Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COlwrtic'TED FOR APPLICATION TO BE ACCEPTE:. ` Date: SCANNED Permit Number: BY L l Cip COUr1/ RECEIVED - — Building Permit Appikation FEB 14 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 I/ Phone: (772) 462-1553 Fax: (772) 462-15.78 Commercial /t Residential PERMITTYPE: PROPOSED INPROVEMENT LOCATIO : Address: 4mo IJ, A�\A Property Tax ID #: 5 1 Z Lot No. Site Plan Name: , L 5 k 60 S � A0 TY) l Q L V Block No. �� Project Name: C�5W �e �natrs J� �4aro_�e 1-1© d- ti—Z DETAILED DESCRIATION OF WORKS - r mou a.41-,— e 6 c- tv? 9 V Fn Ji gee CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer _Septic Building Height: Egg CONi"RACTORc Name Ct/elE'5 Name Name: 1t, ALWIT Address: 6CO A . .4 14 Companya_, . zvies i 7 " City: I~% i'tE��aa�_�..�C�..... State: HL. 'u, Address: .11[.cl,�`�`©�/Jp &Vit �1 Q-3 City'.' JL&!o r3rCL .X Stater ZipCode3 g' x''G= s; cF ,�_` Phone No Zip 646; _' (O 0"Fax: � E-Mall: `_ : °� ') to PV✓ ,<l • CD Phone No 533--CAM (,o Fill in fee simple Title Holder on next page (if different cJ{i7a E-Mail h(40— T, -A.CA _GA00in State or County License OerC from the Owner listed above) If value of construction-is,$2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. M M. CEMENT L CONS TiRU I IMEN1LA 1NFORMq ION:: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: 1 FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 fof any restrictiops 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. Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/Licensb Holder STATE OF FLORIDA / STATE OF FLOR�D/�1 - COUNTY OF F. LLG Cam, 2 COUNTY OF W LU CAL *4� '` The forgoing instrgmens was acknowledge efore me 3 The fo�-r��oing instriunent was acknowledge before me V-E�h this day of vu 20 by this 1 day of 20 by &'� ct,rA. '-kt -Fm� " - Uye, W Name of person making statement. Name of person making statement. Personally Known _�R Produced Identification Personally Known L/ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signs u e of Notary,E-W-W� (Signature o Notary Public-Stateof Florida JULIE ARR'7Notary Pug1ic-jjtate of FlocCom ' sion No. Commiks�@@ )GG2432•2. { Commission No. Comm. Expires Sep 29.20Rlchertl POW SMy e L KIm03 Jr ed through National Notar, A»+. pR roe 05r Art0E0 REVIEWS FRONT ZONING SUPERVISOR PLANS VEG ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev.9726/16 All APPLICABLE INFO MUST BE COMritTED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Legal Description: Permit Number: Building Permit Appl PFCfiIVFO C iT I „n FP d i p018 County Amrrnittin `,�9 Commercial Residential Property Tax ID #:� - �j/ j��j) Lot No. /S9 Site Plan Name: V / 614L) �j /1 G/n STD �y�� Block No. Project Name: Setbacks Front Back: Right Side: LeftSide: -_..__...-_-_,......."". unuc, uJoNcuiul.-LIICCKall EnaEapply: _Mechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Cost of Construction: $ _ � OvQ ,e-0 Sq. Ft. of First Floor: - Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: Address: D City: A e rr0 State: 7-L- Zip Code: .3 fri'FCL Fax:'772-r,I,�-43r�1) Phone No.27 7-$70�- �y53s3 E-Mail: 1r11Sr'i' S rA) D�! i, rim /� Gutvi Fill in fee simple Title Holder on next page (if different from the Owner listed above) 5 K Address: �vi7v[Low,o� 61- joI City: State: X Zip code: `77 3 D L Fax: -C?03Y Phone No 927`7079&7&-910-Y99 -$-7?rJ E-Mai1 hJ�rV-e&x.e D-(--Q t--e A-1 Car- 4— State or County Licensees (a if (. to �L-7 f value of construction is 2500 or more, a RECORDED Notice of Commencement is Name: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: Zip: MORTGAGE COMPANY: Not Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: r7E, 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 Assoaation 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, 1 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, accessorystructures, 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 thejobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of rnrr monrory e Signature o1O7/n erTLessee/Contractor as Agent for Owner STATE OF FLORIQA COUNTY OF The forgoing instrument was acknowledged before me this 1.23- day of i ZO�by P,;(A:�-ic �1 1�-)rn C� (Name oerson acknowledging) of Notary Public -$fate of Personally Known OR Produced Identification Type of Identification - Produced Y° e : M. NEA.MERCMO Commission No * * MYCOMMISS1011IFF149788 y P` EXPAW&hust 11, 2818 __ +rE�Rpw Bmtl�OTNuHodgiHUtsySwi.es of Contractor/License Holder STATE OF F69RIE,h tAottlt Cayoliyto, COUNTY OF_New N oytpy pa, The forgoing instrument was acknowledged before me this 15— day of 1 u20 V9 by State of Personally Known OR Produced Id�wtl%..V.11 i{°,,,, Type of Identification ,�° tt-�t Produced _n\COL `� 1 5ssionJ F�� Commission No. �`'�_ � a :�s�IZo O TA REVIEWS CO NTER 1 ROEVIEW I S REVIEW I PLANS REVIEW I V GETATION I S REVIEW