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Home My WebLink AboutBUILDING PERMIT APPLICATIONe ,� r 1� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'7"� SCANNED Permit Number: BY 5 - -, _ = St. Lucie County t=-7 Building Permit Application 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 ( Re JUN 07 2018 Permitting Departmer ,4�-4ucie County, FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED. IMPROVEMENT LOCATION: Address: t2 ! 6 ( !vUkG 117 (`t l t t �� C-7G Legal: Description: -761Nev �fw i[uti CO,Z ' a �t@int', 1 to // �k✓nsG�: 3'F Property Tax ID #: 70� — ��`-t \090�®n , 000 e48, Site Plan Name: OC€A(V C7�Y Project Name: fi \ CL — w Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED -DESCRIPTION OF WORK:, X CONSTRUCTION INFORMATION:' iv { _- 'm M`; _V_ -;,2 A l0,7w, rz UHVAC L,(GasTank UGasPi Electric 0 Plumbing [:]Sprinl Total Sq. Ft of Construction: Cost of Construction: $ 7 ng LJ Shutters !rs 11Generator S Ft. of First Floor: _ Utilities:11 Sewer 0 Septic aWindows/Doors QRoof = Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR:' NameOBGaN 4 CaaDrxliulult - Name: Company: ETEI� _ N!N / �S ,41 Address• j 02O� G City: V�O V*C�/ - State: E/J Addre s: 060 NAJ NC'Qa/�S L City: � Zt. 4&C1E State: )C7L Zip Code: 32Y60 Fax: Phone No. 172 " 5-% 9, S Zip Code: Phone No. 772- 926 Fax: 772 M6 9So / 95tY7 E-Mail: 772,— 56? — q300-J Fill in fee simple Title Holder on next page ( if different E-Mail: h2 Ovc�wnrn her` from the Owner listed above) State or County License: It value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. f � C --> �' owe, t,�,. _��a,d,°az.. � �c-�o�.��,� ®r l©�'— 2©6'9 - f �i SUPPkEMENTAL COfdSTRUCTtON LIEN tAW tNFORMATf(JN >> d w DESIGNER/ENGINEER: _ Name: - 14L�E L 04 Address: 8 ' lit/ 81 D Not Applicable = &W- MORTGAGE COMPANY: Name: _ Not Applicable Address: City: Zip: Phone 'I- X - State: " L 17ov5- so 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. Inconsideration 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. It you intend to obtains financing, consult With fender Oran attorneybefore commencing work or recording vour Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent �•rvn;§Zr signature of Contractor/License Holder `. STATE OFfLORIDA STATE OF FLORIDA o COUNTY OF a X` = COUNTY OF a x� m m x The forgong inst entwas cknowledged befor 3 m The forgoing inst m t was acknowledge for NN m this o 20� by 4 �g this of 20i O�b/yyy w z j/day / A Jy��{d-ay Name of person making statement �N !� Name ofpersoamakingstatement �N Personally Known OR Produced Identificat Personally Known OR Produced Ident(ficab Type of Identrf' i tion Type of I nti i io Produced Produced ( . ;Signature*Public- State ofFlorida ) 151gnatureof ry Public- State of Florida ) v Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1 )0 DATE COMPLETED Rev. 8/2/17