Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�J l ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 I Q \<- Permit Number: R-CEIVED JAN 12 2016 • SCANNED Building Permit Application St L BY 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 A Residential ucle COullty PERMIT APPLICATION FOR: Sign r- Ill PROPOSED.IMPROVEMENT.LOCATION _ .._.. i< Tom. PF_a. �, >., `''_h .. Property Tax ID #: 731jl y- - Lot No.16 Site Plan Name: tylonAn Block No. !{ . //�roPr_r��C_S �ffer e 'Project Name: tal-5 2 i deS Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF'WORK.- ;. ` lvQll Slgn - %oaK +0 �Xlsi in9 eleckrfc CONSTRUCTION INFORMATION:,"i " Aaditional worK to orme un ert ispermit-c ec a apply: ❑HVAC f] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑Electric Plumbing [:]Sprinklers❑Generator ❑Roof Total Sq. Ft of Constr Lion: d 3'# ��� * S Ft. of First Floor: q' Cost of Construction: $ DO. B" Utilities: OSewer ❑Septic Building Height: �d OWNER/LESSEE '. ;_ .: '':.;CONTRACTOR �. c t x�' '��• � < ` ` •�: Name LL Name: Address: IXX7 P� 1 S Owe h Company: A f S l City: dieQh Zip Code: � 4I 59 � Fax: Phone No. -T73 —.?�23 'S;g State:Q n �2. Address: P©r rQL4Dc r 5760 City: State: Zip Code: ; `1,, ., Fax: 35,.) Phone No. /4 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: r Ci 41 yas. co State or County License: ES/a00 .309 ASS If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required. P"_ I 1 12 2016 is SUPPLEMENTAL CONSTRUCTION LIEWLAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLD Not Applicable BONDING COMPAN _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 m e'sult jh your paying twice for improvements to your property. A Notice of Commencement must be corded a d posted on the jobsite before the first inspection. If you intend to obtain financing, consul ith lender r anattopey before _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this_ day of 20 _by 1 person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) STATE OF COUNTY1 The for ing instrument was ack owledged before me this day of� 20 4 by (Signature of Notary Public -State of Florida ) Personally Known _ OR Produced -Identification Type of Identificatio Pr��Z/ oduceed Commission No;6 (�@6<E)ZIEA. TEICHMANN NOTARY PUBLIC =Epes1 2/0 Revised 07/15/2014 CEET10xi 720g REVIEWS FRONT ZONING SUP VISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW R IEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE Ito INITIALS &-++r-L-c -1�5 4, Tr Ll -k s lloo r c s-F / >SUPPLEiVIENT/�1CO�IS�RU {IION'L1fNLA ,21KtQtMATI01 li 1ta ^'� 1g � .i 1 -, r4, a. .[t a'$ f".uf:cJ✓ �"`�... H:2.1 ....r � : i P...� 1_ �rll' i � � r , .,+t�,�d4 L;L�wicuyrvau[NEER: _Not,Applica IV IUKiU. AL3h CIIdIPANY: Not Applicable Name: Name: Address: Address: ;City: State: City: X State: Zip: Phone: Zip: Phone: FEE SIMI Name: Address: City: _ Zip: TITLE HOLDER: Not Applicable BONDING COMPANY: Name: Address: / City: / Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable St. Lucie County makes no representation that is granting a permit will authorize the permitholder 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, 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 TOO : Your failure to Record a Notice of Commencement may res our paying twice for improvemen to yo r property. A Notice of Commencement must be re ed and posted on the jobsite before th . Irst insp ction. If you intend to obtain financing, consult lender or a attorney before comme cinl; work r recordine vour Notice of Commencement. s Si ature of ner/ Lessee t gna re of Contractor /- ce a Holder TATE LORIDA TATE OF FLORI CI 01— COUNTYOF C2Ke ing instrument was acknowledged before me The forgoi nstrument was acknowledged before me day of JtcnccQtl/ 20�iby this ay of T�V .20Lby ame (Signature of Notary Public -State of Florida ) Personally Known!�� OR Produced Identification Type of Identification Produced Commission No. FfTnI12-Co (Seal) of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known 4L OR Produced Identification Type of Identification Produced Commission No4415".3lZ4. (Seal) My COMMISSION # FF953126 'sj7efi "'r l'uMMISSION # FF953 i>t: Revised 07/15/201 -'+yq EXPIRES January 27. 2020 ,n 9e��� 5 N EXPIRES January 27. 202f0 I F'OTI S, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS