Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 a Permit Number: SCANNED By St. Lucie County EonMAR EIVED _. Building Permit Applicat1 2018 Planning and Development Services Building and Code Regulation Division nty, permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Residential PERMIT APPLICATION FOR: Address: 3/ r?l &St Ajas e� ��J > o.-f f iPir�, FG 3Y992 Legal Description: 6ie•7L T � j164 39� Io�,Z© Property Tax ID#:3�/%O2-6?a. ?� 11-ol -,2'00 Site Plan Name: /L "iL Al /.�117 Ssc 5 Project Name: k e Setbacks Front 12-3 Back: yam_ Right Side: / O Left Side:5le CONSTRUCTION INFORMATION:,,,, ., x Lot No. i 20 Block No. HUUI LIU[IdI WUIK LV WU PUE IUI ICU UFIUUF Lnu pef IIHL—LFICLK dil LndL dpply: _Mechanical Gas Tank• _ Gas Piping _Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4 Z60-OG Utilities: —Sewer _Septic Building Height: OWNER/LESSEE:.. , n e .. ,: n , -, .CONTRA R: Name NameAMW tipeyjq�e Address: ! 2S Company: w S w,e �'L� �r C City: fD h-7e2G State: Zip Code: OYSSZ Fax: Phone No. Addres :Z/il S rac m•f/i City: rP/Cy Zip Code: 39fY5 Phone No 7 �O -; -` S State Fax: /c E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) :l E-Mail iYfS Y�EYoi'JS . GJ/Yda.% �� State or County License 1510/9'0 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. :SUPPLEMENTAL CONSTRUCTION LIENgLA(INFQRMATIQN. r .x nc.a .�.. r .. .N `.. ... 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: 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commenging work D,r rQcording your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Slignature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOFSk. COUNTYOF 5�•LJ��2 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this !Zk,)i_ day of V(%4 C 20A by this � day oRv%ck -C 20—JA by �,(vSion"C (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida ) (Signature of Notaryublic-State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Ide Type of Identif a ion �-- Type of Identi w DEANNA MARIE GNENS Produced Produced Ic GiVENS DEANNA . - Commission NO. 6 • ."•.`''; MY �6ea1�SION#GG 022023 -'' EXPIRES: December 76, 2020 Commission N '± ', o'd Thru Notary PublifgLrs EXPIRES: December 16, 2020 'O •••o BondedThro NotarypubCcUndervmters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW R VIEW REVIEW REVIEW REVIEW REVIEW DATE p RECEIVED DATE COMPLETED Kev. r/Zuly