HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABL INFO M ST BE COMPLETED f OR APPLICATION TO BE ACCEPTED
Date: LI�5 Permit Number: �I
SCANNED 11
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR�-�_e _V— 10 �--
PROPOSED IMPROVEMENT LOCATI.O'N: ..;
Address: 3150 Will 1pCC i))6 , t- I •�1eYG�
Legal Description: OAO-r-�
Property Tax ID#: 2.428 •112--00c>2, EcC•g
Site Plan Name: . Wd(M GOLVA-, C•0Urr1 Ur4
Project Name: MctquP}6 C.orHo� Cam.
Setbacks Front NIA Back: N/A Right Side: NSA Left Side NIA
)ETAILED DESCRIPTI
-D moL&icn (irtler
rw_w UJlnd�ws,
OF WORK:
Lot No.
Block No.
$ re.rovOLhon c f P-m!5Hn3 nl-Q ct. 590_cL • bvorL 4o irtcWde.
>rs, Arc GhUYCoLA} , plLtmbirtc�tJrcchar�eocai5,
[-CONSTRUCTION'INFORMATI:ON+
diona I wor K to e e orme uri ert his permit- c ec a apply: -
1HVAC 11 Gas Tank Gas Piping _ Shutters Windows/Doors
Electric N Plumbing Sprinklers 0 Generator EKRoof
,-Total Sq. Ft of Construction: 3226 S�Ft. of First Floor: 1ZQyyV.
Cost of Construction: $aW01C(M • °O Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:' :'
CONTRACTOR: v,
Name "-1-•L 6e- Dour 'l
Name: pWncrLbu+lde✓
Address: Vi \r110- AVS-
Company: a.Lttle Courri
City: 4•'Rta;ycs State: 1•
Zip Code: _ 44981 Fax: AUI- \AAAo
Phone No. ( k2�ht<2• \432 - 3 -�\'Mn Mu'Cn'Cq'A
Address: 2300 Niroj,riio. Avc.
City: gfR¢.Ya State: Ft •
Zip Coder%2 VF�ax:�4b1. 14AA
Phone Nocznz9ta�-Ih3Z-SLrl�r�ro�MP�Cr
E-MailAjypn_q `.S4'W6e_Co. ar) �—
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:4� 4106eco• Cr!
State or County icense: N'A
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION: a
DESIGNER ENGINEER: _ Not Applicable
Name: 'A- C�K - CC;DK_ 4 Hcvxzrd,
MORTGAGE COMPANY: X Not Applicable
Name:
Addres : BC�Ln D6cc Ware /ivc.
Address:
City:. t r� State: 1.
Zip: So Phone �2 lc0 • a }�
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: rA Not Applicable
Name:
BONDING COMPANY: aC Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 contlict 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 recordirte vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF 5f . Luc ( b
The for oing instrumlent was acknowledged efore me
this day of 202-by
Is
n(no?r- i ki a11(4'&
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 201g by
(Name of person acknowledging (Name of person acknowledging j
(Signature of Notary Public- State of Florida )
Personally Known V/OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEIN
REVIEW
REVIEW
REVIEW
REVIEW
DATE
I
2-Z -/y
COMPLETE
INITIALS