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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl ' . ... _ -. ,.r 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� $ 115 Permit Number: GG /cam ® Building Permit Application �v Planning and Development Services SCANNED IX �" � Building and Code Regulation Division BY �� od4/� 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Countv Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED l(MPROVEMENT LOCATION: Address: a1390 MAMP05A MIQU fDRTSII/il�te, Legal Description: 0 iai r'r- OF 6 51V FT Of Wri I — 1,F55 20 � AND L Property Tax ID #: 3111k- 501- 5001- 0)-O - (o Lot No. Site Plan Name: (J n^ NC,. Block No. Project Name: U N IT�D (I.IfAcLS plkA ST. LWG IE WMlk Upyr (*#\)OPf( Setbacks Front 61 ' Back: _ Right Side:")(!, Left Side: DETAILED DESCRIPTION*OF WORK ISSTi 100 oN TR6NOR PRAIW !WJP OIL 5EPRAPD i McMP(, C LE IS'`l .& (IANbRM_J RQIrnovc 1,1r1 S VbLL ( \)& GawAk) ' 1PiO5 Fail. SPY INFORMATION: LJHVAC "Gas Tank UGasPiping ©Electric ElPlumbing ❑Sprinklers Total Sq. Ft of Construction: (7 Cost of Construction: $ Shutters Windows/Doors Generator Roof Sri. of First Floor: _ Utilities: Sewer E]Septic Building Height: 15 OW OWNER/LESSEE: CONTRACTOR: Name 041E T.G'%1f 6• Name: pDhmp T IA1Jz1(}5 Address: SJ. I Qt"eA)OV'02 IFN(16 Company:CAIRDESj SONSJWCTJOIJ M City: (3TPfE.IG State: CA. Zip Code: gOf0;L1 Fax:;d4— Sa IJ ISIa� Phone No. 3 — \ Address: 13g0:LWS649 P-RAO City: I,AR&C> Zip Code: 33�a�I Phone No. State:L- Fax: 7V^5 E-Mail: L.? Ca L94, CCAA Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CGG 01(a344 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. t-, zrr '$. Hxrr UPPLEMERTAL=CO(�SIIRUCTf0�7ijU�t LA-WV;IN50RMATECIIV z «.. Nt t_ ...a ~w' xiar .. � - F � " r ��. _.,. �r� r��w . t� ""N .. DESIGNER/ENGINEER: Name: Kt)RT 8 wiliP46A6 _ Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: 13qO DomPro P VMDAddress: City: p Zip: 'm 1 Phone:� State: 45 City: Zip: Phone: State: FEE SIMPLE TITL HOLDER: Name: Q"1'r _ Not Applicable rJL. BONDING COMPANY: Name: X Not Applicable Address: 5 Address: City: 8 AR City: Zip:'JD6)21 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 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 res t in your paying twice for improvements to your property. A Notice of Commence t must be record nd posted on the jobsite befo the first inspection. If you intend to obtain finare: g, onsult with len er or an attorney before co encin work or recording our Notice of Commenc me t. / t � re of Owner/ Agent/ Lessee`= Y Sig re of Contr r/License Holder T OF FLORIDA "•..,„*M' STATE OF FLORI A (�)� COUNTY OF COUNTY OF Y' n was acknowledge before m thi day o� • 20 by The for ing in5a5k1l z v `' $ N 5-5, The fo—rgoing instru ent was acknowledged before me thiso�l! `day o� 20. 15 by Iw OS oa aC l (Name of person acknowledging) Name of person acknowledging) 'AI / dV,l/.F+ (Signature Ndtary Public Flordda) - (Signature bPNotary Public- State of F ida-!p� c,• of -State of / (I t„?��; Personally Known OR Pro Identification uce Personally Known is IAARy EUi &B MTOHMsEND Type of Identification Produced Type of Identification P :. �o�SI01YiFF Commission E%PIRES:e�t�q�lier21;2pts� Commission No. r ` ]F{uW cpwcuhde"M No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -/rf-/ COMPLETE INITIALS 200o s -F60 102.13 -- 4Q03w, 40, do