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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr � ALL APPLICABLE INFO MUST BE COMPLEr D FOR APPLICATION TO BE ACCEPTED Date: S- 2- t Permit Number: RECEIVTZ0 MAY 0 5 Z07 SCANNED ® ' , BY Building Permit Application 3t. LUCiP r'`nl,nfi; pp 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: To Select from dropbox, click arrow at the end of Jine U qe PROPOSED IMPROVEMENT LOCATION °• Address: R!MD R Ac.A. EL 3y9!s �4- Legal Description: tC(AN>,AT epnbpmpdIt4 A Cam;nmi , („+ h��i�4C�T%' Pi4RT'nF SEETo,J o?. Tour15,TET mot' a�'�i L 41 ti >,4P( ��c 39 1 (, 42 PropertyTaxlD#: 450a -(at) - 9/,1ta - p1C /019' Lot No. Site Plan Name: =3 &PjZl , /l %4Scpe tAT, n ..f TnfC Block No. Project Name: 115 Oa -Q. Setbacks Front / O Back: /O Right Side: /a Left Side: 1 DETAIL'ED.DESCRIPTIOM WORK: •i 1 . Pw+p ou-r-CrAs 'CPS -rid' asn opMr Q -7XN V, a, FILL, w'Vc tJA-rtX-T ka6J► O,/ aJ_D -Mak • tq/ao Fr-FRoAk GNP-°^' PROP.4-40- TA0+ o TANV-- 3 W3 Gia, • ? 75- 13C :CONSTRUCTION`INFOR ' 'TION _ . .Additional work o be pe o e under-t Is pe mi - c eC a at app . �+I6 _ HVAC Gas Tank V Gas Piping Shutters —Windows/Doors _Electric _Plumbing _Sprinklers _Generator _ Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 01 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE CONTRACTOR Name:rSLmbjN Fk,TrAJ%Sac# „j =WC, Name: n Address: S.Oe i3>a,TN Company:-M&&=601 Cty:Ttfisew &ACA State: F Address: �134.0 Q%,J Zip Code: Fax: City: PALI-% G" State: F . Phone No. M- 451A - 1 Z,9 Zip Code: 3444 O Fax: E-Maif. /±OL.. Coiu(, Phone No. i4-12- 2 `ib'+-J4%V0 £XT � Fill in fee simple Title Holder on next page (if different ��. E-Mall:2h JLC_L Lti+.a/f P-10K, dal: • from the Owner listed above) State or County License: If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City; State: Zip; Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable. Name: BONDING COMPANY: _Not Applicable Name: 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 apermit 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. inconsideration 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 rnmmpnrine work nr recordine vour Notice of Commencement. STATE OF FLORID �. STATE OF FLORIDA�yJ COUNTYOF COUNTY OF The forgoing instrume was acknowledged before me thisL day of (Name of p�erso�i acknowledging ) of Florida) Ivonally Known _CN�_ 011 Produced Type of Identificatiio�n Produced Commission No. FrtT �Bayj. L • � 'a REVIEWS FRONT COUNTER 0 JM" - State u. • ( r FubS % A 00 ' %01 COMMIS oat 01Nb\v Feu r,Omm' _ NabOn REVIEW The forgoing instrument was acknowledged before me this'May of� 20_12by (Name of perso acknowledging ) of Florida) nally Known !::I —OR Produced Identificatio of Identification Produced /�� JPN State of Florid nission No. N)%01ar(�1��@@ SG 036p10 commiss,6n M t0. Z .._mm.E00sOeo �a PLANS REVI W. I VREVIEWY REVIEW I MREVIEW May. 10. 2017 10:15AM No. 015 . P. 2/3 ALLAPPLICABLE INFO MUST BE COMPLk7ED FORAPPUCATIONTO BE ACCEPTED Date: 5-_2r,l,!?- Permit Number; Bulking Permit. Application Planning and Developmentservlaes Building and code Regularlon Ofvkfon 2300 triminfa Avenue, Fort Plerce FL 34982 Phone: (772) 462-1553, Fix (772)462-157a SCANNED BY Jt. Lucie County Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of jne II Address: PropettyTax ID #: 50 - (W ID - U ld - t700 — Lot No, . Site plan Name: 2 t4.g i r Block No, �� Setbacks Front / � Back O �� RightSide: JD' _ Left Side; ld i ©EfA1�D}GRIRTIOIy OF IjVORK: OwT 0As :n FRaauQ- AN016W warabeperlb ed un er` sp'mit-c ec a-' ..'•epP.y: _HVAC Gas Tank 1oGasPipinka Shutters ,_,_,Wlndows/Doors Electric _Plumbing "Sprinklers —Generator Roof Roafpitch Total Sq, Ft of Constructlon: Sq. Ft, of First Floor: Cost of Construction: $ J1Qo_ PU Utilities: _Sewer _Septle Building Height ...... ...:. .... .......To Name sWDlt, g&TCAW0CJAWfj :ZWC� Name- i',. Address: ocznsrsrv,1644b Company:' City;7erlSeef �,ArA State., T Address: _35OU CJU NAArW Ilyq _Zip Cade; "SIU4' Fax: City: PAL.A4- GrY state: F Phone No. %- S5 6- SM04 Zip Code- _N710 Fax: Phone No. _7112-2lb�--1sxv Ewa,," wall..=L Anhe Ct>wA. , E Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County license: 1v-A If value of constructlon Is $2500 or more, a RECOROW Notice of Commencement is required.