HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPL_,: .�D FOR APPCIeIQAkbWM BE ACCEPTED
Date: 3124 Ir St I" ; Permit Number:
cle County
Building Permit Appli
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _
PERMIT APPLICATION FOR:
Address:
W
Legal Description: Sfr, f7anzn Ae/-i--
Property Tax ID #:
k, E-C- -IE-I%j ED
,ation 30 19 1"
I permitting Department
rig County_
Lot No.
Site Plan Name: Block No.
Project Name: G-C'fi cc:ly� G <;e v"
Setbacks Front Back: Right Side: Left Side:
XMechanical
_Gas Tank _Gas Piping
,Shutters•
Wind ows/Doors.:- s
ZCElectric
QCPlumbing _Sprinklers
_Generator
Roof Pitch
Total Sq. Ft of Construction:
(SOD Sq.
Ft. of. First Floor:.".'
Cost of Construction:
$ 4' agn Utilities:.._
Sewer Septic
Building Height:
OWNER/LESSEE: I
CONTA RCTOR:
Name IY\0L4C* )-e- tn)MA
Name: -
Address: 253i SuJ QAJ -!a. Rd
Company:
City: f SG:nk Stater
Zip Code: 3 4913 Fax: 2-3 (o
Phone No. *'S — 3,3- - 1M5—
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page (if different�JE-Mail
from the Owner listed above)
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
UPPLEMENTAL CONSTR ION ILIIEN I INWJ INFORMATION:
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, sighs; scfben rooms and accessory'uses to another nmriesidential 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.
v�
1 Lure of Owner/ Lessee/Contractor as Agen for Qwis
Signature of Contractor/License Holder
��
STATE OF FLORID -LLe
STATE OF FLORIDA
COUNTY OF -
d qz �
COUNTY OF
The forEg ng instr t was a nowledge�bof
this day of � 20i 0 by$:
14F�
The forgoing instrument was acknowledged before me
this day of 20_ by
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of No a Public- State of Florida
V
(Signature of Notary Public- State of Florida )
wn OR Produced Identification
Personal Z
Personally Known OR Produced Identification
Type of Identih ti n
Type of Identification
Produced
Produced
Commission N (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 712014
e
/ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Date: 1 Permit Number: (Jly
&SCANNED
ty BY"r^ggp
ate►
_ = St. Lucie County
Building Permit Applicatio ➢ UI. 25 2017
Planning and Development Services P�R;/'IYrf,l.a
Building and Code Regulation Division 54. Lucie Counter, 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
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: \ r
Property Tax ID N: , k5 tlO i —O 1p- 0 , v Lot No.
Site Plan Name:
Project Name:
Block No.
Setbacks Front Back: Right Side: Left Side: II
DETAILED DESCRIPTION OF WORK
q
S RUCTION INFORMATION:
na wor to e e orme un ert ispermit —c ec a appy:
AIC Sias Tank ❑Gas Piping _ Shutters Windows/Doors
Electric IL-_J�Plumbing Sprinklers Q Generator . [ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities:ll Sewer 11 Septic
Building Height:
OWNER/LESSEE:
,CONTRACTOR:
Name i4% s 4nnName:��U4.1-a
Address- f /D
CompanyqT--"'"(L'-- c rxsylu:�Pr�
bey
City: State:_
Zip Code: Fax:
Phone No. �%d�D 3 Z Z / FS
Address: 1
�-Ao La,�_ w T
f
City: +J a
Zip Code: 3 Cam)
Phone No. ' 3 �Qc}��
Qi Stater
Fax:
E-Mail: —
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: us�,
c�ytf�
State or County License:
4-'A� C7�'
• --•-- -• - •� vim•,•, u, ilium* u ncwnucu woace or Lommencement is required.
loG, Ui?C3 •< r E.s01/• .cy90i iP?
27, 3Z9 siTF waw 9✓ = 37Cj
F
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _ of 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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lurie 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 bq recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consults h lender or an attorney before
rt comy%cing woLk or recording your Notice of Commencement- 1 1
xgnature aT uwner/Lessee/contractor as Agent for Owner Signaturl of ntractor/License Holder
STATE OF FLOR(QAI� L STATE OF LORIDA
COUNTY OF JJ COUNTY OF_ ST. I.( iC—
The forgoing Instr ent was acknowledge before me The forgoing tnstrume t was acknowledged before me
this day o� 20' by this 011oday of T 20 /*! by
(Name of person acknowledging) (Nam f o owl )
a�� L&M Ll I —
(Signature of Not ry Public- State of Flori a) X, I (St at f N ry Public -
Personally Known OR Pr uce Ide ion Personally Known OR Produced Identification
Type of Identification Produced - ,- I Type of Identification Produced pLGG
ANGELA99 l Commission No. i Se MK.' WNA
Commission
- FF 23 Fioridar �w ll
Commission # FF 234730 1� MMX%k74W1
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I
INITIALS
JT I'7a 7 a��
All APPLICABLE INFO MUST BE COMP« �'ED FOR APPLICATION TO BE ACCEPTED
Date: �' 0 Permit Number:RECEIVED
•
.
S >
4'i age
✓� J
n JUL 10 2018
Builds grV ermff" `pp ca[Permitting
Planning and Development Services
Department
Building and Code Regulation Division
t. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Residential
PERMIT APPLICATION FOR:
PROPOSED INPROUEMENT LOCATION:
f2
Address: 5$i C)A h�i0.� vNGj. .A u
Legal Description:
Property Tax ID #: 13 ra. ') I Ci 010 1 U 1 U Lot No.
Site Plan Name: Block No.
/
Project Name: (re rty.`` ri N So Wion_s
Setbacks Front Back: Right Side: Left Side:
DETA11ILED DE-SCRIPTION OF WORK:
1.
TruKr /�N or (�o�A}��NCAu lotlru C+ (Jn O a lag s�yip areuqjoN P_/os;tnq
✓"., r.`g�.�
C r"r &I
6"Id1UAs
co tsjvveej o-I,, AA Q.a.W 'try �rav:' c door
r, OGC.0 He Ja vP :_e*-4h'9 , 90,010- o uµ^ 1 rdN 1-
CONSTRUCTION INFORMATION:
rt�ona war to a pe orme un ert is permtt-c ec a t at app y:
Mechanical _Gas Tank _Gas Piping Shutters %Windows/Doors
_,2CElectric XPlumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor:. I Soo '
Cost of Construction: $ `0 97jJq Utilities: K Sewer —Septic Building Height: )2-+
OWNER/LESSEE:
CONTRACTOR:
Name: C �'
.._
Name_ i1c.%�v+e' ' `'vn C4
p
AddreAs.a �= :S`ltJ'°. fOelGu+rc0. R
i�
Company: 1)
e5
City:°I`~S'L r='- '•'.'' ° State:
Address:9-00q SG A/4J;so"t
City: _54uA r_.aL State:
Zip Code: at]1953 Fax:
Phone No. �50- Ji.a-' I S
Zip Code: 34119? Fax:
E-Mail:MwoWrJe-
WOOp
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail D ion P t 6 .WC iod, . eoA7
State or County License C GG /S259/S
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRtl
TION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:' _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
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 vour Notice of Commencement.
Signature _ wner Lessee/Cdefracyi sAge €fbi
na osR sry cense Holder
STATE OF FLORIDA /lU„...
TATE OF FLORIDA
COUNTY OF
OUNTYOF ''Sf:�, c,12, I ��,rIcAS2
a$o
The forgoing inst;wxkent was acknowled e f efore me
he forgoing instrument was acknowledged before me
this day 477 20LOby
9am
hiso��ddayof ryL1 20by
QF N— K
T-
1Aride I 71 92/ Sg
I I
(Name of person acknowledging)
-8
Name of person acknowledging )
,a
(Signature o otary Public- State of Flo Ida j
(Signature of Notary Public- State of Florida I
Personally K#mzwn OR Produced Identification
Personally Known OR Produced Identification
Type of Iden fi
Type of Identification
Produced /!'
Produced DirIc�,n
i 111MV Pubk State a
CommissionNo.,��alO.b2(a SCi&mRobens
My ComMubn FF 21026
..
CommissionN -- (Seal)_:
.. ..
EW 0911 19
REVIEWS
FRONT
ZONING,
SUPERVISOR
PLANS
VEGETATION
SEATURTLE -,MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
'REVIEW
DATE
RECEIVED
DATE '
'
�Z�
COMPLETED
nev. 7/2014