HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _14;4_1 Permit NQP2
vex
RECEIV77D JUL 2 0 2017 BY
St. Lucie County SCANNED
Building Permit Application BY
Planning an� Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
WRM -SEMMUMMOSOM
Address:.q57Sn S Oireac� -av—
Legal Description: 14 5-0A - (4 1 , 0 1 S�� - OW
-A, r_ojrN'-1r!0 I, 10f4 �)W— �
Property Tax ID #: q,5b I I - A) 92�__- 000 Lot No.
Site Plan Name: Block No.
ProjectName:
Setbacks Front Back: _ Right Side: _ Left Side:
R
lj�
6&C
'k
flt,m'b _rArvV
'I &be- 4 -1e66 UA&�
ACIaltionaiworKtobanarrormed under this permit - cneCK au that apply:
c 13 Gas Tank E]Gas Piping 1:1 Shutters F-]Windows/Doors
Electric 21polumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor,
Cost of Construction: $ 5Mbe) Utilities: 0Sewer r heptic Building Height:
Name Lio r_aq (21 Q 5 5
Name: Justin C. Thlery
Address: Q.5"A r—
company: Island Kitchen and Bath of the Treasure Coast
city: ncnaq'en P"Po'Ll'N State: -a,
Address: 10875 S. Ocean Drive
City: Jansen Beach State: FIL
Zip Code: 34957 Fax:
ZipCode: Fax:
PhoneNo.:)-)D- no-
E-Mail:
Phone No. 772-237-7348
Fill in fee simple Title Holder an next page( if different
E-Mail: ithieryikb@gmaii.com
State or County License: CBC1259508
from the Owner listed above)
If value of construction Is $2SOO or more, a RECORDED Notice of Commencement Is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
x Not Applicable
MORTGAGE COMPANY: _x Not Applicable
Name:
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY: �_Not Applicable
Name:
Address:
City:
Zip: _ Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit
St. Lucie Coun makes no representation that Is granting a permit will autnorize trie ermitnoicerEoDuiiatneSUDJeCLbL[ULLUFC
whichisin( l7ict with any applicable Home Owners Association rules, bylaws or anscovenants 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 vour Notice of Commencement. —
A
STATE OF FLORIDA
COUNTY OF 5� LqrZe_
The forgoing instrument was acknowledged before me
this_L�Ldayof SIA y 20 Jqby
OF FLORIDA
rY OF st Luc -
The forgoing Instrument was acknowledged before me
this -4 dayof ail y 20 _q by
Justin C. Thlery
(Name of person acknowledging
(Name of perspn acknowledging)
Personally OR
Type of kgntification Prodgrgi
'ow
Commission No.
Revised 07115/2014
Personally
Type qt.Leh
No.
EXPIRES: july 28,2019
Dondod Tln t8w)1ary sanim
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS