HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Nk
SCANNED PermitNumber:
BY
St. Lucie County RECEIVED
Building Permit Application SEP 12 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, ParmIrOng
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential g*"
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line,
'ENTEffl- SIDE N-10mma 'Iii
gg�
Address: R'C-s �( r) I Ur�'+ P (I A
Legal Description: (OCe.Cn V�4bQQP
PropertyTax]D#: iM -20S -003Y-Qoo-3 Lot No.
Site Plan Name: Block No.
Project Name: 1�
Setbacks Front Back: Right Side: Left Side:
122WIndows/paw
DRoof
Total Sq. Ft of Construction: S' Ft of First Floor:
Cost Of Construction: $ 1 aL3 �D .3 Utilities: SevverElSeptic Building Height:
U
,:R
.P
.A� REIMER=
Name hciny—ac Ce) dcz-a Othane-se- Name: aLa,?S � I
�1_ Qkic�j-,Slet—
Address:,'T 15 1 &J1. t4La V 191�q (jr;& tj Company::1--i-Go Qo i-Qe e,
City: �JJJJCjk.&5^� 1ELrnj State: F1 Address: % S Lf Lp 1 79 j�H (I
Zip Code: 3L(iq ct Fax: City: W a PC,. k State:
PhoneNo.(92[--) (40(1(1 Zip Code:ai_L:LL_a_ Fax: �KILI - !B-575%C/o-9
E-Mail: &!4 pLmk - Phone No. ;Q21- 'RSS-- �jc):5-a
Fill in fee simple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or County License:
it value of construction is $2SOO or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phon�.�
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ Phon—e:
BONDING COMPANY:
Name:
Address:
City:
ZIP: — Phone:
I certifV that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
—Not Applicable
St-LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rulei;bylaws or ana 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 rciorns 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
commencine work or rprnreiina untir �;
STATE OF FLORIDA STATE OF FLORIPA
COUNTYOF COUNTY OF --yc� Itenq &.A,- h
The f Ing inst J� Wtknowledged before me
thIsTdayof ru 20 ts!��y
rameof.person know...-,,,,.,
DAVID MCCREA
Notary Public - State of Florida
Cattimlillon I GG 211956
Personally Knowh — OR Produced Identification
Type of Identification Produced
Commission No._ (Seal)
Revised 07/15/2014
The forgoing instrument was acknowledgedbefore me
thisAclayof �ea. ITby
I . i2entas Flpad�
(Name or person acknowledging)
(Signa fNotaVubIlc-sta offloricla)
Personally Known Produced Identification
Type of Identification Produced
Commission No.
(Seal
ANG L YOUNG
MYCC-k1k'1SS1O1N#FF951G69
LXPIRES: Apm —12.2o�o
COF
50"- Th% N.W.Y
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
VEGETATION
SEATURTLE
MANGROVE
DATE—
REVIEW
RPELV�IINS/
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS