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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (� Permit Number: SCANNED; w �_ BY • St. Lucie County RECEIVED _ - -- - Building Permit Application MAP 9»1.9 Planning and Development Services Permitting ,;epartment Building and Code Regulation Division St. Lucie county 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �_ Residential PERMIT TYPE: A/F/j GoA/fr9141,71eV PROPOSED IMPROVEMENT LOCATION': Address: 390/ Z. Z116iE BLVD, AeAr PEa-,-�w. AZ PropertyTaxlD#: �lf/�2^22/�000/"000� Lot No. Site Plan Name: 64IM07- art FIIG/G/TY.FKMA. rWIV Block No. Project Name: oUFrlU/r bMa 60A% e-Vfda A,--ZrE2 DETAILED DESCRIPTION OF WORK: 1 CONSTRUCTION INFORMATION: Additional work to be performed under this permit - check all that apply: _Mechanical V/Electric _ Gas Tank Plumbing Gas Piping _ Sprinklers _Shutters —Windows/Doors _ Generator _ Roof I Pitch' Total Sq. Ft of Construction: 600, J;r Sq. Ft. of First Floor: 600 , JF Cost of Construction: $ L-44 675. 0 o Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name p0 1140/JI66` 1-1-G Name: Address: 507$ yoAif ,OWy Gl/yy tCompapy Ol /A %%LIa1 ty1'lr"`� ``"� "°''?' State: rzr,: � Kb Ali :r iP tra°f State: L S OIL?✓ h1Z3N z J�a%3'Lttr^n �Zl��. �i.�:9 t Zip Go�der gF a'�c — •I`'FaAX 'z7V ^y�iJr reel nclndA l3rf�,�I�/A��r?��yf[ Bir ,:LL iP�.,,+a4�-�//�- U�TflOdtl'. Gibs . ��- Phone o 7�f ,/t �J✓J�7 Fill in fee simple Title Holder on next page ( if different E-Mail J Yir Gnm State or County License from the Owner listed above) 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. -r" SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: 09,411E Vu�L, /NG• MORTGAGE COMPANY: _ZNot Applicable Name: Address: Address: City: 'POI% , !L/•/F State: cZ City: State: Zip: _?YZ9 Phone 7T2 -��6- 9 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: L/ Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 makesnorepresentation 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR JfNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �9�4-7 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature fore Contractor/License Holder STATE OF FLOg�lIDA COUNTY OF . r, G(16 0 STATE OF FLORIDA COUNTY OFF% L!/G/E The for ng instrument was acknowledged before me this day of /L/!� it 20 by The for ng instrume t was acknowledged before me this ay of /r Q 20Z�q by -I*I W r GOV-r-ov Dad6 f �AVIr Name of person makingstatement. Name of person making statement. Personally Known t1/OR Produced Identification Personally Known JV OR Produced Identification Type of Identification Type of Identification Produced 4,t/ Produced 7/4— - (Si re of Notary Public- State o F r' .ROGER A. PRIEST Commission No. �7(7 l Not yd"llc . State of Florida 01126 lsslan 0 GG'0JO740 Caw Eapttes Nov 7, 2020 ''" tore of NotaryrPublic-State of Florida ) Commission No "1' "° flQ�ER %}��PRIEST ;,� Notary,PVrD ltstats of FkHids ': Cc' mmissionGomm" ♦ GG"t1707�0 REVIEWS ,,,,, �' ,OondldtM FRO RV OR PLANS ��'''•%f;,;;;:.•"••• VEGETAT n dlnroupR iiNotarFAatn. COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19