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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMrtci ED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I Building Permit Application Planning and Development Services SCANNED Building and Code Regulation Division St. Lucie 2300 Virginia Avenue, Fort Pierce FL 34982 County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: o4- Nark 5 5ont,,ck Legal Description: 13 O0 \- 9 O 3 O- 02 Oi -7 Property Tax ID#: 1,)O1- ro01-0030-97-OLot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Mechanical Electric Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ _ Gas Piping Sprinklers Shutters Generator Sq. Ft. of First Floor: — Windows/Doors Roof Pitch Utilities: ' Sewer _Septic Building Height: OWNER/LESSEE:a'. , . �� s :'� CONTRACTOR: , NameL.�.l.Pt,'�S3rr� 1 Q cWaVI, Name: C L Address: �hr�iR Company: G1��r City: - --State Zip Code: t SV, Fax 11Z Q Phone No.E�j�; Address: f?fin` City: 1 c� C i 17cYsc L StateL Zip Code: g mot,- Fax , Phone No E-Mail: -_ _._, _. __... ,_._�. Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail -4-tf C -SL rc co�'I.. < CC lk—J • C •^- State or County License C(L I S �L 1 Ii 4 N If If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. 5UP(?1 EMEN7AL CONS RUG7IQN LIEN IAW,INFQRMATION;° DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: 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 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 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 or recording your Notice of Commencement.. x x Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTYOF eo STATE OF FLORIDA COUNTY OF The for qi�g instrument was acknowledged before me �i The far of instru9ient was acknowledged before me this l T$ay of 5-��*^ r . 20 1 by this day of 54p4�...n bJ� . 20j�;Iby (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 Personally Known OR Produced Identification Type of Identific�jion L Type of Identifica,Fign lV Produced () Produced Commission No. rr 2DPI7-)- (Seal) Commission No. I�2Oi�7 $ (Seal) ,, ,,, YE S FF 709728 � Cam, resmn q FF 20972 , .fr :RERV:Commission fRN� miss odmNlfJC SUPERVISOR PLANS OMN o5frAsF �RTLE"o NGROVE COLAI;3� 1 ,R10012W REVIEW REVIEW MorgjE 19 EVIEW A Izll RECEIVED DATE _ COMPLETED Rev. SUPPLEMENTAL CONSTRU IEN LAW INFORMATION:' DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone State:_ City: Zip: Phone: State:_ FEE SIMPLE TITLEHOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable 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 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 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 commencine work or recordine vour Notice of Commencement - as Agent for Owner STATE OF FLORIDA I STATE OF FLORIDA COUNTYCIF S � F "c_ C.-COUNTY OF '� i . Lttic-� -C The foriging instrument v{as acknowledged before me this ll=day 1of (JL-��17— .2011 by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced/ - tr �ldf�-L. i (Signature of Notary Public -State of Florida ) Commission No. l—F :> O q 71gj (Seal) REVI Rev. �O�v�mm it)briNVEF 2 ]lJF'tR - N'112C "Y(LWtE�n Ezpn�Vl OR The forgo. g instrurpe w s acknowledged before me this /��( r7$ayof V�((2Q?by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced 11 L (Signature of Notary Public -State of Florida) Commission No. FF '�-0172g (Seal) All APPLICABLE INFO MUST BE C Date: Gran I n Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: (. �(/ &-,,v �l Legal Description: I.c._V-w Property Tax ID #: 13 9 1- (, 9� Site Plan Name: 9905 L� l Project Name: ID F4 ^ 9 Setbacks Front Back: _Mechanical _ Gas Tank _ Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ ) 0 r 09 r APPLICATION TO BE ACCEPTED Permit Number: 11 O6- 0631 RECEP.—D JUN 2 8 2017 Building Permit Application Commercial —go7L— ooc- Right Side: _ Left Side: 8'asPiping _Shutters Sprinklers _ Generator Sq. Ft. of First Floor: _ Utilities: _ Sewer _ Septic Lot No. Block No. qg i Windows/Doors ` Roof Pitch Building Height: OWNER%LESSEE: CON RACK@ Nam 6aJe - D 0 Q o.',Name`zfy-u 5r,'Co...4 6,A,.y4 '&.-Cc� Address:.-ISdCompanyi G'li~ir47V P. n;., CityI • ._ . ;��" E :. StateF__LL: -'Address:- b? lO ' Cam. I a1 r2o( City: FQ 07 13i�cc State: FL - ZipCodo:3-/'a Fax:77a-V4Za130/ Phone No.77,2 - Y4f- 9377 Zip Code: 3111� Fax: Phone No 1'27-1) Sl ti _99 g (O E-Mail: , Fill in fee simple Title Holder on next page (if different ' E-Mail I fF� 5 we cowl i ayr� • born, State or County License Cr� C-1 S11 L4 t from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: — Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to ootam a permit to uqure WUJ R duu noiducuvu o I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counnntfyl makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Please consult withpyolur Hlome Owners Association landrreview your deed for any restrictions which maor applyhibit such In consideration of tlie`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 d• tic. of Commencement commencm work N o or recor In our gi/i�.r �.�ei AZLa� ::: /�� /� Z; = Z � Signature of Owner/ Lessee/Contractor as Agent for Owner Signature�v f Contractor/License Holder STATE OF FLORIDA G-T LJ c-1FE STATE OF FLORIDA COUNTY OF ';I L A-c,� L COUNTY OF The forgoing instrument was acknowledged before me The for Ing instrurpentwas acknowledged before me S I 20_L2 by this � day of AP21 L. 20L by this ay of n L-og.(CAINF 'Po sT L� I�cJI' (Name of person acknowledging) (Name of i5erson acknowledging) (Signature of Notary Public- State of Florida ) (�' natur f tary ublic- State of Florida) Personally Known OR Produced Identification x Personally Known OR Produced Identification Type of Id ntification YP CHRISTOPHERJ.F�Y�AMIced LICENSNPUBLI Tyyppe Vp Identificatio �� Produced PAIL) (e. ' COLLEEN SUE HAYES I Vj'�'§ST)ATTAERYOF Commission No.FF 142 gS) 4 FLO ."G Qi»mission No. Cone„i �Seal' FF 70a72a - COfllmi=F7428 4 MycomnussionExImus Expires 7/17/2 18 March" 15. 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REV W REVIEW REVIEW REVIEW REVIEW DATE �J g RECEIVED DATE COMPLETED Rev. 7/ZU14 /