HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 1 �-
BY RECEIVED
e St. Lucie County
•- ��'�
Buildig nPermit Application AUG 202018
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 X
PERMIT APPLICATION FOR: Roof
ST. Lucie County, permitting
Residential
PROPOSED IMPROVEMENT LOCATION: III
Address: uIvu,
Legal Description:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: Beach Gazebo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace old cedar shakes with new standing seam on beach gazebo building only.
61-2Ne bb Grip:/' �0 bee4 C61 0L/er- f7LYii/-wcc/
CONSTRUCTION INFORMATION: III
0HVAC L]GasTank
11Electric 0 Plumbing
Total Sq. Ft of Construction: 500
Cost of Construction: $ 9,200
Piping LJShutters Windows/Doors
nklers ElGenerator ✓Z Roof 6/12
S Ft. of First Floor: _
UtilitiesSewer Septic
Building Height: 10,
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name 7f&Id (n„Jvn,;,,. E}G�ecs/a
Name: OSep ny er
Address.ceanD
Company* Seaside Hooling, Inc.
Jensen k3eaCh State:
City: _
34957
Zip Code: Fax:
Phone No.
ac ames r., unit
Address:
City: StuartState:
34991 283--9421
Zip Code: Fax:
phone No�
E-Mail: hu c IS c U ao .cam
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
E-Mail: joe(V seas) eroo Ing.ne
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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 i9pspection. I�you ir�nd to obtain financing, consult wit lender oren attoyney before
commencias vtiYrk or recor�9inev6Gr Notice of Commencemerti� 1 .1 /
: F ORIDA,
�� �r1/ r ro
The forgoing instrument was acknowledged before me
this -11_ day of /41r rT 20 It
(Name of pers acknowledging)
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No t) 7 YZ �.OR f hfie State of Florida
*.A GieaM E Notl
Revised 07/15/2014 ^
OF FLORID/K /
ry OF
The forgoing instrument was acknowledged before me
this a day of �s , 20 -U by
I & co-rh L.-V, S , inf
(Name of person knowledging )
(Signa ut re of Notary Public -State of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
No.
Notary Public State of Fiaida
Gre90tY E Noll
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ZONING
SUPERVISOR
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MANGROVE
COUNTER
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DATE
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INITIALS
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