HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber:
BY
St. Lucie County REG"�'EIVED
Building Permit Application W
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
Address: o7q?o S. OCQO_y) Jr. Sil
Legal Description: SaMJj)JJQy-k(1'JJcI& OoyldorAln'
2017
Ll� ie f:, FL
I k
ResidentiaP" PLJ
— 11A ± 2 11
Property Tax ID #: 60q- 0o42, -0()0-2 Lot No. 9//
Site Plan Name: Block No.
Project Name:
Setbacks Front— Back: _ Right Side: Left Side:
... .........
11M
UGas Tank
[]Ga.s..P.ip
Shutters
Windows/Doors
11 Electric
E
Plumbing
OSprinklers
DGenerator
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 169401
S Ft of First Floor:
Litilities'In Sewer El Septic
Building Height:
Name—Miko,
k-rhwsoL Ora cc
Wict,
Name: z n, 2
Address: 303 GtL�imhy -br.
Comparry:a.,�Ve-,-_7VIV
Address:/6S_95_/0&7W
City: State: 0c:'-1—
Zip Code: S3 2118 Fax:
Phone No. 576/ -
City: fA ry, (�)drn t, State:.DF-
Zip Code: IU82 Fax:
PhoneNo. (.30-2) SaS- 6R8?_
E-Maik
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: led eo,4?
State or County License: 674ee- 05V3 T1
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
IP EME IENILAW Mfq�MATI
P WtAl�t6h' OW,
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: _ Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
—Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work -or installation hascommenced prior to the issuance of a permit
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or anNcovenants 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 wcL� �ecor I vour Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fQrg9twmstr4tnUtas nowledged before me
.Wk
this C> day of 20 L lxy
STATE OF FLORIDA
COUNTY OF
The forgoi nstrument was acknowledged before me
this 2vay of �rrOW-0�' .20 by
co 47
L121M C M\'Ow �'vk BQ�-6 nmi \tun
(Name of person acknowledging) (Name of person acknowledging )
AM 2d 5i�
(Signature of Notary Public- State of Florida I
Personally Known OR Produced Identification
Type of Identification Produced_
Commission No.
Revised 07/15/2014
(Seal)
My COMMISSION A GG 056886
EXPIRES: December 28.2020
SUM Thm NONY Public Undewilars
(S�ignature of Notary FL bli - State of Florida I
Personally Known 7nR Produced Identification
Type of Identification Produced
Commission No. (Seal)
MY COMMISSION # GG 056886
EXPIRES: Demmber 28.2020
8WdedThrUN0tffyPubIkIJrx1eWfts
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS