tax ID #:
Lot No.1915�
Site Plan Name: YAL-m /3e &r^ Z E I'/y h Block No.
Project Name: M o 2 n/ nI Cf S , dam. Pltr-i sa / A
`t _ / cL rd-a-ry-N z k a-lll. 1�/ . /?„ ._
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 G�/Z Pitch
Total Sq. Ft of Construction: _���i3�P Sq. Ft. of First Floor:_ 176,
Cost of Construction:$ // 3, �'T Oo Utilities: ✓Sewer _Septic Building Height: /7 //D'`i
OWNERIESSEE `
aCONTR4C�OR
Name !-1nyy\p Hoeningzlct�
1 LL
Name: O=rlehn
Ly\ A,iI<�
Address: ks f 46,,eir
iilvd �S,n/./
Eompany: r\o r �•j(d ey-s L_L�
e-
nJ7�J_,<
City: ��fLL/I /
State: FL
Address:172, S A,-,4 Neil Scjk to
ZipCode:�•49' 4 Fax: 77.L /
�IA.9/S5'
City: State:_
Phone No. 17.1
Zip Code:���% Fax: 77 Iq a.9/5
Phone No%7,1 — { 9, 72n
E-Mail:, ft2lfa t5 j� a f. �EafRn
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E-Mail k/L,40A /Ln W E, (V- j_F,y tf 1k" as c,9
Fill in fee simple Title Holder on next page (if
different
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.
"'„ �s _.
DESIGNER ENGINEER: _
Not Applicable
MORTGAGE COMPANY
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YntIR NnflCF nF CnN1RWNCFMFW "
Owner
STATE OF FLORIDA �pp - STATE OF FLORID
COUNTY OF S1 BTU �� COUNTY OF � -�sU
The forgoing instrument was acknowledged before me The fofrggoing instrument was acknowledged before me
this � day of � c_>` 20� by this eY day of d CJ-- 20 !J by
L/SA M. fia-ld— ,4JiA'.�_.A
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
uF RH NDASROWE
• ., x r-n dories
(Sign ire of Notary Public hFlon 1, es May 19, 202t
Commission No. 9)EOFF��� BandedTiuu BudAetNelnryServices
(Seal)
Personally Known v OR Produced Identification
Type of Identification
Produced
/) Qn ,• °� , HONDAS ROWE
(Signature of Notary Public- 96t a) ommiss on
m,.E Expires May 19,2021
Commission No. St OF M1oO`oe(Sepjjrd Th. audgei N&ry Sm
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