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Home My WebLink AboutBUILDING PERMIT APPLICATIONFrom: 08/25/"'4 14:47 #507 P.002/003 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 5� ANN Date: BLS lv/�v E® � Permit Number: YT�iidi,.q Pee�+;� : Stc-isoL-o/L} ' St. LucYe Iffilold _ RECEIVE® Building Permit Application Planning and Development ices rn, �•-� ��ei y� ��,� AUG 2 5h 2016 Building and Code Regulationn Division ()' ' "� / 1300 Virginia Avenue, Fart Pierce f134982 - Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line `1 - «, u1WOMAN t Address: 49,33/5e4en.,-a/d /2 D le FL 3 /9SL Legal Description: Agvee/ 3'W'Y-- 50/- Y,;Lo2- Property Tax ID M Lot No.�_ Site Plan Name: Block No. Project Name: f Aow; Setbacks Front f,So Back: !oe/'9*$ Right Side: 9 • o Left Side: O •oo EE,%'s .AM T.+.�".i Cc,iii, 6 (or.`, dc✓ S7`,��r'o.� 91t,c0A.CC.7��er/d�6�se. aka y��S•:K��.�{-3it'a�''^� �R� � � ��i M1'�: ��.�� :...s4v.9 .� � i�w.,i a -� , Additional work to bg_pertormed under tis permit -c e all apply: 0HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric ID Plumbing 05prinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Sq, Ft. of First Floor: Cost of Construction: $ L3 o o Utilities: Sewer Septic Building Height: Name: e we e l o/ Name �L1/� �/op faws�rw�:'oiv LwG Address: 8 c,66e.-f % _ Company: &1ec4c-&q / City: / <i if i7-,Pz 6,oY State:2 �' Address: _/ 6VO /%v.,^- 1a ve D� City: State;�L Zip Code: 3 3°i'O L Fax: Phone No. o/L 3 — -7-s6 ' °iL G� Zip Code: 3 Z 9' 63 Fax: Phone No. 3L/-7Z3)�2-56Z,2 E-Mail: 'a„oa01.4e4r >4ke✓ Ccr ,tom •coM Fill in fee simple Title Holder on next page ( if d' erent E-Mail: zLaf6 r o ti n co State or County License: LAG /joo �L 5'j from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. From: r 08/25/", 14:49 #507 P.003/003 Name:' Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: C/ Not Applicable Name: Address: City: — Zip: _ MORTGAGE COMPANY: G 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 cepresentation that is granting a permit will authorize the Permit holder to build the subject structure which is in con ict 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. inconsideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes aAd 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 Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of 20 _by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 STATE OF FLORID/ Gr COUNTY OF t) The forgoing instrument was acknowledged before me this2� dayOf_�Zj .20 mby (Name of person ac nowledging ) Notary Public -State of Florida ) Personally Known _X,_ OR Produced Identification Type of Identification Produc Commission No. rcuer , (4gONNA NOLAN MISSION # EE97a RLI INSUgANCt COMPANY REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS r k k��' MA $�7PtiYl �IYf}�tl�Llii Bit.,. C'♦...z*."+%Ps .+k'�..�? �' u! t .Yk....'r m._ "6` i?..: r£ a}yk ark ' . DESIGNER/ENGINEER: Name: Address: _ Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: City: Zip: Phone: State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Ci Not Applicable BONDING COMPANY: Name: v Not Applicable Address: City: Address: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie County makes no representation that:Is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply, In consideration of the granting of this requested permit, I do hereby agree that) will, In all respects, perform the work in accordance with the approved plans, the Florida Building Codes afflict St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for improvements to your property. A Notice of Commencement must be recorded and poste&on the jobsite before the first inspection. If you intend to obtain finapcing, consuit..with lentler or an attorney before s Signature of Ow e� .,see/Contraetoras Agent for Owner Signature o - ractor/License Holder OF LOR STATE IDA STATE FLORID/�C COUNTY OF COUNTY OF Ci r The forgoing instrument was acknowledged before me The forgo. g instrument was acknowledged before me this 26'�ay of � • 20 &_by t iis�$ ' day of �/li 20 y '& by lo/x7aGL (Name of person acknowledging) (Name of persona nowledging ) (Sig re of Notary Public- State of Florida) (tIglTi6Eture of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known _/,Y. OR Produced Identification Type of Identification Produced/5- /a—; vew' %; c..>•,r r_.. Type of Identification Producedo'� Commission No. Ff' / t; 4C,77 . , (seal) PEDRo Commission No. oiuv '�S Cp1i_NDN k EOEg76N2 NOTARY BLIC a EKPIRES Feb. 19, 2017 - E OF Fl.ORIDA :, kn INSU n Revised 07/15/2014 C�1fF166rig �+ctcpMrMn Expires 12MAPmmiu REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW-- -'REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS