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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE C011drmc(ED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: SCANNED e,< ey C St, facie County Building Permit Ap' licatioruG 16 2018 Planning and Development Services Building and Code Regulation Division Permitting Depart:FL 2300 Virginia Avenue,, Fort Pierce FL 34992 St, u c) e County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR:v�lt� P � ©tN � • Addres 5. F+.pi2vcC (nV)6rt1X iDVi 4�1't mcks Udvinam .319 E Y aw4 1261. 1 i. p iNyc6 FI- 349$1 Legal escription: Iyidiav) R1JCY ES}q}�S UVui% (14 311c 38- Lo}S l°t avid20 rn� PropertyTaxlD#: b(%;-00 1Lot No. A ckyiaa o Site Plan Name: 99a; S, F+Y\1eyCe Cgsl rCaCAUV% 30—V\J6A-- WA"'OsSQS Block No... 38 Project Name: Setbacks Front 10` Back: ODD ` Right Side: �IS' LeftSide: , �� � CR PTI• W • Icit0-o' SecMinvu 01 rom,lrat VIAL IAIM �CpT 1nj��� 5i1 2 S00 ipSi COViCYQ-�P I In% l•�T QVJ1nP�C�� Additiona wor to a pe orme un er t is permit— cheCK all tat apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing —Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 30(J 50. Sq. Ft. of First Floor: Cost of Construction: $ 4120 0.00 Utilities: _Sewer _Septic Building Height: Name 0 4.Pi VC a Oyi �k SName:�nVlln Coo Address: 3 18 E k dwOt Company: 15lw clivicygAe-A0 L C. City: F+.P,e,rcQ- State:fL Address:11or1 Al city: P64 Sk . U C- �1 State:-LL— Zip Code: S 4 P1$ I Fax: Phone No. 112' 9 91 U 0 2 Zip Code: 2. C4 $Zj Fax: E-Mail: Phone No Fill in fee simple Title Holder bn next page (if different E-Mail State or County License from the Owner listed above If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: City: Zip: Phone: BONDING COMPANY: _Not Applicable Address: City: 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 commencing work or recording your Notice of Commencement. S nature of Owner/ Lessee/Contractor as Agent fo wne Sig at of Contractor/License Holder STATE OF FLORID e <o STATE OF FLORID COUNTY OF _ COUNTY OF The fo going instruAent Was acknowledged before COL-y 1 SLL�p'7 The for ding instruwf nt was acknowledged befo d this day of 120 by s this day of 20 by N m 1�_ _, oMW N m of person making statement. y..... Name of person making statement- €'..:. t Personally Personally Known OR Produced Identificat Personally Known ( OR Produced Identifi Lai, 4atw Type of Identification Type of Identification Produced Produced (Signature of N ryublic- State of Florida V (Signature of Notky Public- State Florida) V— of Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Hev. B/L/1/