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Home My WebLink AboutBUILDING PERMIT APPLICATIONI & AUG 1 q 2016 . a,, qW All APPLICAB E INFO Ij1UST BE COMPL•ETEMOM, )TO BE ACCEPTED' 0 n �/ I )TO /��'jH ` Date: rmit Number: SCANNED Y raz:s BY AUG 19 2016 CknTd ' c ., - - - St. Lucie Cu eu Vvro�rto S:. Lucie Lucie CFL- . Building �9AIt Application 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: PROPOSE®INPR®UEMENT L®CATION: — Address: d° v &o v e A ve r° I-q' P.,c� Legal Description: a Property Tax ID #: 0-3 Id --I Y3 - Od o -2-- o and - 5/ Lot No. Site Plan Name: l,&A-t X 110 2�qz, ^ e-� Block No. Project Name: lt(t' n 1-,q AI:V4 �x Setbacks Front�Z o o Back: �— fight Side: 110 Left Side: ifo tD.ET I'LE//D DES.GRIPTIO' ®F ®RK: 1 Lc r 4 r in/ K z, i- /. M e.-7 z e a e e. 0 STU�CTION tNF®FOR MATION': Additional work to be per orme • under this permit -c ec all tat apply: 1 _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors .` Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Flgor.-- , - Cost of Construction: $ Utilities: —Sewer Septic Building Height: ©U1%NE /LESSEE: CON'TTR CTO Naj e: Name e ° i Address: 3*Z2o ate o t P4 t Colnpapy,:. City: • e Stater[ Adflress. �t1� (r,�.�rs Ld Cityr c e Ce State: AIA--- Zip Code: �/ S yL Fax: Phone No. /-/G/- 3 G° Zip Code: ,2 `tel�� Fax: E-Mail: Zt/e - .z Phone No 77.2 - 6 a-k- 70 $'�3 Fill in fee simple Title Holder on next page if different E-Mailyrt7 �P&1e1- (15' State or County License C 6 Q 3 119el from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. T J SUPPLEMENTAL CONSTRUCTION LIEN LAW INFfJRMATION: DESIGNER/�jVGINEER: _ Name: 9Lr✓, &/,ezez Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: C City: o . _ rrfle Zip: ZY*_R�y Phone 77.27,V55- to/t e �•f. /'� State: Avy Address: City: State: Phone: FEE SII IP .E TITLE HOLDER: Name: — PPA1,1wT.d Not Applicable BONDING COMPANY: _Not Applicable Name: Address: ? &,o erP (. aw Address: City:ah R e"-e_ /i%,A- City: Zip: 3cf9g�) Phone:7,U-YG%31eo 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 rnmmpnring work or recording vour Notice of Commencement. /1-� A Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA �I f S4 COUNTY OF �f�G i ` C(� COUNTY OF Lu The fo instr ent was knowledge before me tby The fQr oin instrum t was acknowledged before me 1rdayof�rlSF 20_L�by this yof this all l%v d A l'fnder (Name of person acknowledging) �:—;L— (Name of p rson acknowledging) 2 La� 4 (Signature of Notary P- ' Ste a of FloridaF orida) (Signatuof ota y Public- State of Florida) / v Personally Known I/OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Iden Produced BRENDA J. KEENEVNotar Produced :a P"•. Notary Public - State of Florida No. = y Comm{. }es Jul 22, 2017 lkiwel_ , - Y Public - StateCommission Commissio ;3 MY Co ExpiresO2Q�� Comm(ssion N FF 004851 •�i; of Ito;.Commission A Ff 040. 274 ltonoetl Thro ond-sn. ZONING REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEATURTLE NGROVE COUNTER REVIEW REVIEW EVIEW REVIEW REVIEW REVIEW RECEIVED DATE Q �{ COMPLETED 1 ev.