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Home My WebLink AboutBUILDING PERMIT APPLICATIONO P LICATION TO BE ACCEPTED ALL APPLICABLE INFO MUST BE COMPLETEgEA�V�E c� D Date: ;2.'"�� BY Permit Number: ..� . St. Lucie County - t]IN 0 RECEIVED Building Permit Application FEB 0 3 2019 Planning and Development Services Building and Code Regulation Division sT• Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Alteration PROPOSED IMPROVEMENT LOCATION: Address: 61 � N• of A* Legal Description: Property Tax ID #: 140641300030008 Lot No. Site Plan Name: Block No. Project Name: INDRIO Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Removing3,6rlS;ro.7 2y /i/Ew CONSTRUCTION INFORMATION: Additional work to be narformea unciertruspermit—c ec all appy: 11HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors ZElectric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: �" Cost of Construction: $ p ®'� Utilities: Sewer septic Building Height: 480' OWNE LESSEE: CONTRACTOR: Name: _ ST�++f✓ •�G�iiJ Name %*%/�� /<r ` Address:Jcof W •-Sw.rYiae__ B/v Company: MastecNeworkSolupi ns City: State: FL Address: PO Box 350 City: Stater FL Zip Code: 33461'— Fax: Phone No.561-633-5250 Zip Code: 33487 Fax: E-Mail: Phone No. 561-962-9638 Fill in fee simple Title Holder on next page (if different E-Mail: bocaratonpermiding@mastec.com State or County License: CGC1615769 from the Owner listed above) If value ofconstruction is $2500 or more, a RECORDED Notice of Commencement is'required. A I% 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 holderto 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 conciirrency 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. Rev.8/2/17 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER ENGINEER: _ Not Applicable Name: � i�- MORTGAGE COMPANY: Name: Not Applicable Address:3 vo Lq.K�� ®yJ Address: City: �2/i.ryti�✓ State: Zip: Phone City: Zip: Phone: State:.. FEE SIMPLE TITLEHOLDER: _Not Applicable. .BONDING Name: Manaa�espein COMPANY:, Name: _Not Applicable Address: PO Bax 350 Addre55:. City: Tupelo, MS City: Zip: 3e802 Phone: Zip: Phone: Signature of Owner/ Le ee/Contractor as Agent for Owner Signature of Con actor/License Holder STATE OF FLO��ttIDrp h'1 QeCiCh STATE OF ORIDqP� "pG n'1 � eqCk COUNTY OF (:JCS I COUNTY OF l The f�going instrument was acknowledged before me thi day of b r 20J�: by The f oing ins e�nt was acknowledg efore me this � day of D/4Q � 20�by Name of perso making statement Name of pegs making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced � ' � � may' u'' c'r-u-Q � Produced c_'+a� c.e.62-2'.r , (Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida )' Commi55I0 �cUn '�Statern Comm'Si NotaryPuhNCStatebfFbrida($ Ij Theresa Ann Fertusi��rrusi +d � My Commission GG 240684 � My Commission GG 240684 �- ��+ � *'r Expires 07M22/2022 it ocp P es 07/22/2022 REVIEWS SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE FRONT ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED