HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L �'�p 4 SCANNED Permit Number: I 1 I
BY RECEIVED
• St. Lucie County
Building Permit Application APR 2 6 2918
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X— Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address: "5a0 O AF�,f� p;-2 r sLc
Legal Description: eI ASQ2 a -A • o Lr Le�L �?-3 0,0"Sr
Property Tax ID#:�5/�%03- :SZ/-000/— C00-
Site Plan Name: Me j�Seia • (U —
Project Name: L5A-S 7- a lt/EST oi!ap&6D k2ul)
Setbacks Front.3r AR007 Back: RiehtSide:
Lot No.
Block No.
it
DETAILED DESCRIPTION OF WORK:
lok,a:5f CEtl±�
9V z6 V4V sqrt 4
CONSTRUCTION INFORMATION: 2-&& -S �or>►c / oN �7+sT spot /o mar voE �i4't
Additional work to e orme under t—checkispermit a apply:
11HVAC M Gas Tank ❑Gas Piping utters ❑ Windows/Doors
_Sh
Electric Plumbing Sprinklers Generator Roof Roof pitch
I/ �r
Total Sq. Ft of Construction: r2.Z X M /-Z/Lf S Ft. of First Floor:
a
Cost of Construction:$ 2S. U�°O 7 J Utilities: _SewerE]Septic BuildingHeight:�
OWNER/LESSEE:
CONTRACTOR: A
Name o
Name: L
AddressQ. <
City: 'f Stater
Zip Code3 9�2 Fax: 7 74 5145 97
Phone No. 77A - 21tr0
Company: SoA
Address:'7348 ifo it QZCC4� GauE
City: yr. AcneE State:_a.
Zip Code: 349s1 Fax: 772 41aG 2so[-
Phone No. 772 &5 2- 4475
E-Mail: /$LCI^/1Q pft
Fill in fee simple Title 'on on next page ( if different
from the Owner listed above) A/�*
E-Mail: SCo7r. KR Aurti1 0 PSS='. CDm
State or County License: (:5CL OG o 47i
IT value Oi consfrncclorl 15 ubuu or more, a KLLUKUGU Notice of commencement is required.
.1
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I I
City:
Zip:_
MORTGAGE COMPANY: V Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: 4!Not Applicable
Address: Address:
City: City:_
Zip: Phone: I Zip:_
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.
no
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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, consl.t with lender or an attorney before
commencine work or recording our Notice of Commencement.
ignature of Owner/ ess e/ ontractor as Agent or Owner
Sign u ctor/License Holder
STATE OF FLORIDA
ST TE OF FLORIDA
COUNTY OF Si- wr')E
C UNTY OF ST: LtelCJ
The fon ng instrument was acknowledged before me
The forgoing instrument was acknowledged before me
ZS 4p.?jL
t�hisj2_0 day of Q PRr - 20 r8 by
this day of 20 it? by
V JLLIAM + (1J+ARill-40 IG NE150N
/.TALQU4✓
Name of person making statement
Name of pl�rson rpaking statement
Personally Known OR Produced Identification ✓
Personally Known ✓ OR Pro c d e t' i a '
Type of Identification
F
Type of Identification t Fbdde
Produced o Notary Pub90
Produ d DL
oy+�W, Notary Public Stale or Florida
`F Gregory S Kraunt
raumState
ory S Kraum
+�, ` My Commission FF 232514
/^./ ///fff
` My Commission FF 2325 44
/ ?cr ao�P Expireso5119no19
nlo�p. Expires 0511912019
f Notary Pu e o i a
(' u of Notary Public- State of Florida )
Commission No. FF 232s14 (Seal)
Commission No.rF 232S)4 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
R
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
66
COMPLETED
Rev.8/2/17