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Home My WebLink AboutBUILDING PERMIT APPLICATION6111 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: SC AN Permit Number: I U_ R� ® St. Lucie County p gU�Fo Building Permit Application S,, o;? Planning and Development Services CpePID 919 Building and Code Regulation Division co , 2300 Virginia Avenue, Fort Pierce FL 34982 o4ry 01)1- Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Window/door n 1-PROPOSED IMPROVEMENT LOCATION:' - 11 . , ` ' I Address: /0 108_0 S, OCeAN >DT\1V-e_ GlNtT 90!� SO="I AA t eaA.1�� Legal Description: \3XO,r\c\ Gres} Qpq(-,,- LAnoli Spar rr� Cocti.�on Ue mere\S og y\20 • \uS5 PropertyTax lD q: Lot No. Site Plan Name: Block Block No. Project Name: 1 SbA/i cl ereS'fi Setbacks Front Back: Right Side: Left Side: 0ETAI1•ED`DESCRIPTION OF WORk. -` iN� IR.SS IDOVr-,$ Si N5G4 �in/5 W \rN dull CONSTRU.CTIONIN FORMATION:- rtiona wor to a erorme un ert ispermit-c ec a appyi OHVAC1:1 Gas Tank ❑Gas Piping Windows/Doors 11 Electric 0 Plumbing Sprinklers _Shutters Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ GLk . Cf� Utilities: Sewer ESeptic Building Height: OWNER/LESSEE:' CONTRACTOR; Name - A p'.5 r K Name: Justin Thiery Address: Ib Ei 1yl¢ Company: Island Kitchen and Bath City: Do�g \\2 . UJi State: Lot Zip Code: SSS33 Fax: Phone No. Address: 10875 S. Ocean Drive City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-237-7348 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: jthieryikb@gmail.com - nblaszkaikb@gmail.com State or County License: CBC1259508 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: I Name: _ Not Applicable MORTGAGE COMPANY: Name: Justin'[iery _ Not Applicable Address: Address: City: I Zip: Phone I I State: City: Jensen Been Zip: Phone: State: - FEE SIMPLE TITLE HOLDER: Name: I _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: 10875 S. ocean Dme I Address: Zip: Phone: I I 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 installatiohas 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 yourlHome Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of }his requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved p ans, 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 polols, 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 prope'rty.-A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. iflyou intend to obtain financing, co ' h lender or an attorney before commencine work or recordinla intend Notice of Commencem -Signature of Owner/Lessee/Contractor as Agent for Owner S' nature Co ctor ' ense Holder STATE OF FLORIDA E OF FLORIDA COUNTY OF Se was COUNTY OF st �e The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me this day of t(iu�`, l 20a by this \ day of 20L by `!� A'10..C-eT R'-ellC\r"1h . y,Cr— Justin Thiery Name of person makinglstatement Name of person making statement Personally Known OR P'{oduced Identification x Personally Known x OR Produced Identification Type of Identification I Type of Identification Produced odwm tkonse I Produced (Signal re of Lary B Iic- S t�ar of Florida } (' nat a ota ublic- ate ofFlorida} / ive - RAAZ ae"M ,a MICHAEL RAM ISSION # FF 904140 ae}; Commission No. :a4� (�sse� II��I1ICHAEL Commission No. " f� �4j� 28,2019 *104"MiSSIONItFF904140 EXPIRES:July p^�r EXPIRES: July 28, 2019 'F °�<rEorn � Boodedlhru SudgetNotary SonioS yea° Bondedlhm BudgelNonrySerikes REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED • DATE I Q Q COMPLETED lJ CJ Rev.B/2/17