HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP«atD FOR APPLICATION TO BE, ACCEPTED
Date: �•9 �SCANNED Permit Number:
pG BY
St. Lucie County CER E VI ED
Building Permit -Application _'` MAY 0 9 2()18
Planning and Development l.. `w 1 lopmentServices(� f _ I • . -t
Building and Code Regulation Division No eQLL1 r� ST. Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462=1553 Fax: (772) 462-1578 Commercial xxx' Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATIONS
Address: 1 Lake Vista'Trail;Port St Lucie FL 34952
Legal Description: Vista St L'uaie Condo Association
22 36 40 FROM NE COR OF SEC RUN N 89 DEG 52 MIN 00 SEC, lW"�ALG N SEC LI 1125 FT, T ...
Property Tax ID #: 3LI22' 660• 1�6�� i�11' i� Lot No. 13
Site Plan Name; Block No. 1
Project Name:
Setbacks Front Back: Right Side: Left Side:
L DETAILED DESCRIPTION OF WORK: -
Plans and materials attached for four areas (phase 1-4).
5 (-ElUtnI A,,,n laton2� •r�-t�'' Rro,,,.ol on ( �v,.•.P
�O ,oc>3 (7� STncKr.e7¢ 1Cnce gfo✓^ SJJM{>+a/' c.Sz i
I�3J lo' h�gti wood St naew 6aux cro J �� sryar." Q °� j'rrne
Z. c a C kw, / 1 1 n K Pen e q an e,.&•t ' Pv'P � 4T
CONSTRUCTION"1'NFORMATION; ,;
a"mtmnni wnry to h a na nnrmP I ii nriart Ic narmlt— rhork =11 that ann v -
E]HVAC - EjGa'sYanl(
Gas Piping
UShutters
❑
Windows/Doors
Electric
Plumbing
Sprinklers
Generator
El
Roof Roof pitch
Total Sq. Ft of Construction:
- .,,.,,,.;
Sq. Ft.'of First Floor:
,, 1n .•:
Utilities: —Sewerr�yS
Costof-Connosrtr,u_ cti.o. nL:,$,,.
eJiti•c1,I,,c,.I<v1B,.., ild_•i"n, Hi:•h�t\',- '
i�~5 ,r
OWNER/LESSEE s
_� s _` _
CONTRACTORsc Fsst wr. _
_r�5
Name Vista St Luae Assoaatiori
Name: Jay R Cash. ,� - ,,,,, C:,•:Y', . _ , ;
Address: 30A'Lake_ Vista,Trail"
'-;, -:::`' -- ;ni=
Company: Fences By Cash, LLC
City: Port St Lucie
Zip Code: 34952 _ Fax:
Phone No. 7� —'__
State: FL
3 a'
Address: 1500 SE Royal Green Circle, A207
City: PortSt Lucie State: FL
Zip Code:'34952 Fax:
Phone No. 772-213-9668. _
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: kcashl966@comcast:net
State or County License:' County #30620
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONST
ION LIEN LAW INFORMATION.
DESIGNER/ENGINEER:
Name:4uw4w_-�n
Not Applicable
MORTGAGE COMPANY:
Name: mr-R-ear
-4 Not Applicable
Address: _bttA�
Address: WALakAiaaa:Lmi
City: Potrsmmcie
Zip: Phone
State:
City: Parrsmacm
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
rnmmpnrino wnrk nr rprnrdinp vour Notice of Commencement.
Signature 0 er/ Lessee/Contractor as Agent for Owner
Signature C ctor icense Holder
p a
O {M<D
STATE OF-
STATE O
COUNTY OF LKk�NT
COUNTY OF F_UhiiUT
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this R da of Ale--1 2018 by
this _ day of M/J (� 201Z by
Q \�
Name of n 'making statement
Name ofperson m g statement
Personally Known OR Produced Identification
Personally Knownp� OR Produced Identification
Type of I,.¢tication
Type of Identification
Produ'1A "'"•.
Produced
,•'�O \ , I j�' :_ CHRISTOPHER A. BRYAN
1: :�/G• '_ NOTARY PUBLIC
�,.yf rAL S±''
a'O.�\� Ij'�s
�1 CHRISTOPHE BRYAN
'tie
FC1R THE
u61ic-QORdSIPIIO
lKIPP
(Sig?at ai4-3taHE
-=F My Commissioq Ex�ires�' y 27, 2 I
C1
Com�isSF'" STATE O�pp�10ommissl'on`cpires
` 'N `�',;
w.,
July 27, 2020
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DATE
COMPLETED
Rev.8/2/17