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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ Date: Permit Number: I oL- bai • RECEIVED Building Permit Application DEC 11 1018 Planning and Development Services Building and Code Regulation Division Permitting Department St. Lucie County 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 PDfI RO�C}SEMF09EME1TLQCAfiI6Nr Address:-/Dn PeD per L4-An e 2VlS e-n _Racks Legal Description: � 1 J-e-e- 'Tro-C {- E Property Tax ID #: 4_T / i - 40,3 - DDO�T -- 0 00 - O Lot No. Site Plan Name: Ba--J Tree- 140f-4 Block No. Project Name: J a.&4 Tr-e-e_ EJ:nlc�- Setbacks Front Back: Right Side: Left Side: XDETA)L�D 5-ai of h'13h woo e ce Loi-[A - 4- wide S~Ln�(e9a e SCANNED BY St. Lucie Count 17i'F CQNa UNION INFQRIAT,ION:m s� rn � .. i k }_ #.w� ,._ . rtiona wor to e e orme un er t is permit- c ec a apply: �GasTank 11HVAC ❑Gas Piping _Shutters ❑Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch -4 Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ ! a Y a0 Utilities:cn Sewer ElSeptic Building Height: OWNER/LESS E� $° �- GONTRAG1 OR "'' '? '`fr .. Name: L'he5-)-i- Rlchrin Name dQxJ'it"eF i- t!>, Address: (FlU eJO✓7� L-ELI'IC. Company: 54- -_a-✓4-Fenc_eG l.SOMPInL4 City: J eiq,SeY\ �PLLCh State: �L Address: Q D BOX- ai[ed(p Zip Code: 3414! *% rFax: City:_ 5-(-j-a-f t State: 1-L Phone No. 1130Z' 1944 _0.5:5S3 Zip Code: 3*995 Fax: 177a-a*Y-.3035 E-Mail: Phone No. 7�7A—atel — //.S/ Fill in fee simple Title Holder on next page ( if different E-Mail:ctCls^[ �e✓tCP,®fJe[I a�rR { (1 e� State or County License: o2Dq%F from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 5�UPPLEME(�1"±ALCONSTRU�'fION*L(I'N 1(VFO�RMATIO�V'`��'` DESIGNER/ENGINEER: 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 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 commencin wo or recordingour Notice of Commencement. CZ�4 Rev.8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/Li nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF W " VA COUNTY OF M 4y'•I-tyt The for�8ing ins ument was acknowledged before me this jL ay of R Vl , 20a by The forgping instrument was acknowledged before me this JJ_`�—day of,]D4(`(O 2/"' . 201�L by P.S4.er RI c?Ft M•a-ttOL- 4e.+'' , e B'1 n') o-ne-t- Name of person making statement Name of person making statement Personally Known �_ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-' t#�" f"Tdonda )DIANE K BON = • (Si ature of N ..{ , Ic- a e o on a •ate' ;za,- :._ DIANE K OND Y OMMISSION #FF7 Commission No. ;o"= (�Ge 430 Co mission No � � MY COMMISSI"�185430 txP�ES December 28, ' 018 `4, EXPIRES December 28, 2018 (60]) 399-0153 FloritlaNOtaryS2rviCe.cO - a07399-0153 F1eriAaNetary3arv1co,eam REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 1 'a/M DATE w � (ii COMPLETED