The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFO MUST BE C, , n PLETED FOR APPLICATION TO BE ACCEF: Date: 1J2010 SCANNED Permit Number: BY RECEIVED St. Lucie County Building Permit Application NOV 21 2018 Planning and Development Services I Building and Code Regulation Division ' ST. Lucie County, Permitting 2300 Virginia Avenue, FortPierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial t/ Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -III PROPOSED IMPROVEMENT LOCATION: III Address: 75-AM.S F�AAt/////G//fwc� f6if Sf 14'el Legal Description; HlY.4c.iG� Property Tax ID #: 3 i ' 0w' Lot No. Site Plan Name: F Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: riar �i7auas�fais by f�i .of r. �D�iins roc%aGe j ar�� e i we- i CONSTRUCTION IN Block No. LYIHVAC Electric U Q Gas Tank Plumbing ❑Gas Piping Sprinklers ❑_Shutters E Generator Q 0 Windows/Doors Roof Roof pitch Total Sq. Ft of Construction: //95/ S Ft. of First Floor: 1'atl Cost of Construction: $ Utilities: Sewer L Septic Building Height: O W N E RAESSEE: CONTRACTOR: Name Jioh c Name: a G Addres :1.5$2'T Fo/t�Q/ 4�f5e Company: IAA City:�r/.r/�ocie State; Zip Code:300f2 Fax: /,Q Phone No. 711 •yyR.ms-y Address / E City: State:f/ Zip Code: 339(Sr Fax: JW�410A Phone No. 40/3�7/ E-Mail: de_ ,l 4W Fill in fee simple Title Ho der on next page ( if different from the Owner listed above) E-Mail: i State or County License: 02902 2, If value or construction is $UWIJ or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRIi-k-.rION LIEN LAW INFORMATION: DESIGNERINEE : _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: c oie cucl&re Name: Address: Address: City: Stater City: State: Zip: 33ytLs Phone W-758-/62o Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Applicable I BONDING COMPANY: Address: Zip: _ ZNotApplicable 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 inspectioXIf you intend to obtain financing, consult with lender or an attorney before commencing wark or reWrdine vour Notice of Commencement. ,12 // Sign Own / Lessee/Contractor as Agent for Owner Sign u e of Co cense Holder/� ST TE OF FLORIDA IF RRractor/ COUNTY OF � �+ s COUNTYOFO��/� The for oing '5trurpWaW s ack edged before me .this 21 day of 20& by The forgoing instru t was acknowledged efore me this9 / )icy of 20 by ��'�7' 6 G Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification IL Type of Ident' tion J1�` Produced ;CJ17L1P hS0 Type of Ident.,if.Sil ation 1'n/ Produced�l�1 JJ?lW�� ignature of Notary Public- State 0 or* a. ,• 'cJ'•e, VICTORIA M. CHAHS �' a: Notary Public - StateeI mmission No. .v, ) CommissionxGGt7 ".?'F My Comm. Expires Jan t (Signature of Notary Public- St Commission No. vlJ LD a o,.. orf a) VICTORIA I.I. CHAHBANI �' N aryPublic-Sutec`Fland °•�, eaL+ommission. GO 176+95 "'',EoPw-`,. My Comm. Expires Jan 17. 20 REVIEWS FRONT ZONING SUPERVISOR PLA VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE 17 RECEIVED DATE COMPLETED !2 Lf Ilo Rev.8/2/17 08/03/2004 13:56 ;MMMERCIRL 4 SOUTHEAST CTRS ND.546 D02 I&XMIT A Leeal Deserintion PARCEL I: Tract D-1, Prima Vista Crossings Replat No. 3, according to the Plat thereof as recorded in Plat Book 43, Page 2, and 2A, of the Public Records of St. Lucie County, Plorida PARCEL 11: Tracts A, C and F, Prim& Vista Crossings, according to the Plat thereof as recorded in Plat Book 40, pages 21 and 21A, of the Public Records of St. Lucie County, Florida PARCELM Perpetual non-exclusive easements for the benefit of Parcel I as set forth in that certain Drainage Easement and Maintenance Agreement dated October 18, 2001 between Preferred Properties of St. Lucie, LLC, a Florida limited liability company, and Crescent Resources, LLC, a Georgia limited liability company, dated October 18, 2001, recorded October 26, 2001 in O.R. Book 1449, Page 65, Public Records of St. Lucie County, Florida. PARCEL IV: Perpetual non-exclusive easements for the benefit of Parcel I as set forth in that certain Declaration of Easements and Restrictive Covenants dated April 18, 2003, by Crescent Resources, LLC, a Georgia limited liability company, recorded May 16, 2003 in Q.R. Book 1714, Page 1207, Public Records of St. Lurie County, Florida Tax Parcel ID Nos.: • 3422.855-00D1-000/8 • 3422.955-0003-000/2 • 3422-855-0006-000/3 3422.855-0004-000/9 -4- ATLDIn1S71ISW3/sx tMW Prima Vista Closainr (Pon St. Laae)