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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II Date:'II/Aq 1 a.01-7 SCANNED Permit Number: l �' o7 ipLl BY FIF St. Lucie County Building Permit Application NOV TO 2017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 19a I k), Legal Description: ors-rz-t- F+ I­'lercv n-, ISi d,6 J/p Lpt 35—LASS US I pa A5- Kg70 Property Tax ID #: cQ 140 3 — &0 `off — 0 0 5 5— 0 00 5 Lot No. Site Plan Name: n) A— Block No. Project Name: i 10, Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remotter 8 x 11 Porch (oofi replo,.6 n Re(2a i r c (l o(O-rm coo ©ol 0-iW` `T i Il sict;rr' c:nd I fr; m) al( 1a- (A)„-,�au� s'1 Its . RePla�no� a e� ler�or doors, �elxt I r- e)C 'r s4I n 9p I two h('9 . CONSTRUCTION' INFORMATION.: Aaclitionalworl(tobeDefforMeaunder tis permit - cneck all apply: E1HVAC Gas Tank ❑Gas Piping In _Shutters QWindow Door A 11 Electric © Plumbing O Sprinklers I Generator 11 Roof Roof pitch 0 Total Sq. Ft of Construction: Co O S Ft. of First Floor: or" Cost of Construction: $ Li S� . Utilities: - Sewer Septic Building Height: OWNERAESSEE: , CONTRACTOR:. Name r&QS(trG° -�of7e_ PrOr ieS LLC Name: don F6 rp I r7h5 ,J nC Company: 10ILF S ESf-OLM �) Address: 75 $ � 1 S "eg73 City: P4-S-I-Utei e� State: tjL Zip Code: 54q 53 Fax: t 1 (ice Phone No. q 71- 5'8$5 Address, City: W uC �?' State:_ Zip Code: 3ql �53 Fax: n Phone No. 0'79-'48'5 —7(p 5 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: rhono, l0) ('100, (-by%n State or County License: C& — 05 Q _1 to (o If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTyQN LIEN LAW DESIGNER/ENGINEER: V NotAoDlicable City: State Zip: Phone FEE SIMPLE TITLE HOLDER: _\L Not Applicable City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone:_ BONDING COMPANY: Address: M Not Applicable Applicable 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 J 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 attornev hefnre worK or recoroing vour Notice Ot Owner STATE OF FLORIDA COUNTY OF.�., The forgoing instrument was acknowledged before me this _M day of N6Y 20a by Name of person making statement Personally Known " OR Produced Identification Type of Identification Produced '%=�' a %a[ (Signature of Notary Public -State of Florida ) Commission No. (Seal) REVIEWS COU ev. LASHAHNAINGRAM STATE OF FLORID COUNTY OF_.I.t.r_ e The forgoing instrument was acknowledged before me this O day of fill%( 2011 by Name o son makildg statement Personally Known OR Produced Identification Type of IdentICIc9tion Produced (Signature Notary aPublic- StatQ of Florida ) Commission No. •�•••., LASHA''fS6a)'PRAM •• e`�, Notary Public - Sta•c of r • ° ?My Comm Ex;,P _ e• PLANS REVIEW ATURTLE MANGROVE REVIEW REVIEW