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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE ,INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S( �� SCANNED Permit Number: BY St. Lucie County Building Permit Applicati Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial RECEIVE® DEC - 3 2018 Permitting Department RAtd MNP County, FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line II PROPOSED IMPROVEMENT LOCATION:. Address: "'C)ko\ S LDS \ Legal Description: S,PP C,'N J,_t p.c' Property Tax lD #: 31i� o�' \ \ - c7Q\� — ��— (, Lot No. Site Plan Name: Block No. Project Name: lsta : CMM Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: III Scj. Ova (opL\ l{ % X 9 CONSTRUCTION INFORMATION: Aaditiona wor to a ner orme�Tun under this Dermit -check all that aoD v: ❑HVAC ❑Gas Tank ❑Gas Piping UShutters ❑Windows/Doors ❑ Electric ❑ Plumbing ❑Sprin ers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: d S Ft. of First Floor: r Cost of Construction: $ Q ()li Utilities: Sewer ❑Septic Building Height:14 OWNERAESSEE: CONTRACTOR: Name qSk Vrb Name: -SC, Syy4 , -� Address: \Ova Car-\( 3 Stt�� J� Company: �\ (I S P( S, c� . (z . City: ISVAG .&r-/'�r/ State: Cl Zip Code:' o9 dZ 6 Fax: Phone No.-' Address: City: "-'Q,`EJ'C..P Zip Code: 3yol TS\ Phone No. rlrla - y1c�- r(� State: r�.- Fax: ri')9)A A )�k -07\(;`l (]7 18 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: \\ _ State or County License: 53 ' S gip, F b If value of construction is $2500 or more, a RECORDED: Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LLAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: \(\� I. MORTGAGE COMPANY: _ Not Applicable Name: \ Address: I b� 6\a_ c 4p a� Address: City:�State: Zip: 3\'l0 '\� Phone 47 $ -'??l -S3g Ll City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 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 commencingwork or recordin our Notice of Commencement. / Signatu Vof Owner/ Lessee/Contractor as Agent for Owner Signatupticif Contractor/License Holder STATE OF FLORID STATE OF FLORID p COUNTY OF s . F COUNTY OF , The forgoing instrument was acknowledged before me thi�dayof N6V2w�i 20J� by The forgoing instrument was acknowledged before me this)bdayof P)6,Wv Ll P_K 20 \$ by Dennf.e, N person making statement person making statement Per a I n OR Produced Identification o Identification s own OR Produced Identification ype of Identification Produced Produced J1"'_L'_ , I, (Signatu t I' - a F o i a —JA" (Signature of Notary Public- State of Florida ) b. Nggry Pubrio Sfete of Fbriaa Commis 4. r.�,w, i � o..,n 1Se MolEry Pubtle $Lta of FbACs Comm' s. - eal) My Commission FF 94y803 arw� ExPiroa Of/2512020 • My ComM lon FF 803 IB Expimol/2&2020 REVIEWS FRONT ZONING SUPERVISO PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIE REVI REVIEW REVIEW REVIEW DATE RECEIVED zI5 I DATE COMPLETED Rev.8/2/17