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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY RECEIVED -St. Lucie Countv ---_--__ _ . Building Permit Application AUG 18 2017 Planning and Development Services NG Building and Code'Regulation.Division 2300 Virginia Avenue,:Fort Pierce FL 34982 Phone: (772) 4624553 Fax: (772) 462-1578 Commerciale Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: _Address:. S , PERiNI" St. Lucie County, FL 'Legal Description: s_0-e G -Girl , Property Tax ID #: 1 "�� , �+� �'��" 15 t1J '""� Lot No. Site Plan Name: Block No: Project Name: L�✓�lJ.�ll� e S ti� c�1—vy�ri�r�_p S. lra ✓. ,s .Setbacks Front Back: Right Side: Left Side: 91/%aefa?c 2 SC /S . o`%Nrin✓�� t vn��"^^ / /5rx(ji�'.L �D�Bu>� �S_, �-CONSTRUCTION INFORMATION: MUUIL1Ul1dI W VI N LU UC HVAC PCI IUI II ICU UI IUCI 1111D,1JUI Tank EIGasPiping I I I IL—L119LK di apply: - ❑Windows/Doors _Gas _Shutters ayy lectric O Plumbing OSprinklers Generator El Roof 'Roof pitch TX isrt 0007. .Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: ,$ b a' D 8'.. DID: Utilities.. ... Sewer Septic �.. Building Height: OWNER/LESSEE: CONTRACTOR Name ell 1 LLG Name:;. t L Address: _6 I ; 8T :Company: City: State.. ' pFax:.330/7 Zip Code:: :Fax: Phone No. Address: 411 H/ y '��i%lyK�- !71j. State:_ ::City: t , Zip Code: g / Fax: Phone No. 7 7 ? ,Y4 �/- © 7/ E-Mail: Fill in fee simple Title Holder on next. page (: if different' from the Owner listed above) E-Mail; §'/&A) S 3 D jE/ (SO ir7-9 - .MK- State or County License: 49 % 4 2190 %57 35 If value. of construction is $2500.or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNE�t/ENGINEER _ of Applicable MORTGAGE COMPANY: _ Not Applicable Name:' �� Name: Addres i io O D n Address: City: Yllbu '. State: City: State: Zip: �3 , Phone: /`�8 -� /./- ir3 Zip:. Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 Countyy 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 mncurrency 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 mustbe 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 our Notice of Commencement. S Signatur of Owner/Lessee/Contractor as Agent for Owner Signature Contractor/License Holder STATE OF FLORIDA, p - STATE OF FLORI[ COUNTY. OF J � • lA.�e u, COUNTY OF �cR o The foyrgoing instrument was acknowledge before me. The forgoing instrument was acknowledged before me 'thisdayof 201 by this p!d-day of 20 1r by person acknowledging) _ (Name(Jf person acknowledging (Signature of Notary Public- State of Florida) ".(Signature of Notary Public- State of Florida ) !ps onTyK opTra�d-e L Lamb. n P n T6o lye.Knntifi mmission t,�i(ypiRecorr.•dyTrrace L Lamb Fa' d' aa _ 0�,� s M Commisslon FF 9�� Commission My ComMssbn FF�t�0�9 '�I ¢I2020 aw 1/25f2020 1 4F ExyNe9. Revised W/1512014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW . REVIEW REVIEW REVIEW REVIEW .DATE I I COMPLETE t INITIALS