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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLL-_'i FOR APPLICATION TO BE ACCEPTED Date: Cod Permit Number: Sd a- Oaq� SCANNED BY St. Lucie County _-- - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: C,ac� tdv� Address: Legal Description: IV D6 - y13 - 0 0a5 — 000 12. Property Tax ID #: t g o 6- 4 1 i- n o o<- -o o a i z Lot No. Site Plan Name: Project Name: b CIA- b rL kk-t-zau0 'O%seL ^� Setbacks Front Back: Right Side: Left Side: _Mechanical _ Electric _ Gas Tank Plumbing Total Sq. Ft of Construction: 1 S'tJ Se Gas Piping Sprinklers g, Oia'JeaY F-.S ■ apply: _ Shutters _ Generator Sq. Ft. of First Floor: Cost of Construction: $ 9-t-6-c7p Utilities: _ Sewer _ Septic Name kAA'cl is- P a-r!c2 . Address: LF ;1 _(i - City: �Jern o�evy-, Stater Zip Code:Z' Fax: 372- Sb7-2353 Phone No. - �7 - ( 3 3 - o 1? 3 9 E-Mail: (%cvv�rrd 0 M1- Gu-t Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Block No. Windows/Doors Roof Building Height: Company: cht CL Address: drr hsv- m 3-.4 LP City: \f e rp 06-e&- r IA State: Zip Code: 329C 6_ Fax: 77-) Phone No 727 22f SS % 7 E-Mail iMeWib @ 4ilc caul State or County License 5J]Qf!n2 C GC vaL.n of rnncrrorfinn is 75on nr mnre. a RECORDED Notice of Commencement is reauired. 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 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. 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 commencingwor r recordingour Notice of Commencement. F SUPPLEMENTAL CONST � ION LI -N LAW INFORMATION: DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: —' City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: SignatureofOwSignatuofCtenseHolder STATE OF FLO STATE OF FLORIDA COUNTY OFCOUNTYOF 51{'.1.-Oc�TheforgoinginstrumentwasacknowledgebeforemeTheforgoinginstruentwasacknowledgedbeforeme this5dayof�OV\-'20'1bythisLdayof�yl-e20�5by C.00.Ufar'XVV\aN ,sXkd (Nameofpersonacknowledging)(Nameofpersonacknowledging) (SignatureofNotaryPublic-StateofFlorida(SignaturefNotaryPub-StateofFlorida)PersonallyKnownORProducedIdentificationPersonallyKnownORProducedIdentification TypeofIdentftionTypeofIdentification Produced.DLProducedCommission No.(Seal)Commission No.(Seal) REVIEWSFRONTZONING SUPERVISOR PLANS VEGETATIONSEA TURTLE MANGROVE COUNTERREVIEW REVIEW REVIEW REVIEW REVIEW REVIEW TE EIVED TE �� MPLETED All APPLICABLE INFO MUST BE COMPLEI* •:OR APPLICATION TO BE ACCEPTED Date: z �g � 1s ermit Number. 150 )L' 'ZrJ - Ilg Permit Applica ionE/ 'v Planning and Development Services BY ��[' 09. Building and Code Regulation Division St. LUCle Cg ll 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial C/ Residential PERMIT APPLICATION FOR: aa.a��iOy� _ PROPOSED INPROVEMENT LOCATION: Address: lr2 - 5 1 V4. L .S 4 Legal Description: 6 3 y 4b 5 1,56 FT oti` N 1/7- ofr % 6r wC V) eF _ctr I/d GYF w a ut5 I i.19 A0 ( oa 33Z - /oSL) Property Tax ID#: 1yb(o -yl3—Boas-an0& Lot No. Site Plan Name: Project Name: 41ATO0o1' l�Pcacl.rn O �Jtal( Setbacks Front Back: Right Side: Left Side: Block No., 63 IL P010-e.r5 Q0._h't5 r (+)A �'q%'! 1.� 014+4oar k'lcmn CONSTRUCTION`' INFORMATION: ACClitiona wor to ape orme under t isi mit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors X Electric X Plumbing _Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: 11.1500 S.), Cost of Construction: $ a �� bb 5 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: ,. NameR"_kcarJi ti_.bescY Name:' ,, 4A P_;q .-2l CoevST. Address: U 4 L 5. )I t't 57. Company: % 6 C C' a r s+,,,-k7r6, City: VLro c:wcli'c State: h I Zip Code: I Z cl. la Z Fax: -11 Z - SG-7-Z 3 $ 3 Phone No. -1-1 Z - (033 - o -i Address: Z 53 0S / City: Zip Code: 3 Z `lti n Phone No. I'7-L- Stater Fax: 7 Z - !�l,7 J-'ZT 56 Z--� z � S o E-Mail: 1`. c.1t. 6 ¢« v tJ la ot61. C6e-1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) /.. E-Mail: /1 %tr ar • ^r State or County License: Q%G -/ Z c If value of construction is 2500 or more, a RECORDED Notice of Commencement is r6quired. EMENTAL CONST ., ION<LIEN LAW IN.F..ORMATION: ,J DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permif 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 commencingwork or recordin our Notice of Commencemen Signature of Owner/Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF II)a,Cl11 a,V2X STATE OF FLORIDA COUNTY OF I(1C,IGYi The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this �I dayof_FebV'UQYy 20 197 by this__dayof FP_bYUa('Nl 0 15 by RiclnCiyd E �erYv I<ei+h F3ake� (Name of person acknowledging) (Name of person acknowledging ) l ,ter kul n ti, / Aa —A . .!J o uU (Signature of Notary Public- State'of Florida) (Signature of Notary Public -State of Florida ) Personally Known ✓ OR Produced Identification Personally Known �L OR Produced Identification Type of Identification Produced Type of Identification Produced dYi�.Y& Commission No. F F 192 O-1 b � RMROM I SS A. SOLANO IdHRIS MI A A. SOLA076 Commission No. FF 1g20—I J(&wMMISSI0N#FF19207J6TINA A. SOLAN EXPIRES: January 22, 2019 EXPIRES:January22,2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROV COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE .-. RECEIVED', °- • 3/• /S DATE COMPLETED Rev. 1120 4