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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COWL rED FOR APPLICATION TO BE ACCEPTED -07 Date: ilz&_ S(;At4NWmit Number: /S ZS BY St. Lucie COW,, RECEIVED Building Permit Application Planning and Development Services JUL 16 2015 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: F41 a Address:— Rd4W,2QQ S AS_JT FLIV99,1 Legal Description: *Property Tax ID #:2 �Qq - 1-60 3 -6 c"IE, 0 d!/FLot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: _ Right Side: Left Side: I EMEPI��l�lli�ll Lid nA Cbw5-ek bmuxj) Si" Cbntyu" PP 81WX Additional worKto be pertormea under this permit — cneCK a[ I that apply: I hill I I —Mechanical — Gas Tank Gas Piping — Shutters —Windows/Doors Electric — Plumbing_ Sprinklers — Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: IrCost of Construction: $ Utilities: —Sewer _Septic Building Height: Name kdW4riA It)I 1-1-c- LQ G AIM - Addrpfe Name:, Kcf-S �Wltm Company: ah -[Y& %�Tls city e4' State: Zip Code: 31k!� Fax: - Address:, City: �tat �641_61 PhoneNoSbl- 01-?610 Zip Code: S?_969L1 Fax: _7S E-Mail: Phone No -7-7Z- &270 - Ocyc)-1 Fill in fee simple Title Holder on next page (if diffefent 'I from the owner listed above) (23 E-Mail -47 Gcq C )5 0C13-1s or County License if value of construction is 25 1 00 or more, a RECORDED Noti cement is required. 7, M., I City: 1 1. State: Zip: Phone FEE SIM able . MTV HOLDER: Not Applic Name / ( 49�d')"V; ZTZ Address: ILV 5 -_A ye - City : Wst Zip: fyoc' Phone-L MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: —Not Applicable Name: 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. 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 . I 'npro miepts to your property. A Notice of Commencement must be recorded and posted on the jobsite m b ft hE e e irst inspection. If you intend to obtain financin& consult with lender or an attorney before c m Wg work or recording vour Notice of Commencement. IN Sjdnature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF COUNTYOF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this A9 day of 20J2$;6y this day of 20_ by rewi meg p ac now e ging a f eT6bA k I d (Name of person acknowledging) (Signatur�`of ITotarV Public -State of Florida (Signature of Notary Public- State of Florida Personally Known OR Produced Identification Personally Known _ OR Produced Identification Type of Idenlincation ... pe of Identification Produced � A DANIEM A ROBIr ] Ano" N ' M WCOMMISSIMEE 87 Produced EXPIRES: June 26, 20 1 Commission No. I, Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUIRTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Riev. //LU.L4 DESIGN ER/ENGINEER: iio-t Applicable MORTGAGE COMPANY: Not Applicable -Name: _Lame: Address: Address: City: City: State: State: Phone zip: Phone7. FEE SIMWRUJ�ITL HOLDER: -----Not:APPll ablgi_ BONDING COMPANY: _NotApplicable Name: - Narne:._- Address Address: City �1- W"i ,u 0,40 city Zi 71/0(_ 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 67r installation ha's conim-enced-prior to the issuance of a�werirnlf.. St. Lucie Coun makes no r . epresentat I !on that is gr I anting a permit will authorize the permit holder to build the subject structure which is in conWict with any applicable 1,166wowner'sAssociation-rules, bylaws or -and covenants -that may -restrict or prohibit such structure. Please.consult-with-vour-Horfie OwndrsAssociation and review your cleed-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, he Florida Bui ding Codes and St. Lucie County -Amendments. t ' 'The following building permit-applicati6ns ar�-e�empt from -undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, sign - s, s6reen rooms and accessory uses to another non-res.idential- use WARNING TO OWNER: Your failure -to Record a Notice of Commencement may result in your paying twice for impro me t to your property. A -Notice -Of Commencement must be recorded and posted on the jobsite -s b f, �E �e �eirslt inspection. If you intmclio obtain financing, consult with lender or an attorney b efore c m Xg work or recordinR vour NoticeW X� The forgoing instrument was acknowledged.before-me this Tof � , y 'r." . 20ILr$� Personally Known V OR Produced Ii Type.of Identification Produced D) EX Commission No. "Idle. N REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED 5A-TE COMPLETED Fe-v-T 12012F STATE Theforgoi i s r me .rigin u was acknowledged before me- thls;Z50�y of %�29�6 by of Florida ) intfflcatfow--1�3�— Personally Known.� -V- OR Produced Identification I I Type of Identification Ant*Ma PeWsw rRo"It Produced NOTARY PUBLIC SION EE87 is SSTATEOFFLORIDA M _Jun -2 2_0 1 8 U M �==iES ��y P�b Commission No. CM"4"46M Expires9M/2018 SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW