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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO nm IST BE COMPLETED FOR APPLICATION 7O 13 4CCEPTEID Date: 41A 1-0l8 SCANNED Permit Number: [ BY St. Lucie County Building Permit Application Permitting Departmen St. Lucie County, FL Residential r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial LEIVED APR 2 3 2018 • III . • •• •iiiiiiliii- ! • • • • • � u • p • _ L� � • ,m • , � - �!Vt� �?;e!ist°ersx{l'&t•i�Y•i.:.r 4 Address: IDUtS_') Legal Description: FL a , Oa FT N pt SEG W*1 T t1 I,W5.1-1 `-T N\'L. ' Prop€ yTax ID #:1L404rL4H9,_ =03 Gee)—n Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: STA%V-- I NSTRL.L - v i zeizi ,L.F1s-s o-W q a d 4resscs CONSTRUCTION INFORMATION: :. itiona wor to e e orme under 1]HVAC Gas Tank this permit- cneCK Gas Piping all apply: _ Shutters Windows/Doors 11 Electric � Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ q-1 0 Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: TOR: Name kTLANTIC 4 irm PN\NN L-t-G \IQXI t-A WP,Q,UP�I' Sr. Address:�L1(pr�l, N US tlM 1 Company: 'Ey-o��3 7Address:101P% bufAQ� City: FoR-T 1PtMc,15 State: r_L- ZipCode: 34441a-F3g7 Fax: Phone No. Se Q.W0.0 1Dr;V(, Pierre.. Zip Code: SHC15 7 Phone No. 1 1 a- 3,1 O_ State: FL Fax: o30q E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: rPOA�ika Pao( . com State or County License: C&%C, 15o54go It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. SCJ#�PLE Il�Ea1 A C }�} F i�h4 � N f A fll�ff •ie l?,VUJAl4Ft 4�F � N33i "VAN ice � DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Name: _ Not Applicable Address: City: State: Zip: Phone Address: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFF16VIT: 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, swimmibg 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 i Ion. If you intend to obtain financing, consult with lender or an attorney before commenci ork o�ecordina your Notice of Commencement. -Signature ner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5Z- l cJG I`e COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this `a_. day ofFe'�-20i9 by this _ day of .20 by Name of perso aking statement Name of person making statement Personally Known VOR Produced Identification Personally Known OR Produced Identification Type of � Identification 00DRY pryrrri/''/' Identification Type of Produced S5\ON EYPjy M. Produced Z 19,10�y sir _ C •o` (Signature of Notary Public- State of Flo jd�? c�� (Signature of Notary Public- State of Florida ) '� �� .: Commission No. aDl'7Sa ,��:;�:•j��o.`� Commission No. (Seal) PUBLIC REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1 DATE clip COMPLETED Rev. 8/2/17 "SUPPLEMENTAL CONSTRUCTION-CIEN LAW INFORMATION ... 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 i ion. If you intend to obtain financing, consult with lender or an attorney before commenci ork o ecording your Notice of Commencement. fgriature . wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ATE OF FLORIDA STATE OF FLSpRR DA COUNTYOF CJGI`� COUNTY OF The forgoing instrument was acknowledged before me The fo jtling instrument was acknowledged before me this_dayof Fzf3(L�NI/ 20 by this°fdayof M1_— 2011 Jrby S�eye A M- 14A?4 iza,- Name of perso aking statement Name of person making statement Personally Known V OR Produced Identification Personally Known OR Produced Identification Type of rrrrr�i�� NDRy er�iration Producedentificationeo ``\`p�`1 .... Produced (Signature of Notary Public- State of Flo jd? �� L0� sa?� (Signature of Notary Public- State of Florida ) Commission No. 1 s0 o�`� aOl �� ••:r:!w :•jp1`��`` Cassandra F Tolbert Commil�nytPor6lio.StateofFlorida (Seal) IUUC 5 \P` looCommission My commission Expires 08110/2o18 III No. FF 149a2a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17