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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