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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED SpRAPPBCATION TO BE ACCEPTED l/ Date: ° HHIIBVVYIIVVtt Permit Number: 16Igy- d ) n St. Lucie County Building Permit Application APR y 1 2016 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 Co 1. Mt III j:PROPOSED IMPROVEMENT LOCATION: `i III Address:] S ( R,���C:&d Legal Description: !C*L -LkC'2 Cs (Eo ccl�Li O c3(KCS I O. Q. Property Tax ID #: :W Ili- 9 bl- 1Lot No. Site Plan Name: kJQ f Q `�(t ��� C E>Y� Block No. Project Name: 7rt> �-riL Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK- i7o C2c�o� - PM'u�e� � / l z r` N,gh.t�Pnsi-►'-I ►,.xna F�erd��.�et L4xy�, � l l o� a �uc��u eon T—LCA-+ — CONSTRUCTION INFORMATION: u 11HVAC UGas Tank ❑Gas Piping UShutters 11 Electric 0 Plumbing Sprii�nklers 1:1Generator Total Sq. Ft of Construction: I I © Q S62 , F—� . S Ft. of First Floor: _ Cost of Construction:$.' (9CN; CDn InCOD W in dows/Doors Roof Building Height: OWNER/LESSEE. ? CONTRACTOR: NameLLk�n-e AY(;�t Name: b�LQA)W LOPPlty_ Address:5 �(n S LA& R-,,rt� 4- Company: kacs�_ City: R E SA- Luce �e State:- Zip Code: Fax: Phone No. 3 IS, c? Address: A'61 St fR:.-i�l A,,_P City:State: PL Zip Code:-33f-(L tl Fax: Phone Not '15►i-L(aa- Sszat� E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: -rn ���c�fJXira F7 .tom State or County License: Qf'r ' c)"Tocia IT value or construction Is $Z5DD or more, a RECORDED Notice or Commencement is required. SUPPLEMENTACONSTRU�GTION=LIEN"LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable Name: FM M tnci I (nG. MORTGAGE COMPANY: Name: _ Not Applicable Address: 251) SLy l +t Alto Address: City: f3e0.t11 Stater Zip: Phone: gS4—"IR4-2Q'N City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable 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 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 commencine work or recordine vour Notice of Commenrement_ J S _ Signature of Ow er/ Lessee/Agent Signature of Contractor/License Holder STATE OF FL STATE OF ORIDA //�� COUNTY OF l COUN;&M 12C The forggginstru ntwas ac�nowledg before me this 2dayof. del (J)U—V 20by The forggi g instrum�nt�w"as acknowledged before me this LTd"aj.of �ki�)1 c_l� 20 UP by on acknowledgin ) ,.��, a�SF( (Name Mar04 Notary Public- Sate of,Fit66 1 0 5c o '( gna Personally Known OR Type of Identification Produce Commission No. Revised 07/15/2014 of oilY11 o ono YYYY i9i o Notary Public- S to of d a a Known OR Produced Ids@F tQ'je�flaro=•'`�+ A^+ Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS