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Home My WebLink AboutBUILDING PERMIT APPLICATION (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR ff6 INNTION ® TO BE ACCEPTED � Date: /�� Permit Number: f aV)1Q '- 0ol 6 St. LucieCounty also 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: To Select from dropbox, click arrow at the end of line Address: Le SLIgal 3l Sx-w a Site Plan Name: 10CA4' S OCOcah LIUI\I P 3 CV&Pn Project Name: INYV7 r j V_ Setbacks Front - Back: Right Side: Left Side: 30, 1 �'--t&m boa WOC6 Te- Ce, WI i-4l S5 HVAC IJ Gas Tank UGas Piping Electric 0 Plumbing Sprinklers Block No. Shutters ❑ Windows/Doors Generator 1:1 Roof Total Sq. Ft of Construction: Sq• Ft* of od I�jl Construction -A- Construction-. _ I (a-Y), _ -.I ltilitiwc• Sa r —v •,,:>a -s"' m azw -k.'"# r a'.s €SiljY� Y l-i1 xav - , .Kiv,^.V. `*:'t � ,4 -. 3*.""W:. .va'i'�n $i d. rt ..� ^a* a r me-*ma.'c ti w � x i , e"! '�v F .v "� e � # } y .iR' a*e .... #i ' •_ o- .... _ Name V1eS+0UVLro1+ Syr, I LC. -_ _Name:_ c'yrSi16r Address: IO!�2Q S L Onto A l • Company: UV City: UVISM bra -lb State: l Zip Code: 3�JgS,J_ Fax: Phone No. — Address: (4 C� Y'LIZ JEW Gee City: S�taGt: Zip Code: 319qz Fax: otAD 309 Phone No. _ (T E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: 93)AY1 QL WA S(l .yi State or County License: aO 71%' If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 4u+chl wsr n sV'eITeS L_ L C yff Zhl CY_ef atT tf--300 wilail"I ". 3313, M t � r` vu (r o ma c a suitfWTAIMN F DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Pone: Zip: hone: FEE SIMPLE TITLE HOLRr: _ Not Applicable BONDING COMPAN\ _Not Applicable Name: Name: Address: \ Address: City: City: Zip: Phone: Zip: Phone: certify that no work or installation ha ommenced prior to the issuance of a permit. St. Lucie County makes no representation hat is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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, 1 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 rnmmencine work or recording vour Notice of Commencement. C('nkcL _s _ 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 The forgoing instrument was acknowledged before me this _ day of 20 _by this2Tdayof (Al )�(�)s'1�,', .20�_by 1 � V `�� ILn�VedLI I( (Name of person acknowledge ) (Name of person acknowledging ) (Signature of-Nota 'Public-Stateof Florida) - —(Signatureof-NotaryPublicrState-o lorida)--_-- -- Personally Known:-- ----OR'Produce Identification- - Personally Known OfTProdu dl[7entification - --- -- Type -of Ideniff cationProduced- - — -" - - Type oof Identification Produced --- — Commission No. (S I) Commission No.A _7 u tP q *0 Ml- n�M Revised 07/15/2014 11104uP 6a�kP/qfS: S/ONIFF12� �wao7hryBoa� HB 28 20 N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE IJ !v jV INITIALS o� RECE6D "D 04.10B Name: Zip: Phone: FEE SIMPLE TITLEHOLDER: Name: Address: City: Zip: Phone: Name: Address: _ State: City: zip: Applicable BONDING _ Name: Address: _ City:_ Zip: — COMPANY: Not Applicable _Not Applicable 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•residentlal 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 CnmmP.nrine work riprornrdinv vnur Nntira of rnrnmPnrement. / s _ Sig a of Owner/ Lessee/A ent Signature ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFyy'lan 4 COUNTYOF A Theforgoing instrument was acknowledged before me this ?p day of S=4=zo ]spy The forgoing Instrument was acknowledged before me this -a zo JSby SE(j4z,�� / �yd�ayof ( (Name of perso acknowledging) (Name of person nowledging) _(Signature of Notary_Public- State of Florida) (signature of Notary _bIl State of Florida) _ _ _ __ Personally Known OR Produced Identification Personally Known OR Produced Identification _TypeofldentificetianProduced -- - J-Typeof7de5iffcatim7roduced - Commission _Now -I rid -I (R7—E£gal) -- - - Commission No rFIar-ljfrA#v TWAAW�� •'" ti TMlAMgpIE� * k MVCOMMI8810N6FF 13.71 • E„wruN9FF}zi18p 1P eMi'dftB Jane4Q2018 Revised07115/2014 v exrw T 'fPna28,2ois (iosnyt�vO il Nupiy�enkes REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS t10/Z0 39vd 30N3d lavnis 9£0£88ZLLL 09:9T 910Z/b0/60 a RECEI"D S4.71n,15 Name: Address City: Zip: .FEE SIMPLE TfRE Name: Address: city Zip: Not I MORTGAGE COMPANY: Name: Address: City; Zip: BONDING Name: Address: City, Zip: — — Not Applicable --Not Applicable I certify that no work or installation ha��`ommenced prior to the issuance of a permit St, Luclse County makes no representationhhatisgmnting a permit %r'J( authwizethe permit holder to build the subject structure which Is In co iR with any applicable Home owners Association rules, bylaws Oran covenantst at may restrict or prohibit such structure. please consult with your Home Owners Association and review your deed for any restrictions which mayapply, 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 accessary 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 commencingworkor recordin our Notice of Commencement. _ S(gnature of oesaWAgenf �� wn STATE OF FLORIDA COUNTY OF The for�ping instrument vas acknowledgedgefore me this— LSdayof_S4* . 20ja-by Revised 07/15/2014 REVIEWS INITIALS FRONT I ZONING COUNTER REVIEW STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me thls2 day cf—C ttL)S�-.� 20 1S' by r Type of state of Florida I SUPERVISOR PLANS I VEGETATION I SEATURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW b0/E0 39Vd 301,13d iNvniS SE0688ZZLL 09:91 STOZ/60/60