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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFIMUST BE Date: i\ `i Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 APPLICATION TO BE ACCEPTED Permit Number: 1� �� 0I a, SCANNED BY RECEIVED St. Lucie County NOV 0 9 2018 Building Permit Application ST. Lucie County, Permlttln Commercial X Residential PERMIT APPLICATION FOR: RQ 30V CN Y% PROPOSED INPROVEMENT LOCATION.: Address: 3&0 1 P- 14(- Y A I A %rf P""!r ., F14- 7Y`7Y9 Legal Description: PropertyTaxlD#: Wa`3' �Q��600�-0(jd—� Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. bm eM e S,x/S}r-t cy QeOr /•./ /i141"'t /'+/ y-fe�- MG 4'2n4' r C10.3@&I• %%• o L.c// 7.. Y �'/ �jari o•.w �1�5 ��- A"-.4*. �42 wnn=r �'nr IV Nc�.. .%f�rl'N ro�M, %/��^yii If /'V o-)lre�,. _Mechanical _Gas Tank —Gas Piping _Shutters —Windows/Doors A� Electric. _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: uZ ° Sq. Ft. of First Floor: - ,," - ` Cost of Construction:$ —:" �#�d- Utilities: _Sewer _Septic Building Height: OWNERJLESSEE: CONTRACTOR: Name Address: 36r(w61 'IiIA'4 Company:r ,�a2 y¢r�c3;° City: jwr��pieo� _-__-c State: u:--.:Address::.�_�'Z/M Zip Code: > 1�yi Fax: Phone No. 77 z, q92 , C6CI? L�2 City: Stater Zip Code: �2qr% 6 Fax: Phone No ��Z ^s�'" %�Z E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MaiIe—I- '//1 State o County i ense CC C b 6 11 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirerr. . � / SUPPLEMENTAL CO STRUCTI • N LIEN LA I FORMATION,! DESIGN ER/ENGI EER: ' ' _ Not Applicable Name: MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: State: Zip: Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a'pdrmit 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 accessoryuses 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 commencingwork or recordin our Notice of Commencement. Signat u off/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF COUNTYOF s}. Lua`Q The forgoing instrument was acknowledge before me The fo going instru!m�en was acknowledge before me this 2day of �lJ 201 by this day of N 201by Gcce\� Ge�YSO� Gec4\d cmcs!n I Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Iden fcation Type of Identification Produced Produced L t1 L (Signature of Notary blic-State of Florida nature of NotaryEfflateT,=&EIE GNENS'S�-� YN0 022023Commission •tip:;;y = DEANNA MARI6GNENS' No. , =JSeWC0MMIS$IGN#GG i0 mission No. EXP02ES:�jt]er i6, 2020EXPIRESDewraw 16,20 dW1hMNotWy blkUndenrtitnrs SmdudTlw.Notary PubOeUnde tm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW E EIVED E E MPLETED nev.a121li All APPLICABLE INFMUST BE COMPLETT FOR APPLICATION TO BE ACCEPTED J Date: Permit Number: `III 01qa RECEIVED NOV 0 9 2018 Building Permit Applicat On Planning and Development Services ST. Lucie County, PermlEtin Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: 3 &o I Nh I h F14, 3Y7YI Legal Description: Property Tax ID #: �a�' O7 - 6 001-QQd-' Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: "W 7W r P.v IV /l/c 74A 4,. form i''6-4 -iv oilier, itiona work to be performed.under t is permit- check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors X' Electric. _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 2- dd Sq. Ft. of First Floor: Cost of Construction: $ R 2d� Utilities: —Sewer _Septic Building Height: Name' r�s :: .lo /<. (f�r,ry..GAar90 ,. Name Address: 3�Ul: .N rlwT�tA Company.: CQtiyfl't,Q1nc- city: v State: �V RZ1M 6S� �Z Zip Code: Fax: City: ] /GG O Statej�— Phone No. 7T z j 9 qI P- ' C4 W Zip Code: ZGl'% 6 Fax: c E-Mail: R^ . Phone No %�% 2 S%ly %6 Z Fill in fee simple Title i' i t page (if different E-Mail �! �cC71,4,✓lgo'Sc ✓e- IM 1L Co from the Owner listed above) State o County i ense ILL^ C 56 If value o i S ice of Commencement is required.' NOT HppllcaDle MORTGAGE COMPANY: Not Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: _Not Applicable 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 or an attorney before cornmencing work or recording our Notice of Commencement. Signatuowner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF COUNTY OF SA-. Local The forgoing instrument was acknowledge �1 'orJ .1 before me The fo going instru W en was acknowledge before me V " this day of 201 by this day of 20�by Gtcir� cdvt G%Co. Name of person making statement. Name of person making statement. Personally Known OR Produced Identification- Personally Known OR Produced Identification Type of Ident'fcationType of Identification Produced ' `- L_ Produced L f) t— i (Signature of Notary blic- State of Florida 'nature of Notary u ,, ate o ` �' W ARIE GNENS Se GEANNAMARIE GNENS NI�D CONAtIS$ION9GG0 o Commission No. mission No. AttCONUUSSiON ItGG OY1023 �� EXP6iF.S(1>i@tVJ* 16, 2020 -`ss. ••: EXPIRES:Dma!n r16,20 o:: .e 6aMed1lwNomryPuErrc UdeWlm 6adedTw N*4Rdit-ide REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED