The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABBLE INFO MUST BE COMPLL.�, FOR APPLICATION TO BE ACCEPTED Date: 1p'SNA SCANNED Permit Number: `: J �1 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 BY St. Lucie County Building Permit Commercial V PERMIT APPLICATION FOR: Address: OCT 25 2018 County, Residential �/ Legal Description: u,wA O n0 : CD_c196w.10,,,vuk IA 0 it- to* Property ax ID #: 3535 - 6v 1 (pol- ©o d - S Lot No. Site Plan Name: Block No. Project Name: Setbacks Fr Back: Right Side: Left Side: �141echanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 5',coo Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ��G av , G(' IC (+ Name �f'. A—S 'Vod�S. Address:. `. 875�' 'S ocju Company (lNbu]afGl 4 P: City:�Q n 'tKPib�: -_ .: State: Address:.-_ I't(� r :r W/5 Yv C --...� City: �f'nS�t 'i�P� Stater Zip Code:�S�' Fax: Phone No. 5'b 7- 2 y$'�ls^SL Zip Code: C[ Fax: Phone No cr►- —Cfg7s z E-Mail: diO dS Co�-o 0-,im 442a fcyg Fill in fee simple Title Holder on next page (if different _2L( E-Mail C c ✓a)c)85 Cyr r. 2 State or County License P C-(C'(s19q 2J, from the, wner listed- above) If value of coristryction is 2500 or more, a RECORDED Notice of Commencement is required. n DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: SUPPLEMENT L CONSTR ION LIEN LAW INFORMATION: 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 attorney before commencingk or re n our Notice of Commencement. L 1, 0, V��_ — ev. Signature of Owner/ Lessee/Co tractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA s'F �CS� STATE OF FLORIDA S�' 1u.Ci2 COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 'ifday of B�o6P/ . 20� by this�day of c�lbfOti2/ , 20J� by <-�ns't'oP�nA.t' Wao�S G�f.s�si-r WooAS Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification 3zo ` f17'Od l- 306'0 Type of IdentifiS�tion 'Produced 117'45t-3o L ' f7 Produced V (Signature of Notary Public- State of Florida) -- (Signature of Nota �ecry ENS' Commission No. bl`4(�MtONpWE�'o2s ,�•,DmMleeloNN13R,.„ 9t782� t }�•"•' ` �k'��•n�.s i ommission No. � abet 18,2020 it E�pUyE8;0 �� qmy�g(h: 's,L .. ��,' p(PIRES:��Elinden+�te Yj��i REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED (f DATE COMPLETED