HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \%�ym Vk Permit Number:
� SCANNED SCANt �iy
.��� BY
0 BY SL Lucie Cyr r,, RECEIVED
. t Lucie County
Building Permit AppliC tiorNov. 18 ?019
"Planning and Development Services -
Building and Code Regulation Division - ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERM1.ITTYPE:
Property Tax ID #:;.r-
Site Plan Name:
Project Name: MUFPHY -J
DETAILED DESCRIPTION OF WORK:
Additional work to be performed under this permit -check all that apply:
Lot No. L) J
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric .Plumbing _Sprinklers _Generator _Roof Pitch
Total 5q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ rl -lb i Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
-- -
CONTRACTOR:.
Name -TAMES G MURPHY
Name:. E e-.7
✓w_culi
Address: 15343 WALDO PEPPER DRIVE
Company: viVI-p-LC SG! (_O • L
City: PORT ST LUCIE State: FL
Zip Code: 34987 Fax:
Phone No. 772-621-2759
Addr j,WW t 4-VVL"e_ S�- .
"i'
City: 6V4- . l _(_cj State:
Zip Code: Fax: -LAo
Phone No
E-Mail:
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
E-Mail--lei r)/—Lt�� r CL�e✓L {1 LSJ1 CdVY►
State or ouC my License_
Z.11.U.L.iv„ .a p<nuu or more, a nMunutu notice orcommencement is required.
If value of HVAC is $7,50D or more, a RECORDED Notice of Commencement_ is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION: ,
DESIGNER ENGINEER: Not Applicable
Name: - 1
MORTGAGE COMPANY: fkotApplicable
Name:
Address:
Address:
City: State:
Zip: P one - —
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING. COMPANY: ZNot.Applicable
Name:
Address:
Address:
City:
-City:
Zip: Phone:
Zip: Phone:
.OWNER/ CONTRACTOR AFFIDVR; 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is into 1 ict with any applicable Home Owners Association bylaws
rules, 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.
1n considerationof 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 NOTICEOFCOMMENCEMENT. MAY RESULT IN YOUR PAYING.
TWICE. FOR IMPROVEMENTSTO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS E RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FlRSTiNSPECTiON.'IF VOL TEND TO OBTA NUCO CONSULT "
-- WUH"YOUR LENDER OR AN ATTORNEY BEFORE RECORDING -YOUR CE OF COMME NT." - -
"" Signa ner Le see/ ntractor as Agent for Owner Signatu a of Contractor tcense H Ider - -
STATE OF FLORIDA STATE OF FLORID i�dU P
COUNTYOF_ STLUCIE COUNTYC
The forgoing instrument was acknowledged before me The aging instr m ntwas acknowledgeQbef re me
this 5 day of NOVEMBER 2019 by this da of 20 b
TAMES MTTRPHY U1 r'h A-p_, N Q (tfl(VICa n
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Type of Ident'fit"ation -
reduced IORIVER LICENSE
Personally Known (/R"Produced Identification
Type. of Identification
oduced
(Signat re of Notary Pu Ic- State
40 Notary Pubi c state
e6 �962& f Francene tJewm
Commission No. vvta-iv�.r +' My CommissionG
exPtres.051231202
-
f JSgnetu
r
�60nnissi
of Notary Public- ate of rimy Notary public St
No. a'�y�T n FV Commi ncene New
p' a.,ti M mlAglon"
w Expires 0512312022
fWO
e I
'
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISO
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE "
RECEIVED
in
DATE
COMPLETED
ev.