HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr`
ALL APPLICABLE INFO MUST BE COMPLETED FJiR /�WNCATION TO BE ACCEPTED
/iBIVYIV ED
Date: Permit Number:
St. Lucie County
wain-,,.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982
V/
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: 'To Select from dropbox, click arrow at the end of line
Address:
ShQr�—t r7
Legal Description:-1hP,,
66imimotr1 P1 f rip P_i l i�`� / !� P., E3 i('& I K50
Property Tax ID #: y��� .`7Df '�� �I �i•� ` Lot No.
/
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'ln5�a 1 I -r-� Sli�irl j 91(��5 �r5
4 i'3. ., B �"' 3.,P"ro'f �t'rY.,.i.- F'k .3- fM" .T $ i- 3T`- 2 iT � - 4�. rim
CC!NSTRllCT€0[d1�IFDRMAiON" *a4�i;v F( "
y:,-. ae.n't..:. -.. ..x . Cam.:':-.. _.�.`uc,.:.-7'-, .�,_-,k-��. ;..xa�..�..� ....;ss.
Itiona worcto e e orme un ert ispermat c ec a apply: 1
11HVAC �GasTank []Gas Piping _Shutters llwiridows/Doors ~
Electric Plumbing E] Generator E Roof
` '[]Sprinklers
Total Sq. Ft of Construction: ?' " Sq. Ft. of First Floor:-, • -
Cost of Construction: $ Utilities: Ind Sewer OSeptic Building Height:
OW J1rR�3E55EEM„ Tr a
CON€T,RA t3R M
Name __ ..._.. - - "—"`-�-- `'
Name: -Steve -Mears-- - - -- - - -- -
Address: 1T�'r• `S - 6 H7
Company _Mears Construction,
City: a e Lt � _, '•L State:FL
Address „1d2 S F St :,. i
City�LakeWorth -State: FL
Zip Code: ayg57 ,..•_Fax -'"
Phone No.
Zip Code: 33460 Fax: 561-582-7505
E-Mail:
Phone b1p. 561-533-8700
Fill in fee simple Title Holder on next page (if different
E-Mail: - lifetimee,-teHi rs.net
State or County License: CGC1512843
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City:
Zip: Phon
FEE SIMPLE
Name:
Address:
City:
Zip:p:
_ Not Applicable
MORTGAGE COMPANY:
Name:.:
Address:
City
ZIP Phone:
BONDING COMPANY:
Name:
Address:
City: .
ZIP: Phone:
Not
_Not Applica
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 thegPanting ofthis -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 liner Nntire of r'n.,,..,o.,�.....,,.....
SX td ure of OwAgent/ see
Signature of Cont
ractor/Ucense Holder
STATE OF FLORIDA, / I SATE OF FLORIDA
COUNTY OF_ [.�/ COUNTY OF PeMaeam
The f r ling
ins ent was acknowledged efore me The fo ing inst ment was ack wledged�efcre
this draayyy oo�f�-� 20 by this day of , 20 J(by
Steve Mears
(N ame of person acknowledging) (Name of person acknowledging)
me
t�IBIIDLUIC UUFuidry ruonc-Mate or rlori I (Signature ootary Public -,State 6tfllo da )
Personally Known OR Produc Identification Personally Known x OR Prod d Identification
Type of Identification ProducedType of Identification' Produced
Commission No. ARY SE KEOWN Commission N
Y TERE E KEOWN
_ : •'i: MY COMMISSION # FF979043 _ MY COMN1 i .�
EXPIRES April 05, 2020 '•;a•
Revised 007/15/ '� eaPl"es AP • as, zo29
A''' ae-0153 Fbrkallola7Servke.wm (407)39a-0133 FbriCWge,ySanica,cmi
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