The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMI'�_v'ED FOR APPLICATION TO BE ACCEPTEII — Date: SGkNNED Permit Number: -7 to e countv Er,�ff i-zmegis mj�-�-Wq St. 0 RECOVED Building Permit ApplicatidUL 13 2015 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: Address: Legal Description: go:i� Property Tax ID #: Lot No. Site Plan Name: C-f*- A 43M)�7_ -SAa Block No. Project Name7:Tf)rQCK:!, Setbacks Front Back: Right Side: Left Side: 'Mechanical GasTank Gas Piping .':-'Efectric Plumbing Sprinklers Shutters Generator —Windows/Doors Roof .'rotai �q,5�t,0cqn�truction: Sq. Ft. of First Floor: Septic Building Height: -cost of tonst&6, &n Sewer rG 6 N it, Name s," Name: cor;,-.C� J Addrep: (&VV4.1 CCt�V�CltAKCA i* If 6 comp�ny: 61A, City: IS In,\ %fer ;�State-.FC' 7- Zip Code: '�3)q WO Fax: Phone No. '0 94-.-. 9 A - cf &,-OL State: _t�: - Zi p (fode:'IiIL,�, Fax: 1'72--2n-2,X-o7, Phone No -7 -2q:�-I� E-Mail:-k,e@ Fill in fee simple Title Holder on next page if cllffir�h from the Owner listed above) E-Mail-Ae- a�e�,s&n. State or County License C-Ae-if-2 i if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. FSAYPIRLIEMENifirAll ORSAR NIHIENIMMINEOR I , [C' N 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 Applicable BONDING 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. 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 is in Home which conflict with any applicable Owners Association rules, bylaws or and covenants that ma estrict or prohibit such Please Home M structure. consult with your Owners Association and review your deed for any restrictions w ich 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. �igfiattrf'e of O.Wherl Lessee/Agentv -Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLOR1%, COUNTYOF COUNTYOF The forgoing instrulpenj was acknowledged before me The oing instnImept was acknowledged before me fm this _�O day of k, IQ jj� 20_ by this day ok.&L-44 --by ,20 1 (IN person acknowle (Name of person acknowled 'of .1ging �' �_ P'� e HA - . '4 — . (Signature o ota Flo a - _ (Signature of NotW Puplic- State ot Florida). . , - Ll__�OR Personally-—- OR Produced Identification Pers ona Ily Known Produced lclentifioatiq�;_ Type of Identification Type of Identification Produced Produced Commission No. %�ONLEY F Yo;, * -. C. mm ssio� No. (Seal) , 41111-4.1, SUZETTE RITCHIE REVIEWS FRONT Zap AV "$!Qkg'S ...... 1001�1� �rr XQMHAM0W J �U RTILE MANGROVE COUNTER -RE % FJ?P"N�Msemcexom IEW: REVIEW DATE RECEIVED DATE 7_3/ 5 6,COMPLETED V. //ZU14 Not 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. I certify that no work or installation has commenced prior to the issuance of a permit. St.LucieCount makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conwict 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 ommencing work or recording your Notice of Commencement. qLq Sig6etafe of OvAner/ Lessee/Agenti' -Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLOR1%, COUNTY OF COUNTY OF The forgoing instruipenj was acknowledged before me The oing instrqmept was acknowledged before me ffs this _10 day of �, )ULU 20 by this day oftJ9,44 20_1 rby Z (N m of person acknowle Ing I 11-M A 0 -)/)q 00 I _ , rt (Name of person acknowled Cing) (Signature o ota 't Public-state-V Olo-rizf�') (Signature of Not6i Public- Statie of Florida Personally Kn OR Produced Identification Personally Known OR Produced IdentificaUprt Type of Identification Type of Identification Produced Produced Commission ....... 7"� I Commission No 7.� (Seal) No. suz ETTE RITCHIE REVIEWS FRONT Zdy I 1, r EXtV§�J)AJJt)Wa-�;!.§2F iy �UWIMI�W URTLE MANGROVE COUNTER RE� OJE % F*P4;"FpSeNice.;,)m I EW: REVIEW DATE RECEIVED P ... .. CDOATEP M LETED f e Rev. 7/ZU14 Environmental Resources