The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: OUANNED Planning andDevelopmentServices Building Permit Application It Luce Countv 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: To Select from dropbox, click arrow at the end of line PROPOSED IMP.,ROVEMENT LOCATION Address: /0667 S. ;OdeAoV OR/vEl JEHgFW A A4W, Pd• 3-Y967 Legal Description: W,1 /LL Vlab ay 7ffE' a&A Rh1-?4A-T PARCEL /ijy.1 Property Tax ID #: q5//-80Y_ 0003 _61co-5 Lot No. Site Plan Name: EFTXi Block No. , Project Name: eF7X i Setbacks Front Back: Right Side: LeftSide: DETAFLED DESCRIPTION'.OF WORK s = r 2.Vs7Al t HGt�O ' Abvo VA.vr1z,4T/a i/ SysrEM CONSTR , cTION'I N FORMATION AClaitional worK to be nertorme un er t is permit-c ec a apply: � 2HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors 11 Electric E Plumbing Sprinklers D Generator E—] Roof Roof pitch Total Sq. Ft of Construction: S�Ft.( of First Floor: Cost of Construction: $ �, 6X, Utilities: nSewer ❑Septic Building Height: OWNERLESSEE _J _ v -: „ CQNTRACTOR Name EF7 -X . LAC Name: AHDREGSL Address: z/S_/, N 6;C4Ek/ 02-10. Company:A/tv r1_aw SPEC/AGJ575, S4C . City: r4-W9E.t/ Z564dH Zip Code: 34f 257 Fax: Phone No.(772 107B- '7&7z/ State:dL . Address: II366 //9 4;1E, City: LA,e.:5O State: f/- Zip Code: .35776 Fax: Phone No. 729-- I$7'I E-Mail: 17�J/85zkailcfJd qmd/lCm Fill in fee simple Title Holder on next page (if different from the Owner listed above) �/?/-77 E-Mail: Lyn4rp/lJ a% Molds" ocrid /ss� .Q07 State or County License: It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. UPM- I RCIONLSPE,EN,WW INFORMATION: _.___,_ DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. no :e the permit holder to build the subject structure or and covenants that may restrict or prohibit such 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 a 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. as STATE OF FLORIDA STATE OF FLORIDA COUNTY OF_J2,. elto.S COUNTYOFP, Ke ((cc 5 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this -7day of ne-` 20 L4--by this 7 day of Pee. 20 Eby d/ee✓ /eo&It" I A _, (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificati n Produced Type of Identification Produced Commission No. p7 2 t/7 z So (.%W,6cnoAii�� I Commission No. FEZcf7 ZSa (Seal) Revised 07/15/2014 _ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 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 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 STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of I. 20 by 1 I (Name of person acknowledging) i (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 FLORIDA COUNTYOF Pnc�!!ti S The forgoing instrument was acknowledged before me this day of /I%U V 20 /4— by (Name of person acknowledging) (Signature ofa N tarry Public- of Florida Personally Known OR Produced Identification Type of Identification Produced Commission No.FF_)q71,P PARSONS , state of Fla REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS M Qq ll - oyaq ALL APPLICABLE INFO MUST BE CON.L c_'rED FOR APPLICATION TO BE ACCEPTED Date: ouANNED Permit Number: - BY = ;t 1_ude County - - RErr- Building Permit Application 11 #7.01 Planning and Development Services NOV Z 1 2016 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: To Select from dropbox, click arrow at the end of line P.R. OPOSED.IMPROVEMENTLOCATION Address: /08lv7 S. 1 DCEAN ,OR/UE, JE4V0& L BEst�/, PG. 3�{9S7 Legal Description: re//aDMV 444 VIAZA4f 0Y 7,qE .3," REP4+;r PARCEL Ne 2 Property Tax ID #: Lot No. Site Plan Name: E'FTX Block No. Project Name: 6'F7X i Setbacks Front Back: Right Side: Left Side: DETAILED:`DESCRIPTION}OFWORK zv.s7*1,z_ Afnaz) A vo VENT/LAT/6r1/ 5YslEM CONSTRUCTION IN'_FORMATION Aacl it�iona wor to a e'orme un ert ispermit—c ec a apply: �allVAC 0 Gas Tank []Gas Piping _Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing ❑Generator ❑ Roof ❑ Roof pitch ❑Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 18,E S Ft. of First Floor: _ Utilities: Sewer ❑ Septic Building Height: . O.V1/NER/L'ESSEf ' COCT ;NTRAOR 5,. , .. Name EFi'X . LLG' Name. A/VDREGIL ..C�DlirllN/.� Address: gLIJD. Company: 61/IC' FLOLtI SPEC1A4/375iS4Q . City: Zip Code: -S/i S7 Fax: Phone No. r772 ro7B- 97&711 State: FL . Address: 3,65 //3 AVE. City: State: fL Zip Code: 33778 Fax: Phone No. 7g7 729^ /$7f E-Mail: q/ a;l cm Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: do reW 3/I'�/oU/S ooia /sib .Cr State or County License: -oln - I2:5o392 If value of construction is $2500 or;more, a RECORDED Notice of Commencement is required.