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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEi'w FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Address: IP bLIIV -J�' Property Tax ID #: Is Site Plan Name: Project Name: Legal Description: zc- Buildin Permit Number: I I ` r 01440 ndu l 6ca _- NOV 2 1 20% g Permit A licationSt. Lucie CaXty, FL St. Lucie C()"nT Commercial 1// Residential Setbacks Front Back: Right Side: Left Side: Lot No. Block No. _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: I %� % clif. S Cost of Construction: $ SF, y21, YS V/FfUtilities: Name X - �`UQ M Address: PO bcjk R Q 1 3 City: %A,leG h state: �L Zip Code: 33 0 l- Fax: Phone No. 3o1 All— 33311 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Generator Roof Pitch q. Ft. of First Floor: _Sewer _Septic Building Height: Address: //9d 19U-t City: dp�/- 5;4 LuGrti State: Zip Code: 7'14S,3Fax: Phone No (77Z)-760 637V E-Mail �L Ci/aSLi z ae/ Cam State or County License C-ISC /Z —V3aFf If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. T DESIGNER /ENGIN R: _ Not Applicable MORTGAGE COMPANY: Not.Applicable Name: Me - Name: Address: Address: City: Gar State: City: State: Zip: &A.CI°Ik PhonZip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a`permitjto do yh�work and installation as indicated I certify that no work or installation has commenced prior to the issuance (' a permit. St. Lucie County makes no representation that is &ani which is in conflict with any applicable Home Own structure. Please consult with your Home Ownerspers(' In consideratiori of the granting of this requested in accordance with the approved plans, the Florida Bu a permit will authorize the per Ider to build the subject structure �ciation rules, bylaws or and co a nts that may restrict or prohibit such tion and review your deed for n restrictions which may apply. I do hereby agree that I wil in II respects, perform the work ie Codes and St. Lucie Co t Amendments. The following building permit applications are exempt f m undergoing a full co cu ency review: room additions, accessory structures, swimming pooLour lls, sign -screen rooms and c ory uses to another non-residential use WARNING TO OWNER: Your faord a No ice of Comm c ent may result in your paying twice for improvements to your propertof Com encemen st be recorded and posted on the jobsite before the first inspection. If yo obtain ancin co suit with lender or an attorney before commencingwork or recordinice of Com enc t. Signature of Owner/ Lessee/Contractor as Agent for Owner Contractor/License Holder STATE OF FLORIDA FLORIDA COUNTY OF F The forgoing instrument was acknowledged be f a me ' instrummeni udas ack'nowleiigdd'defbre mew_ \this.day this _ day of , 20 of 20_ by (Name of person acknowledging) (Name of pe\'oncknowledging ) (Signature of Notary Public- tate of Florida) (Signature of Nota Public- State of Florida ) Personally Known OR Produced Identification Personally Known •OR Produced Identification Type of Identificatio Type of Identification Produced Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE`i TLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW R I REVIEW DATE RECEIVED DATE �7 COMPLETED Rev.7/2014 __ k All APPLICABLE INFO MUST BE COMPLEi cv FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s - --- Building Permit Application Planning and Devel ment Services Building and Code Re ulation Division 2300 Virginia Avenue, rtPierce FL 34982 Phone: (772) 462-155 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATIO FOR: PROPOSED INPROVEME T LOC«ATION: Address: Legal Description: Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Righ ide: Left Side: DETAILED ©-SC• IPT ON O WORK: CO S RU ION INFORMATION: Additional wor to De pertormed un er is permit —c ec all that app _Mechanical _ Gas Tank _ Gas Piping _Sh ters ' _ Windows/Doors _ Electric _ Plumbi g _ Sprinklers _ Gener for Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: Sewer Sept Building Height: _ _ OWNER/LESSEE: CONTRACTOR: Name Name:' Address: Company: City: State: _ Address: ' City: State:_ Zip Code: Fax: Phone No. Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License If value of construction is 2S00 or more, a RECORDED Notice of Commencement is required. Name:_ Address: City: Zip: _ Ph State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: PFRiJI ITTING Zip: Phone: St. Lucie County, FL 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 r perty. A Notice of Commencement must be recorded and posted on the jobsite before the first insp . I yo intend to obtain financing, cons wit len er or an attorney before commencin rk r r in our Notice of Commencement. SIgnature of Owner/ Lessee/Contr r A ent for Owner WIS atu a trac o /L c e o er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _ COUNTY OF The forgoing instrument was acknowledged before me The for oing instrum nt was acknowledged before me this@Ldayof ©y 20JUby this' dayof�N• 20_U4by (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 r Personally Known OR Produced Identification Type of Identif tion Type of Identification Produced L LuSEN l 637. n No. (Seal) Ex i KAREN S. NI n //��' Commission # F Commission No.-��11rr�is Commission My `''.,; w.,^,"'•'` June 12, 2 18 KAREN REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI '"'... ommissi ; f1Tl i L� n n # FF 1 sMgk1 COUNTER REVIEW REVIEW REVIEW REVIEW ene 2• R if DATE RECEIVED �� 1 DATE COMPLETED Kev.7/ZU14 N