Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr' .4 ALL APPLI L F 1E OMPLETED FOR APPLICATION TO BE ACCEPTED Date: I SCANNED Permit Number: BY RE St. Lucie County Building Permit Application APR 2 6 2017 Planning and Development Services Pubiic works 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 III I<S; 9- ®1'U7ILY11 ®av/ �►Il��tlr01[eZ�ertl[oltl II Address: b B `$ O O C FiA n1 Oa -.x Q 6 Legal Description: �y'S.Cr9tvrJ ©eg-riol / CeNDo Property Tax ID#: 3 J` 3 .7 - P'O oZ—®ASO -oce -a Lot No. Site Plan Name: 2.5._ejq /O 419v/UE5 Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I' DETAILED DESCRIPTION -OF WORK CDrJGQe,-re okC JTo/s gT/vN'- 0T�C-'rc5 I-/O %J.cL fIN/7-3, a fV G/ N EIGif. O F � /G GOi/.O � CHA�{�Cly J O/¢KO¢.v PE # 116410 S&4e,rF11_ /lV SPZcTo/L—SofhN l32/�NQHGH-stag- 14n7a 1 .CONSTRUCTION INFORMATIONt EJHVAC U—GasTank 11 Electric 0 Plumbing Piping Shutters ❑ Windows/Doors Generator E] Roof = Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ d 4z S G ? 6 O O Utilities.. Sewer ElSeptic Building Height: Ir OWNER/LESSEE:, CONTRACTOR ,' NameXSX 4M0 l,Jt,/ 95 Name: /G/fj9-4e-G Jl0/9,0427-25r Address:'8880 OL•FyA-N Company:.sP�Glf% G FDA GFiS City: 'a-AF-►'y SAP- J State: P'4 Zip CodeY� Fax: Phone No. 7 gep -4y 7s .3 9m0 rS Address: /-9 35 ^-6 401eX/6 A/hiY City: 3-4En1 50/✓ 46 0.9Cff State: FG Zip Code: 3 Sa 99 Jr ' Fax: Phone No. 3Y70 E-Mail:FG-`rP6-NCCa6`Tte03 SST Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: CG 4 mN wt JPECl!!G Fo2c State or County Ucense: ca a- 0 5 9m 83C - O 5 9m 83 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: G 5 M GiN 6/ n7 if, BR //V O MORTGAGE COMPANY: _ Not Applicable Name: .Address: -Z 0el 5 F, DcGA.✓ 4xvo — /H Address: City: 5 r ce, 4 x-T - State: Pc Zip: 3 rF Y'P G Phone: 9 7z- A 9e9— hcGo/ City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 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 OWFrtpyroperty. :r failure to Record a Notice of Commencement may result in your paying twice for improve is to A Notice of Commencement must be recorded and posted on the jobsite before t e first ion. If you intend to obtain financing consult with lender or an attorney before com en n o or recording o r Notice of Commencement. ,LN R MFl ro. �ioA2o c_�.� mac, o �dTs 01 Signature of Owner/Lessee/Contra or as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA c STATE OF FLOR D COUNTY OF V �UC/ 1° COUNTY OF - The forgoing instrument was acknowledged before me this 130 day of 'QQ r� % / 20 Zby .L. 0—fy /9'-m /*- 7 (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known A OR Produced Identification Type of Identification Produced Commission No. �ATRICWrq HOBBS _ . MY COMMISSION N FF198592 Revised 07 The forgoing instr ent w acknowledged efore me thi�day of , 20 by (Name of person acknowledging) tt� ( gnature of Notary Public- State of Florida ) Known ✓ _ OR Produced Type of Commission 11 ? ffB24 Sondzd throuAh lst State REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVXWJ REVIEW REVIEW REVIEW DATE Sp COMPLETE INITIALS