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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) // `� Date: Ol -I Permit Number: / T o� — D3zo Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: SCANNE® BY RFCF St. Lucie County Ffg� CFO zo Building Permit Application pe `,*�yo bl- 19 �All r Commercial Residential I PROPOSED INPROVEMENT LOCATION: I Address: Property Tax lD #: I FA I 100 hngn C)m f0 Site Plan Name: C'_�llj�lage Project Name: Lot No. Block No. Dom.. a D CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: &Mechanical _ Gas Tank _ Gas Piping _ Shutters XWindows/Doors X Electric Plumbing _Sprinklers _Generator _ Roof Pitch 3B Total Sq. Ft of Construction: �31�198 Sq. Ft. of First Floor: 'L Cost of Construcrtion:$it��ia� Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: &Mechanical _ Gas Tank _ Gas Piping _ Shutters XWindows/Doors X Electric Plumbing _Sprinklers _Generator _ Roof Pitch 3B Total Sq. Ft of Construction: �31�198 Sq. Ft. of First Floor: 'L Cost of Construcrtion:$it��ia� Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ame: Moxk .ernkAr)s Address. -RUN F CompanyAAbC1=` G1 City: F+. LGu(7LaxdoJU State: I—L Zip Code:?i333y Fax: Phone No. %6— L?M— 4 sqR �t Address46 S � \V e-ckelre '2d A 1 City:\KKNE i (Mm O h State.—t m. Zip Code: 33 yOS Fax: GI Phone No I -laa - 3g90 E-Mail: % \• Fill in fee simple Title Holder on next p6ge ( if different from the Owner listed above) E-Mail CLIOQ Q - (.am State or County License C I If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Not Addl City: Zip:. FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Address: Zip: 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 rnmmonrinanwnrk nr rernrriino vniir Nntire of Commencement. use of Owner/ Lessee/Cont cto Agent for Owner Signature of Contractor/License Holder ZATEOF FLOR 2L STATE OF FLORID l -1 l l/iG1 P� COUNTYOF U.l Ca e_ COUNTY OFF The for o'ng instrument was acknowledged before me this Yt�ay Feb 201g by The for aing instrum nt was acknowledged before me this day of Pe 20 by of 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- of F�tgtidaRrummett Sign ture of Notary Public -State of Flo id�d Lewis�� n NOTARY PUBLIC ! AhQIOT,�iYPUBLIC Commission No. �sT/ OIJIF FLORIDA Commission No. S $YE OF FLORIDA ivComm# GG162375 Comrtdl FF981837 rea REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.