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Home My WebLink AboutBUILDING PERMIT APPLICATIONe All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /Jr J % SCANNED Permit Number. BY St. LudeCounty RECE9Vj r ilia Building Permit Application JAN 11 2017 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: Address: 7,61 E-_?/3irfA V16T"9 J?3L(/_6 "Po KC ST( 6UGf6 Fc-3 SZ Legal Description: PropertyTaxlD#: Lot No. i_ Site Plan Name: H (Ay 14 UR ST' t7 (a a C G L Block No. :2 5� ProJect Name: _q1 n J rsS7 A 1 Setbacks Front Back: .2 Q ~ Right Side: 02 a Left Side: z CD.dU!Ei29ioNOF.P S106i.E C-ArAlLy (7-rc: A commcizc.(4G NPAfLICq&Au� ©Ff=IGE To-rrt0t.DE 1 Alf+TESTicJ6 AN1> i 3T02e4&ezc I ADfl'3fltw 7cviA, L-IG&tS RT DoaRS grcJ A>A �2�rcl�crrC- :=C,_>Cj-r_AVJ / echanical _G�sTank —Gas Piping —Shutters Electric —✓/Plumbing Sprinklers —Generator Total Sq. Ft of Construction: �� 7� Sq. Ft of First Floo Cost of Construction:$ Utilities: Sewereptic Windows/Doors Roof 1%116 Building Height: 2 Name K IG14%72Z > 14AY 140-RS r Name: S1AN SLUIEZ4 Address:21 CA rJ e KA IR L-6 &g-?_ Q t A • Company: STA c1 sw 1 EZ (zEr 162r1 C CrO iCT City: �T 6 N S Eri -8 45,9 C. M State: r c Zip Code: 34952 Fax:-7-7't $'18-4399 Phone No. -7 `7A - a 1 rl - Oo 6 4 7 Address:_ $,2� -r I tTOO City: 1 ORT Si- L cie,(E State: l L- Zip Code: 3 y9S,?- Fax: Phone No 359-609a E-Mail: 3oo14>SDwTtora l4eAiZW6Q(��/d/4'( Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License C (9 C O ( q65 3 if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Fcr V� (A% P _ Not Applicable MORTGAGE C ; NY: Name: _ Not Applicable Address: Iktl SL✓ S // Address City: —7 Zip: Phone:.__ State: City: P G State: Zip:- -Phone �K� L4_ 2 FEE SIMPLE TITLE HO),Dp Name: Q / _ Not Applicable , BONDING COMP Y Name: ;;jribleca Address: Address: City: - City: „_._ Zip: Phone: - 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 structure. Pleasle consult withpyolur Home OwnOwners rs P sociation andrreview your deed for any estrictions wrestrict ich m or applyhibit such 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 inslgIon. If you intend to obtain financing, consult with, lender or an attorney before 1 // commencing WUr, V ICLUIUIII UUI IYVUbQ V Signature of Vfier/ Lessee /rontAg"entn`L' SPErY " _ rc)or/License Holder 1^" STATE OF FL =a STATE OF FLORIDA a ,,,,.• COUNTY OF OUNTY OFORIDA,a,t The forgoing instr ent was acknowledged before me t`�, he for oing in r ent was acknowledged befog is day of 20[� by o this 4 day of 20a by m w LP a g c R' IV .(Name of person acknowledging �� N ame of person acknowledging) 8Z N a a (Signature of No /y Public -State o Florida) ( of Florida) Signature of Nry Public- State Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of IdeRfiiicc n ! Produced I Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE " I COMPLETED Kev. i/[u14