HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ao I I I Permit Number: e_)'A 64t
RECEP"D JUL 2 0 Z017
SCANNED
Building Permit Application BY
Planning and 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
I PERMIT APPLICATION FOR: Renovation III
Address: I (y4lo 5 Pik - &
Legal Description: hll)-� rAilh W I
PropertyTax to #: �j:!� -Mai - opo-& Lot No.
Site Plan Name: Block No.
Project Name: Ee�v_yt
Setbacks Front Back: _ Right Side: Left Side:
U1101 WVIR LV U�IIUIIIICU UIIUCI LIM PC11'11L—U1ULKd11 d[Jply-
HVAC Gas Tank E]Gas Pip Shutters Fj Windows/Doors
Electric 25lumbing OSprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ Z�D:606
Sq. Ft. of First Floor:
Utilities: 0Sewer 1:1 SepVIc
Building Height:
Roof pitch
Name_lk�cu EN-,n L
Name: Justin C. Thiery
Address: v-1911) C-, nr�� Dy�
Company: Island Kitchen and Bath of the Treasure Coast
City: :Sjmov�p, State: _ C-1,
Zip Code: SLkAlm Fax:
Phone No, -1 '7 DL - �l
Address: 10875 S. Ocean Drive
City: Jensen Beach State- FL
Zip Code: 34957 Fax:
Phone No. 772-237-7348
E-Mail:
Fill in fee simple Title Holder an next page I if different
from the Owner listed above)
E-Mail: jthieryikb@gmail.com
State or County License: CBC1259508
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGN ER/ ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x NotApplicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x NotApplicable
Name:
Address:
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 authorize the ermit holder to build the subject structure
which is in conlylict 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 inspgctioqn. If you intend to obtain financing, consult with lender or an attorney before
STATE OF Fl.
COUNTYOF
MTE OF FLORIDA
COUNTYOF&u-1.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J-5- day of 'Ti it q 20 aby this AOI_ day of nLA!,,A 20 _a by
�Pvh. O'A-�
(Nam� of person adknlowledging)
State
OR Produced Identification
Type
Commission No.
Justin C. Thiery
(Na f acknowled ng)
(Signature of Notary
Type
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI ZJ
REVIEW
REVIEW
REVIEW
DATE
/0
COMPLETE
INITIALS