Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETE OR APPLICATION TO BE ACCEPTED 87 I� b Date: -a4 SCANNED Permit Number: �1 \a - BY St. Lucie County t,s' - --- Building Permit Applicati l DEC 2 6 2011 Planning and Development Services Building and Code Regulation Division BY: ....................... 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: 'L\ `� , L PROPOSED INPR(QAEMENT LOCATION: Address:_ /00 OlPfq R[% V'Z• J cke f�c�racLiy rgps-'> Legal Description: P(a.A Property Tax ID#: 35aa a31 ���- a0�-q Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED ©ESCRIPTION OF WORK: V MOT (,2414i w (57Q T- �.2 �m l a���s. -f-� r � ,� f 0o..afe � CONSTRUCTION INFORMATION: Additionalwor to a performed un ert Is permit-c ec all that apply: _Mechanical _Gas Tank -` Ga'sPiping _Shutters _'Windows/Doors_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Y ci 0% o co Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name f�C st�v r�e4 �i Name: nib 4 lq %i JP Cdl Address:_ /0 Company: n 1g2c -(- T%IP(Mkfi LC L Address: 420 s.is eldoOi��V City: L7 State:JL City: .ST = 4,2i State:F (_ Zip Code: Fax: Phone No. Zip Code: T fl 4 y' f/ Fax: E-Mail: Phoge � No 0a -47>- 23 9 Fill in fee simple Title Holder on next page ( if different SN � E-Mail (" -,p t c cAI j_let'L%R i t vnn State or County License "?899a from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUf.PLIE MENTAL GONS RON LI N LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 rooriis and accessoryuses 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 commencine work or recordine vour Notice of Commencement. Signat - Owner/ Les ontractor as gent for Owner Signature of C ctor/Lice er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sk_ Lut;°C COUNTYOF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this',kc, dayof I)¢c. 20a by thi . day of pe.c 201 by Q.w.n ti O��JeCfo. ��v.�f ®1 �yeACe. (Name of persoh acknowledging) (Name of person acknowledging ) (Signature of Notary P lic-State of Florida) (Signature of Notary blic-State of Florida ) Personally Known OR Produced Identification Personally Known OR Produ Type of Identification NS Type of Identificati g�r,a pJNNpMARIE GNEN 022023 Produced— Lr EG � 3 .7 PfOdUted� •'�:• R : 16nde GG �y �c WA1 �2p EXFIRFS .Decemcer PubT¢Undeondters � Eta -'..'•.. NYic�Np�pubt, UpdeNm{ers Commission No. > COmmI5510n N0. : ondedilwNo iai : - gondedJW . ,oe2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.