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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS f ALL APPLIC B INFO UST BE COivirLETED FOR APPLICATION TO BE ACCEPTER J �` /.� Date: 1 Permit Number: I ` 047;5 b�r7 ©,tee •ems %jUANNED 6 Y Building Permit Application St. Lucie Count Planning and Development Services y 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: Property Tax ID #: Site Plan Name: 7v�•�pi/ccr i�i (£ E %d/LM®i Project Name: flOrl QQ ) Wt i1�1 Setbacks Front Back: Right Side: /✓/f Left Side: .!% �►,AaII `�`n,+e �—ou �n Ihs►de 4+)c -Foy- T1e C2 I1,Vi n 1 ko,"P[a.70, p Lot No. Block No. CONSTRUCTION INFORMATION „ ,.; . �G ..�,.,.., �. rtiona work to e nerformed under t is permit —c ec a apply: E1HVAC Gas Tank ❑Gas Piping Q Windows/Doors © ' _Shutters D 1:1 Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: p Cost of Construction: $ �� 900 •' S Ft. of First Floor: _ Utilities: Sewer El Septic Building Height: •ODUNER/LESSEE xti� � �° .a.. :.., .t,...�, -... .. k ..,_. e...y. , >. _ .,`^ ..i'4, ° • .... ., '° t " � ' # "�` � t. ...ti _. ...-.. :, _._ .y if a:.+ _ .v.„.<. ..:at , .c.., ... Zh..., i ,}* "+. Name/ # /Z A-A-S us4 FcrP . U C Name: G S' Address:✓5,30I / eVe 64d oo4 Poi sV-e Company: ^75#W(//.S I_aA/,(9/L0 City: ✓ L•l A,7/ State: Zip Code: ✓ 2 Fax: Phone No.✓ — q Address: Y(o '1DtL-G5d57L AtIC City: State:% Zip Code: -5Ke2 Fax: S/.67 - /6e2 S( Phone No. _772— 9179-- 77yro2 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: %/1 e G N & &— hAI& POOLS. Cd 7n State or County License: t^PC / yJ�'_ % 9d 2 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ti Name: Addre: City 4 Zip: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: City:_ 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 commencing work or recording vour Notice of Commencement. _-�7 of Owner/Agent Lessee STATE OF FLORID,t1 I , 1 STATE OF FLORIDA COUNTY OF f U(� COUNTY OF �1T—bUC1�C/ The for instr�j�ngntt was acknowledged efore me thisr� day of 1 V VUl l�f 20 _M by person acknowledging) '(SigrfatuU of NotaryPuof Florida ) TRACEY W. MCGM Personally Known blic- tate oAWM10pUWmtion Type of Identification OFI LORIDA Cap FF24INS Commission No. m01g _�_G The f ing instr nt was acknowledged before me this May of fJA I 20A6 by (Nam person knowledging ) (Si"tuVe otary Public- State of Florida ) TRACEY W.MCISWEE Personally Known NPiARIEPUMtification Type ofldentifica ATE OFFLOF40A ow"FF2{1535 Commission No. ExplMS81101 RI) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE JI �10 INITIALS