HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.I'�1^i ��V6CANNED Permit.Number.
St. Lucie County .: RECEIVED'
Bu
ilding Permit Application .
Planning and Development Services
NOV 0 5'2018
Building.and Code Regulation Division - ;ST: Lucie County; permitting
.. 2300 Virginia Avenue, Fort Pierce FL 34982' - - _
Phone:;(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION ,FOR:. To Select from dropbox, click arrow at the end of.line OR e dbWic4L
PROPOSED IMPROVEMENT LOCATION:
3a' soJ 2s sv��"I Address:...
:Legal Description:: o*e e?
Property Tax lD#:-Z1V4o-.4%3'100br-40o"$ Lot No.
Site Plan Name: Block No:' .
.Protect Name: Fr. �?ttOZe_e ranT*<TidoJ
Setbacks 'Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION• INFORMATION:
ona worK to. e e
QHVAC �' j
orme ' un
Gas Tank
ert is —checkperms.
Gas Pi in ..
❑ ,
a app
Shutters'
;�. Windows/Doors,."
. LJ'
p g
.
U. Electric Plumb in' g,
S tinklers
Generator .:
.
Roof : Roof itch
P
Total So. Ft of Construction..'..'
i'
S Ft. of First Floor:
,.
Li
...
Cost of Construction:-$ '!, -
Utilities..
Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
.Name o IGRGEA..
..;. .. ;•:'
,.Name:
.. ':iJC•C�'r.:.,r,. ..
Address:
Company; G'. So I
City: Coeoal L- T- Cur QG State-
Zip Code: 32'0-fl Fax:
Phone No:
: Address: 'S206. iV.-
City: DO l2AL
Zip Code:.3,3 /% Fax: of--' 6Z
7—
Phone. No.(39;F� E3 ITn
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listedabove)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —�y'-- Nnno�tt Applicable
MORTGAGE COMPANY Not:Applicable
Name: •7,�e�' W • lUaiL��lcrxx.
Name
Address:' w. u
Address:
City: S� r N' :' State" fir::
City: State:.
Zip.::42 ''Phone �i2- : �Ta
Zi•p: , Plio,ne:
FEE SIMPLE TITLEHOLDER:: .'_Not Applicable
BONDING COMPANY:; Not Applicable' `
Name: :..' . •
Name:
Address:::
Address:.
City: ; :
City:
Zip:: Phone:Zipf
P.hone:-
OWNER/ ' CONTRACTOR AFFIDVIT: Application is hereby made to obtaina'permrt.to do:tne work an'd 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 perrriitholder'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, do hereby:agree that I.will; in all respects, perform the work . "
in'iccordance with the approved'plaris, the;Fl.orida Building Codes.aridSt. Lucie County.Aniegdments. . • '"
The following building permit'applicatioris are exempt from undergoing a full concurrency review: room additions,,'•' '
' accessory structures, swimming pools fences, walls o signs,:screen:roms and accessory uses to another non-residential use
WARNING'TO OWNER .Your fallure4o.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 :. ..:
the first' inspection. If:y'ou ihtend.to:obtain financing, con'sult,with.lender or an attorney before
comme i wr'o co in our Notice of Commencement.NN
T.
Signature of Owner/ Lessee/Contractor as.Agent for Owner,
Rev.;B/2/17
Signa u— t�tractor/License Holder '
STATE OF FLO A
STATE OF FLORIDA '
COUNTY OF ('„�.
��
COUNTY OF /',/�1I�•i%i�/i�
Th orgoing ins um nt was acknowledged b fore me
thi•dayo�C�(�n�L20�y
' The forgoing instrument was acknowledged before me
ALL APPLICABLE INFO MUST BE COMPLETED FOR
APPLICATION TO BE ACCEPTED
Date: l� `�iCaQQ) Permit Number:
1 RECEIVED
Building Permit Application NOV 0 5 2018
Planning and Development Services
Buitding and code Regulation Division / ST. Lucie County, Permitting
29oo vlrginia Avenue, Fort Pierce FL 34982 _ v/�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Me
Address:
Legal Description:
Property Tax ID #: ,,Z r1P�" �x - oGbr — 00S Lot No.
Site Plan Name: Block No,
Project Name: "fir t�4E' r'S'�+� 1 ee0
Setbacks Front Back: Right Side: Left Side:
:TWsntr- F6w9- C,t-)/NC-W L"A-'yn•i�-- 015p�
jormea 0naer Ems perrnu—u
Gas Tank E]Gas Piping
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ fiQ�y
�rr-r
Shutters ❑Windows/Doors
Generator ® Roof = Roof pitch
5 . Ft. of First Floor:
UtilitiesSewerF nJSeptic
Address:-?.D -"At% e70A;)-%'0
City: Coen Cva.eIe- State:$
Zip Code: Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
of
Name:
Company: �•fe.-tV0 -.�. o��r•t" r�x�z•
Address: Ae
City:
Zip Code: 2 i(ot^_':FaX ,
Phone No. 3
E-Mail:
State or County License: R`C [E-S&
or more, a RECORDED Notice of Commencement Is
..
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PropertyTaxiD#: Yla" c�br-ova Lot No.
Site Plan Name: Block No,
Project Name:.
Setbacks Front Back: Right Side: Left Side:
rformed unoer zms permit - u
Gas Tank EIGas Piping
Electric i_a Plumbing IJSprinklers
Total Sq. Ft of Construction:
Cost of Construction: igloo -
Shutters ❑Onwindows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities Sewer 0 Septic
Address: T.O.5=-�+�O�s"i7
City: COCO cv'aGJle— Stater
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
of
or more, a
Building Height:
Name: h,
k
Company:
Address, 670a AZ42
CILy: s.Jo�. 4 RSt�
Zip Code: Fa,i
Phone No. 8
E-Mail; /X�S:•ir_
State or County License: R'G L -K&3&
Is requlred.
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