HomeMy WebLinkAboutBUILDING PERMIT APPLICATION+ALL APPLICABLE INFO MUST BE C06_= -(! ETED FOR APPLICATION TO BE ACCEPTL_•-
Date: 7 (�' IT_ SCANNED Permit Number:
BY St. Lucie County RECEIVED
Building Permit Application FEB 14 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: Shutter
Address:
Legal Description:
7,11
nirnrtn'i -I/ArtT 79 f
Property Tax ID #: , 3122- 603 -00IM -W -S Lot No.
Site Plan Name: Milp-s / iL S7bkm Block No.
Project Name: /Y)aR.SH,l*LL SRAtf
Setbacks Front Back: Right Side: Left Side:
jZ ),S-fiq-.u-+r6,0 of / X5qR /304), PUP'eleQAJe &ttLY7F�,e
CONSTRUCTION INFORMATION
�AtriMnna wnrktn ana nrma�i,nriaart-hicnprmit-rhar t .t.nnl,,- - -- r-
11HVAC Gas Tank
[]Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ /36D•010
Piping � Shutters ❑ Windows/Doors
nklers _ Generator Roof
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OV1/NER/LESSEE
CQNTRACTOR
Name ihAimi -4- S70Nf,
Name: I f)l�i( 11VP_;7 '/
Address:R30 .5.6eeAN D2• ZLb&
a 0"7,)l
Company: A457;F2CR�+RC Sku7YG-K Dip
1) a
City: r7FN.59lE1fCj4
Zip Code: %3qg57 Fax:
Phone No.
State: Ft
Address:1d99)D SE SUZAAWE bl&Vf
City: Me cSO LW6 State:,
Zip Code: k 5-Y FaxTa7"�y533C0
Phone No. 77ad-5_15 '33 86
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: /Y) Fe-IW0 Qt 1RS7FQEJ±PESKCL i7l�Il. CD/d'
State or County License: aZ.2 I
It value of construction is,92500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRIJ011
N CIEN LAW INFORMATION - P
x
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 y u intend to obtain financing, consult with lender or an attorney before
commencinia work or re0brdiLfR vour Notice of Commencement.
Lessee
�q Holder
STATE OFft9RfB�F-NbY+h �ro1�viv\ STATE OF FLORIDA
COUNTY OF \N A(k. COUNTY OF 04.a l)r\
The forgoing instryment was acknowledged befo me The forgoing instrum t was acknowledged before me
this � day of h: h�y1 a nA . 20 Y this jl� day of JL 20q by
nfcNaU_ ZfWM,
(Name of person acknowledging)
na ure of Notary Public- State o€F4ecida.21 (Signature of Notary Public- State of Florida )
Personally Known OR Pr,00y�c Identification V Personally Known OR Produced Identification
Type of Identification Produced I V l� 6\/4bV5 1ii (2 {�1�� Type of Identification Produced
Commission No. �0� I) o 'lion No. o�"0.YPb JENNI TINEZ
KATELYN PRE SSCOMMI IaNIFFsosasZ
NO r IXPIRES: JUL 23, 2019
Revised 07/15/2014
Notary Public once
•��i Commission Expires Apol 1 2023
REVIEWS
FRONT
COUNTER
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
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5 P S R
REVIEW
DATE
COMPLETE
INITIALS