HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPETED FOR APPLICATION TO BE ACCEPTED I
Date: 2 Z / SCANNEDPermit Number. 16 o ^ 5
4 By
St. Lucie Co ntv. Building Permit Application RECEI PrD
Planning and Development Services AUG 2 6 2016
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 t.{�u e County, FL
Phone: Fax: (772) 462-1579 Commercial Res! (fenLla�
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
.PROPOSED IMPROV.EMENT.L'OC'ATION:
Address: zbt S%
3L/24
202
0005
D0y'7YOlf
824 200010600 _
Legal Description: SL
L.v
e-,,,P— k�7S i
A254 PA(2,Y—
Lot
8 4- Lnt 1
Property Tax ID #: CC'' Lot No.
4 Site Plan Name: . . L v L.' e_ 2 us lHess X7 , fL Block No.
Project Name: FcAe—e _
Setbacks Front Back: Right Side: Left Side:
�Nsiwu c,hasv.U-nV_ 'Pe,c_e_ I/BK/11 P/70/ Lrnle.-t� �/, /;6 1J
!-�a ' to A ���•e
L CONSTRUCTION INFORMATION:
IJHVAC LJGas Tank UGasPiping L_IShutters
11 Electric 0 Plumbing Ej Sprinklers 1:1Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7 �S 50. '0
S Ft. of First Floor: _
Utilitles:Sewer Septic
❑ windows/Doors
ORoof
Building Height:
OWNER/LESSEE:
CONTRACTOR
Name
C
Name: J7oz.4c1L Cw\siti �dY .1 LLC _
Address: 5
Company:wte LA.�rrvicl�
Address: in y I Sul AN AeAat rr Si .
City: 0 rt Ltic jiip State:
Zip Code: y9 Fax: in
Phone No. Al� 777—, 370, ) L1lag
City: Poa 51, Lucre Stater
Zip Code: 34gCf 3 Fax: ri I,4
Phone No. Cet-t_ 7.7 Z • no- Zto
E-Mail: nb4-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Ck Li to Re l o LAA ,met
State or County License: C66 o z,y 6(e(,
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
C
I SUPPLEMENTAL•CONSTRUCT10N LIEN LAW INF"ATIONc
DESIGNERIENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 1 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
Lessee
The forggpping instr ent was a knowledged efore me
this 24LINay of _, 20 J15 by
Personally Known IF R ��IRFc�HIi1fN41'�Ri�flaji
Type of Identificati NOTARY PUBLIC
-+STATE OF FLORIDA
Commission No. Comm#FI(]daR66
t� Expires 8/10/2018
Revised 07/15/2016
STATE _ F F RIDA _
COLIN
The f r oing instr ment was a nowledged before me
thisday of 20_J&y
(Signature of Notary Public- State o'f Florida )
Personally Known OR Produced Identification
Type of Identification Produced L
Commission No. """""' L N S. NIELSEI
for gt
Commission # FF 1156
e _m >
0, June 12. 2018
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