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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: Z 3('� SCANNED Permit Number: 1 / l (J BY St. LucieCounty RECEIVED Building Permit Application FEY 03. 2011 Planning and Development Services Building and Code Regulation Division PERMITTi: iC 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Ca . ?, Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED IMPROVEMENT LOCATION: III Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks. Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III (41 Pl l 6 a 11 boo r't- CONSTRUCTION INFORMATION: I III ondl worK w ue HVAC Electric enorrneu unuer Gas Tank 0 Plumbing Lnis ❑Gas Perznn.—CneLK du dppiy. Piping _ Shutters Sprinklers Generator Windows/Doors Roof SIitr Total Sq. Ft of Construction: Sl0 ? Sc��Ft.I of First Floor: Cost of Construction: $ Ci ,^GG r Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: m Address: Company: zn ��r a42:m4 5te City: State: _ Zip Code: Fax: Phone No. Address: 6 -eoeer' 5S . � City: `Tenfep �e�,o/, Stater Zip Code: 3 L/%� Z Fax: 772 232- 9-W Phone No. 7y2 1,io(0 3715 E-Mail:• Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ad a/n 7ra i 7` i A' 0 ,144ao - C0M State or County License: c8C 12 I 67I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: 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 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 oc recordine Yew Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA,,,_ STATE OF FLORIDA cp COUNTY OF ,Ayt� COUNTY OF i - utA 9 The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this � day of G, 20 Llby this day of 20 ],7 by �� L.t�l _F swtfnf _L�4vv� C_RK)C.L SVVLLTtI (Name of person acknowledging) (Name of person acknowledging) (Signature ofNota�0. Notary 6 Public-Sta)of Florida Personally Known OR Produced Identification I✓ Type of Identification Produced D n�p0.Y PLp,k KAfl{LEEN VAUGHN Comiints�,igpNtPv-InAul4S10NYFF164132 (Seal) EXPIRES: February 17, 2019 Revised 07/15/2014 (Signature of Notary Public- State of Florida s Personally Known OR Produced Identification C/ Type of Identification Produced C)L_ VAUGHN U Y FF 1990 (Seal) EXPIRES: February 17, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMP6--ic'D FOR APPLICATION TO BE ACCEPTED y /� Date: t • 9• a l Irf/ jGBY ED Permit Number: 4 _ -- _ - , ✓ St. Lucie County RECEIVED Building Permit Application JAN 0 9 2017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 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 IMPROVEMENT LOCATION: III Address: Legal Description: Property Tax ID #: Lot No. Site Plan Name: tBlock No. Project Name: _/i e !/L le-r /.7&17 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: III Remove Sod Darr► aArf' ZOX �6 P161re/&,// (port U/Ifti 3DCG l S i �/L�r2�e Gf�' T� e Eti� I .a ll� -v6 ulirN/�t� I�G.1--a b h<45p- CONSTRUCTION INFORMATION: III navuc c1wnucu uuucI uuo Ncnuu—uic�n au aPP�Y• Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Plumbing Sprinklers O Generator Roof Total Sq. Ft of Construction: %60 Sq. Ft. of First Floor: Cost of Construction: $ Z q,1-0. 06 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name e5 Psio,hel AoAl)(I) Name: netre Cas,41 °� Address:_ IRV /� o ifegvi 0 f - Company: /11 u.rk City:: t° n Si M Al- State: 2fC Zip Code: _ Fax: Z Z o! % fa o / Phone No. �_>7 !JL ?'0736 - Address: tt z f—e A � !` City: J-Ms Loyi State:_ Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder an next page (if different from the Owner listed above) E-Mail: . ,1,v (0 Gm.4/ 6 • 0G©31 i G� State or County License: 6 e JE 2 O ZZ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. " SUPPLEMENTAL CONSTRUCTICj EN LAW INFORMATION: DESIGNER ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 1 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 STATE OF�FLORIDA` 1 1 n / STATE OF FLORIDAJ COUNTY OF �}- LU(,lF. COUNTYOF JJC Il The f going instruum�nent was acknowledged efore me this day of i I 20 by MVA 2-�' 1� �!q (Name of person acknowledging) The forgoing instr ment was acknowledged before me this � day of J 20 Lrl_ by person (Signature ofNotary Public -State of Florida) r (Signature of Notary public -State of Florida ) / Personally Known OR Produo d Identification Personally Known OR Pr ced I ntification ✓ Type of Identification Produced Fl. 1-N l Type of Identification Produced. �.� Commission No. m scion No. KAREN S. NIEL KAREN S. NIELSEN Commission R FFc 5637 Commission OFF 115637 Revised 07/15/2014 June 12. 2018 June 12, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS