Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Iy-�i� I �� . ICC Permit Number: I�U�s *-L 0 z -� -- - RECEIVED Building Permit Application Planning and Development Services DEC 12 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _� I'lesic en la PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ;PROPOSED IMPROVEMENT L-OCATION', Address: X Legal Description: Property Tax ID #: rL')_ AMC) 'Doc) J�2 Lot No. Site Plan Name: Block No. n Project Name: A7(L11�JQ__ 14Y2l2C-� �>' � aA4QL& �l(z4 Setbacks Front Back: Right Side: Left Side: DETAILEb D�ESCRI TION OF WORK �� �" ry „: ` `Q". kr, SCANNEb �.� S;ti/� . A) r-Ww1 ��Lusy7�..�'j BY iva a ra✓� St. Luce County tY CONSTRUCTIQN INFORMATION:'y as, rKAddraw� r =. - itiona wor to en a orme under tis permit check all apply: ❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: of Cost Construction: $ ,/l9y'^ Utilities:Sewer Septic Building Height: OWNER%LESSEE. 'G@NTRA`!GT@R '<`:.;f rc' 3. Name 1HI1xtr A2©auD Name: Address: 5 3a a V6 L afjl/ O2. SVIT6 Company: i. City: Jim1& l Y Stater AddresssL (7 / � � � p Zip Code: ��-12 46 Fax: City: ir/ • 49!Q KLl�C.[.L�_ :, State:_ Phone No. 't O S 26;; C5 Ip Zip Code: C7 Fax: E-Mail:6',.,e . ���. (, Phone No. 5� % ' P6 Fill in fee simple Title Holder ohext page ( if different . E-Mail: rlln L 4aMG['l7LT from the Owner listed above) State or Co my License: I L. If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. MOM DESIG Name City: Zip:. FEE SIMPLE TITA HOLDER: Address: City: Zip: Phone: State: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: / & Address: I City: State: Zip: Phone: BONDING CO�PANY: _Not Applicable Name:N//,r- Address: _ City: 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 commencing work or recording Your Notice of Commencement. r\ Signature o e Contractor as Agent for Owner Signature of ontrac r/Li ense Holder STATE OF FLORIDA 2 STATE OF FLORIDA COUNTY OF laaaufiak� COUNTY OF G2=hfZJ1�- . The forboing instru ent was acknowledged before me this-dayof I9L 26JSby The forgoing instru ent was acknowledged before me this_dayof� .20ffby Name of person�laking statement Name of perso aking statement Personally Known ✓ OR Produced Identification Personally Known V OR Produced Identification Type of Identatlpp9� Type of Identification Produced bl. ixtm� Produced Avwt� ?"v® O y (Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida ) n �J�/ No. icl5 aN n 9,115 (Seal) aimla� o a_Q Commission / 3 rtl,� Notary Public6 e o1 Florioa 3' 4 u3aQ Sheralne Mun y M commission G 215787 is ., Expires 0510 N C)K REVIEWS FRONT ZONI EGETATION SEA TURTLE MAN OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI m DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I �Lhy I ► O . 1©C Permit Number: RECEIVED Building Permit Application Planning and Development Services DEC 12 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi( en la PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 3 R®�P® EDMP OO iE .ENT N,:."4..'..�r�R Address: Tat Legal Description: Property Tax ID #: 3r�� �� �CDC) �yoo I r'.7 Lot No. Site Plan Name: Block No. n {�J ,,, Project Name: jqrlr2 _:: �nnd 1Li201 di1C4 Setbacks Front Back: Right Side: Left Side: DUA R T M E , `S,�Ttf?,U�CTtIO i O AST O' Aciciitionai worK to e Derlorme under tis permit — cneCK a apply: ❑Gas Q �HVAC Gas Tank Piping _ Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: . Cost of Construction: $? Utilities: Sewer Septic Building Height: Name I(z LSALMVj Name: c± Address: A Lot Qf Ver L&Aaou DR. SUQaF Company: rLT ,yam City: Stater State:�� Zip Code:?, I2�— Fax: City: Phone No. 3 n 9 U4i5 ID Zip Code: L Fax: 6tw - � E=Mail: _2 6f�� �+ .�� • ( Phone No _o 0� Fill in fee simple Title Holder on next page ( if different . E-Mail: r __ell'hc4yrf 1 from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.