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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM rED FOR APPLICATION TO: •- Permit Number:1 r SCANNED BY St. Lucie Countv ,�.. Building Permit Application Planning r • Development - •. P 1 _ Building and Code Regulation Division 2300 Phone: (772) /. Commercial Residential /•� (.5.,�.' jxi 3 � .-.a. 3 snn'Y .r v � '.n 'Abc ir. �w+a a A. ii f1C./�1��'%I /�{-IYR Gl\ {'Eil�..�rSYsi, ,_ ]...a v �.4..•• uRb eV r - ..;.§ . .i- FIRM Description:Address: Legal Propertypov0604 Lot No. Plan Name; Block No. ProjectSite Setbacks '"� Z'�j.� }��F}`T�'"jY=�� FFiL$1+�'tfi.'/.q �4 1P,,^qT. S(�.t`y ypb C'A'�}"yy6 Yq Ti 9 iFQ�� CP'..1 ��^��T{�{§�"`jj^^'' v$ �.�• - 53.. rv��AF u �^I,.�tJU Yi �L��y.Jl�i��r`.9px� -�`Ny, iY'y •v i* 2}. gib � #3�1.. F. "v.�ee•6� 5en.4�_�.. sr� 3� .. e. oS�a Y �...-..=_��kwaa .. i.�.3..� -.m•_ ,.uN 2a..'�.i..ed. +�v3' - ♦.tvo_L 'tl - It . /. • • I, r / i 1 . / . T^q w, ��([+. i!'eL ¢ ee ¢1 �j 's ig. i 3 ns 5 rp av --�^-�..^ .-,. •re a 5'.9�v, e•'S"T9,.'. ...' 1� .aroY r�a-- V� £k, V YJ �, J:1' -.' � . {} _ $ Hd� ' 1 9 y `4 du»Y�aw�s zh-i Addal alworKtODeperrormea under this permit - che-&-alFffiat apply: Mechanical GasTank Gas Piping — Shutters —Windows/Doors —/Electric Plumbing Sprinklers — Generator •• Total Sq. Ft of Construction: . .First Floor: Cost of Construction: $ 4i-0-0- Utillties� — Sewer Septic Building Height: ,,�((�y 4".§ N', f pA •J��`„r�-,W `. -{^FI ��R�r- p j'•F. + E�(l� �C x <A✓• v..ak .. 4..4 a,.u..` a°.se-_s. .-'•Y6£..... a .'S .1$"3` qk `y,a.�.•$k• i1 ice, %FRS' '.i �i fEoni .. xs' R J��, ^4]• } X!= �� if value of construction is E0 or more, a RECORDED y� X ��-b u a� 10 i� t�khq 1 00 DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE-HOLDER: -- Not-Applicabl ONDING-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. 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 andcovenantsthat 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 commencing work or recording our Notice of Commencement. Signature of Owner�ntfLessee Signa rk 15f g2LV W`Lice a Holder STATE OF FLORIDA STATE OF FL 1 A - COUNTY OF COUNTY OFL(�I . The forgoing instrument was acknowledged before me this day of 20 by The for oing instr m nt was acknowledge ore me this Jg day _ o 20by . (Name of person acknowledging) (76jolo me r on ac owledging ) "Aa—, (Signature of Notary Public- State of Florida ) (Sig ature of Notary Public- StfiYe of f lorida ) Personally Known OR Produced Identification Personally Known -OR Pmduced IdgnLifleatr: Type of Identification Produced Type of Identiflcatio ro urRME Commission No. (Seal) Commission No.C� ,Q� HoraryPu(le�-�CtateofFlorlda p �a' My Comm s Oct 11-, 2016 '1a1n6;••' commission# EE 842817 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW EVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 3 �� DATE /� COMPLETED G r ev. Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: --- Address: City: State: Zip: Phone: BONDING COMPANY: - _Not Applicable Name:_ Address: Zip: — Phone: - OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 'Lcertify 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before I. f rnmmonramant . . commencing wo VI reco .u. Vu. ,.vow 01 vv..........__... _.. SighfaR&ebf ner/ Agent/ Lessee/Contractor Sign hffb of tractor/License Holder ,STATE OF FLORIDA STATE OF FLORIDA -OUNTY-OF—S*--L V -" A CODUTY-OF The forgoing instrument was acknowledged before me The forging instrument was acknowledged before me • this\ 6 day of Tv� A f c� • , 20 tS by - this \ day of Vlr\"1 {�� , 20 by Hcbvy � 5a'y� e-�� f (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pub -State of Florida) (Signature of Notary P lic-State of Florida ' ) �pS 04 p; Personally Known OR Produced Identification -Personally Known OR Produced Id { ty I y Type of Identification pF•`'ape°ey0�6�P5s ype of Identification L -Produced L L' ° s9QmE�op°�iE\NasN roduced pG14Ea�F\o�ZO6 ,N `G"°m,,�c.°6��pa��0 :Commission No. t-5�61Co.S�eG 16 61 Commission No.t.E� � �, !>`��i0v9 �5p� xP�t°��E950� p55°i - °' 0o`�a •`; vuei:'c N°sa °mR E , pf N E �H°�aN / • 8. REVIEWS FRONT ING SUPERVISOR PLANS VEGETATIO =..5 R GROVE , COUNTER REVIEW REVIEW REVIEW REVIEW ' ;;y. _ , REVIEW' DATE T ,RECEIVED DATE �• .COMPLETED