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Home My WebLink AboutBUILDING PERMIT APPLICATION7 All APPLICABLE NFO MUST BE COO ii-6tTED FOR APPLICATION TO BE ACCEPTED 1 Date: © SCANNED Permit Number: BY y — St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, FortPierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED INPROUEMENT LOCA�TI©N: Address: Legal Description: 7U II O,r LS'i ( Commercial _�,/ Residential N S Property Tax ID #: -3y2,1? - y 2Z - 0OC> 050 - a Lot No. Site Plan Name: Re'l zA Block No. Project Name: QOlIBLG vP 19.-C.9nr - SeVeN evep— Setbacks Front Back: Right Side: Left Side: ,(e/» I- OF Sa✓if JN�c;4�G,,' u4e( 5'O/Y�C 4 a7/-zo v4e /1UUILIUlldl WUIK LU UC YCl IUIIIICU UIIUCI Lllu PCIIIII L—L.IICLN all Lila apply. _Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors ✓Electric _✓Plumbing _Sprinklers Generator _Roof Pitch TotalSq:Ftlof,Construction: 31(zI% _First` irstFloo�59�eA �,ii Sq.-� Cost,6f Constructiori:,$ non Utiljties:. '✓ewer. -'•_'Septic Building Height: P OWNER/LESSEE:,•ONTRACT``OR: Name,_ 9 LFs "a/jJT 7V C043T golzxrei or �Ad! dress:�a'!,/.>S� EiCJw3A/ �2 ` `City; Pa2r. Lucz� ate: Ft'�?��5 ,Zip'Code:%' yysa Fax: ��`` �n�- Phone No. 776- "/ 7.5 7g�a J 1 �-.� .51�Ne ai "li(Aij e9L(1 State:/, de: J�L 9 b Fax: Phone No q�2 - E-Mail: LSoVT'ViAI7- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail C d 4(e3 2 is CO -I C q ST. MV-J State or. C i C If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION ILIIEN I MAWJ INFORMATION: DESIGNER/ENGINEER: _ Not Applicable C07F'C 7` t& Name: LawKe ice [r Qru4HFar av�u?,c &-?4 MORTGAGE COMPANY: _ Not Applicable Name: Address: /S,29y ioi TiFI. v Address: City: 7LP17-,�;e Zip: 3_71 f Phone fi,/ -.;IQ State: Fc - Sy 9,% 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 inspeqi�;n. If ygjijntend to obtain financing, consult with lender or an attorney before STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 'Tnd{c F1iv - COUNTY OF The forgoing instrument was acknowledged before me this 1s day of Sealkmber 2017 by 0 State of The forgoing instru ent was acknowledged before me this IS' dayof Sefkem r 20I-7 by Chr's 0,0,er F ales (Name of peVon acknowledging) State of Personally Known OR ProducgTldecitification Pe�aonally Known OR Prod ucedZdenttfication l� . Type of Identification ; My Oom 79 20� • Tyl z of•Identification : My com Produced {�,i.l� �rber I—,'"ArZ : Jaq Produced F1or:J� Prier L cenge� January19,2020 No.FF g51278 = , : No.FF 951276 CommissiomNo.'fF 95 1 �� 4 a�jj•• • Pu mission No. FF4SI .?76 �. e�jj• • pUBI\G,.•` F F�-,� ��i.FOF FL. N1111111 //It11111 REVIEWS FRONT ZONING SUPERVISOR -PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ( 1 RECEIVED\�J \ DATE COMPLETED Rev. //ZU14