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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE Cb,vir LETED FOR APPLICATION TO BE ACCEP'. --1 Date: I I 1 SCANNED Permit Number: BY St. Lucie County e A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Appli 91 ©?- 2 RECEIVED MAR 12 2019 Lucie County, Permitting Commercial K Residential PERMIT TYPE: Wwtow5 ANtiL SIIGIiRq zVU-5S dLwrs Address: Property Tax ID #: W 56;1- 503 -L))c{o? -0o0-3 Site Plan Name: Project Name: DETAhLw-'DESCRIPTION OF GVORK • " Lot No. M. Additional work to be performed under this permit- check all that apply: —Mechanical i'l— Ga'sTank" —Gas Piping _ShuttersI I-'•-Windows/Doors i', Electric I Plumbing I�JJZ Sprinklers Generator i t .Roof r i'% Pitch Total Sq. Ft of Construction:- . Sq. Ft. of First Floor: Cost of Construction: $ $ 1 5•,000 Utilities: —Sewer _Septic Building Height: NEVLESSEE:. `, -' GONTRAC7OR: R y Name A(IA.k�Y1CenZ'O GPv , Name e, - I G. - Address:%C�0 5• �LCf `�O$ Company .i�G�aUr0.�(' �1UW _ `` --.City -1 1')PGIGVt - e0p de:' _Fax: SSJSw State: EL . Address" 3.r! ( Ne` 1LC( ,City- Zip Code: q6[q i� t Phone No�7a'�J3ci' State:�L- ' Fax-.JN- 33c1-1078 ib(( E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail- �� N L�-&ca.1-0ou-3 y , rte--I State or County License 1311 51 aC 3 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requ,rea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. ;SUPPLEMENTAL CQNSTRUCTI,- LIEN LAIN INFO,RMAI ION 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: X City: Zip: Phone: Zip: Phone: l OWNER/ CONTRACTOR AFFIDVIT: Applicationlis h`efeby made,'iol,olitain a.permit to do tbe•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 ppermit;holder to build the subject structure which is in conflict with any applicable Home Owners,AssociationiruIds?b'ylaws.or 6nd.Yobenants;thavmayrestrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. , 111 - C1... , . -, �- \ —. t ' In consideration of the granting of this requested permit, I do hereby'agree that I will, m 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WNTH Yn. to LENDER OR AN Arrnmmw nFFnnF RFrnRnINC YOUR NOTICE OF COMMENCEMENT." •�jir �V�t•1 "il.j l'fl �'l.•.J �_;cJ=��; L:i1V I" i"�'• �' ..Il LEA '', i.i`�`li �`�J �'`�J;.{•1;1 Signat Vwner/ Lessee/Contractor as Agent for Owner ntractor/License Holder Sign =FfFLORIDA STATE OF FLORIDA ``''� LUGIe STA 5� LUU e. OF COUNTY OF clf COUNTY The forgoing instr�' e�nt� was acknowledged before me this �\d-ay of U�� 20A by The for oing instru ent was acknowledged before me this y day1 o-f U� 20AJ by y!/AP M1 ICA mi 11U 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 RV Signature of N' ary' ubl " amp orWi4vPubl1cStatecf Flod" ', `r�.- ignature`of Nota ­ Pu lic 1 l ; '1 t' Donna Jayne Hall �1 1 0 C tnmission GG 207505 Commission No. I y >0u�sn022� -�'{ C�j �, Notary Public Slate of Fwda mmission No. JO , (San4Jayne Hall f ' 1 c� t ; �' l 1 %"- My Commission GG 207565 ExWres 06I7512022 REVIEWS FRONT ZONING 1• �' SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE ' COUNTER 'REVIEW- I..1iREVIEW REVIEW REVIEW REVIEW REVIEW DATE �, , • , t = RECEIVED DATE COMPLETED Rev.2/7/19