Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � ') Date: SCANNED Permit Number: BY RECE IV E • St. Lucie Countv AUG 2 Building Permit Application 5 2016 Planning and Development Services PERa!IITTING Building and Code Regulation Division St. Lucie County, FL 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 PROPOSED IMGT PROVEMEN;LO€A4 IO fd N`. Address: oo 9, QCQA/7 7r 7eAcnn rya,/ rL�s39957 Legal Description: � &a.I GG/IPS O�'aan�: > a�;= / Property Tax ID #: :1535 - 603 - q2425-444 Lot No. Site Plan Name: Block No. Project Name: 7r5IaAd'D(AAes- OC4.Asi4.a. MIArI&rK Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: COr'ieref�_ RePekI ' +6 ten; (6alemnces on enk1� bl CONSTRUCTION INFORMATION: rtiona wor to e e orme under tispermit—c ec a apply: ❑HVAC OGasTank ❑Gas Piping In _Shutters ❑Windows/Doors ❑Electric ❑Plumbing []Sprinklers❑Generator ❑Roof ❑ Roof pitch Total Sq. Ft of Construction:: S Ft. of First Floor: Cost of Construction: $ 165 l 215 Utilities:[] Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ZSMc nraTQt us Qeeanst/;f&nde 4, Name: er`r; z4as Address:_'R900 S, OCew^Dr Company: ;nA City: �o nco v. t3er State: Li%- Zip Code: 319 S 17 Fax: Phone No. -ZZ.9 - SSSo Address: 13te8 f4. k' I1' '�)r s+, _ , City: (� L State: _ Zip Code: 53403 Fax: SG (�%4G� ' l ��J Phone No. 5�l--746-14140 E-Mail:_ ;s/dn OU✓IBSaG2aiA®be�isau/�,R� Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: cLuiArc'4 ecC.® o.n li. C ✓V\. State or County License: Crn 15 (46Z% it value or construcvon is ae�uu or more, a iatwnueu Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION, LIEN LAV1/',INFORMATION:-'' DESIGNER/ENGINEER: Name: eSMEn :Ao_cr-c Not Applicable 6r_-Dcc-liz& MORTGAGE COMPANY: ar' Not Applicable Name: Address: Address: City: Stlnor i Zip: 34gge Phone: -7-72 State: F_ - ZZO-4GD! City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Not Applicable 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 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. � S as Agent for Owner SignT�of Contractor/License Ho r STATE OF FLOKIDA C / STATE OF FLO COUNTY OF cif L�LIri COUNTY OF��41, The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 4 day of A unS-20 1pby this j day of ff P2,r�T . 20 � by %�R_A/ k "A � Ilg 4I kP"-; A AJ&111 (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) ' Personally Known ✓ e Type of Identification PI _ g1 �• PATP A C. HOIstss MY COMMISSION p FF198592 Commission No. EXPR{EBiffjbnwry1t.2019 RM3M0153 Revised 07/15/2014 (Signature of Notary Public -State o Florida F Personally Known _�OR Produced Identification Type of Identification Produced Commission No. ERIKA RENEE FORSYTHE EXPIRES May 23. 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW RE IEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS All APPLICABLE • INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t� Date: ly 1 i', Permit Number: O� SCANNED EfJ REC fED '�/ St. Lucie County L WE • OCT 1 9 2817 _ _ Building Permit Application PER411T7ING Planning and Development Services St. Lucie County, FL 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: �` ,.t crc,riC� K yt..,J-3 { \ r7s.'i.: y l�•af�t, r r PROPOSED INPROVEMENT LOCATION: Address: -1-Mo 7 S. V cel. ,fir_ J cll f .' 9�..A Legal Description: Property Tax ID #: <� 3 5 ' 1D21 Fi' (9 (Arlo • © n • o Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTIONCIF WORK:.: n� CONSTRUCTION INFORMATION: Additional work rk type forme under this permit -check all that apply: , _Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: / V3Sq. Ft. of First Floor: Cost of Construction: $ 7, 30J Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: = _ ..... CONTRAGTOR;r . ' Name lc.w�ny �rVt; f �/0 Name: �aH,,.., - vv4 qa NJ (' (Jrl' Address: Fd'DD S-_ 0cr, , Of- City: 1<K;-' State: LL Zip Code: c/ctS% Fax: 772—a2.J 2Y2- Phone No. 77I2 92 % SSs- O Address: to727a�.-a i. 7 '• 'r City: Zip Code: '3M3 t Phone No oC3 %73 State: FL. Fax: 20 1- E-Mail:_i511'JJuNeJoct>tiry Qkellla,4-h--1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail b /C�n r onlr©b� I ivt�✓er}ar o kFc L . c y�, State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. ;;SUPPLEMENTAL CONSTRUCTION LIEN LAW ANFORMATIQi11: . - DESIGNER/ENGINEER: _ -Name: G.5 !tin CK ; ��.�.' Not Applicable MORTGAGE COMPANY: Name: Y Not Applicable Address: Vok At.j «r_ 61, J- Address: City: squ4,-s Zip:, 2T� Phone 772 9 State: PL L1 72 6 = City:' Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City: Zip: 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 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. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder I STATE OF FLORIDA STATE OF FLORIDA COUNTYOF �(►-I�- COUNTY OF Thefo oinginstr t as acknowledg before me this � day of 20j� by The for oinginstr t as acknowledge efore me this � day of 20Lby � W I;Am IIk11C3 Al iA�; 11,11ajx} 4WjA91460 Name of person making statem t. Name of person making statem nt. / ✓ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identifii tion Produced I. Produced (Signature of Notary Public- State of Florida I (Signature of N tary Public- S * fgid8 mmission F FF 1 I5!i3 Commission N0. 'ihs KARE J��tty Qpmmission Expire Commission No. ...°� ISeJne 12. 2013 S. NIELSEN -- _ _ Commission a FF 115637 �. Nypg i Jun 12, m xp,res REVIEWS F R PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW R REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 812111