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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETL-.'DR APPLICATION TO BE ACCEPTED U Date: lloi\l�S Permit Number: ISO RECEIVED APR`212015 CO66e -UU� -~-- — __—� Building Permit Application �` ,rc SCANi� EL Planning and Development Services 8 Building and Code Regulation Division - "" �UGIP r ni i nn 2300 Virginia Avenue, Fort Pierce FL 34982_ X Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED INPROUEMENT LOCATION. Address: IgIl p- Gi 2 �oR+ Si LJC,'�� -L 3%igri Legal Description: [AW2) k4 04 t 'jj soo'm 1 9J'P<0- 37 :57-. Lylw e cou rrr y 17-L , Property Tax ID #: 3324 - 2oo - coo I - oo!?414 Lot No. Site Plan Name: ::5,'7E V£LD riFr+i RAiJ T-VA A'L viLtA4iE CLJJ3#0 v:Qr Block No. Project Name: .N:EWT A-�.Tio,4 aoQ g-u.6 00--W Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 4r ! tyi NG 00 -WE e,RovP tyAae pr rLL&c; &pejj, 3 f�Eg CONSTRUCTION INFORMATION: Adclitional wor to be pe orme un er t is permit-c ec a t at app y: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: 1 li5 6i= Sq. Ft. of First Floor: Cost of Construction: $ 2-1000 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name: tEezic;-,r?L Name k'X � Ep-yz ir"e Address: 1914 Company: iU,,Si cOr16JCXiOsI City: %Z i :5 . LJ4 L State: J"L Address: ) 1-)D� }i } Qoi N i 1G uJ 9�i City: PA•L-r1 136A.&A7-- State: Ft Zip Code: 3 8 Fax: Phone No. t 70- 467-- I3Oo Zip Code: 3340 Fax: E-Mail: JTjjZ O PPGA I r1 cOri Phone No S6i g - 2g 1O Fill in fee simple Title Holder on next page (if different E-Mail EA-o nR KAS�BJ L� . coH State or County License 1 s19i 43 from the Owner listed above) sic 2 fT If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONS 1, LIEN LAW INFORMA IO DESIGNER/ENGINEER: _ Name:_ SFl4dl �d LucA-S Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:. Address: _*646 fad inJ14k'.d/ArY dk 000 Address: City: Zip: 322f4 Phone *- State: _L — 2 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Name: Applicable BONDING COMPANY: _Not Applicable 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 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/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me this _ day of 20_ by The forgoing instrument was acknowledged before me this _ day of 20_ by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW' REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. :- v '.VL' IJIAILd91e I MORTGAGE COMPANY: Not Applicable City: Zip: - FEE SIMPLE TITLE HOLDER: _Not Applicable PI Address: City: Zip: Phone: Address: City: State: ZIP: Phone: BONDING COMPANY: _Not Applicable Address: City: 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. which is i' 1 conflict with any applicable Home Owners Asssociationirules authorize 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 commencing work or recording your Notice of Commencement S' natur of Owner/Lessee/Agent __ . V — Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLOpiI COUNTY OF ST. i.l)GIC COUNTY OF a m Beach The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this Imo_ day of RI L_ 2015 by this 8 da of April Y 201,5by 31rnrm Ie� (Name of person acknowledging) - 0 (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced r•" ANNAESCHMDEi MYCOM1A7ISSIONrEE647629 Commission No. •.,. �° E1(PI13Es_Jarurery7.2un Bmded Pubk Lwewwm Cynthia Perih (Name nf.,-. ri acknowledging) (Signature of Notary Public -State Personally Known X OR Produced Identification Type of Identification Produced M'ixulxfMi nefy ox,t. Slue NilwW Commission No.Weom cv.e.r n.:os c��x.,m•n,oiui �� a.� mv,.smmewnrusn REVIEWS CORONT ZONINGUNTER I REVIEW I PLANS I REVIEW M VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW