HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Ci%�2ol�i L�`(1� yrl � Permit Number: Poo -owla�
,
13C� l-(` a�l� NED RECEIVED
.cy(0101�cu CTnefQ. BY
St. LUCI C „ JUN:.24 7g19
Bu_ inp Permit Appficifah Permitting Departmen,
Planning and Development Services J"t I� , p & r St. Lucie count•
Building and Code Regulation Division ��/V► w
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial / Residential
PERMITTYPE:,:laPROPOSED IMPROVEMENT LOCATION:
Address: 111F3o Ll S L�'c}�l ( 2X422 12'J' 0021 QMD
PropertyTax ID #: Lot No.
Site Plan
Project Name:
�-DETAILED DESCRIPTION'OF WORK:
42%soC:aJ�.eA S 1 e wo✓le-v
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Block No.
Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors
✓Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: S I'12L(- $ Z=
Cost of Construction: $ Qi 40l 14 & 2
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height: IQ ( - V'
OWNER/LESSEE:
CONTRACTOR:
Nam P-5 .weS
Name:
o.
Address:S?o• `g )e ('tio
Company:�..tCy+.�.
City:.e17.,aL',e State: !2�JL
Zip Code:Iv(eg2(i Fax:�25>'Lra2-�'r896
Phone No. (2c;L-) 2,9S - 0108
Address: 1 W4o f�,(o ✓VIo. , (4.tee. .
City:rz��(L"G State:-!!a�..
Zip Code: Fax:
Phone NoS4,o-eg3,IS
E-Mail:Ue.f&"+ 5C-2-1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail i,P- C_oV1
State or County License
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.
FEE
MORTGAGE COMPANY: NotAppikable
Name:
Address:
City: State:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
CONTRACTOR AFFIDVU.' Application is hereby made to obtain a permit to do the work and Instalation as Indicated.
it no work or Installation has commenced prior to the Issuance of a permit.
aMm�(�»make� no reEnerNat'On that k tr2nting a permit will authorize the oermn holder re 6nxr1 r1 .a r....r ._
_._-______._.._..__..r_..—,wm,r-wmcuuniwnlcrlmay 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. Lode County Amendments.
The following building permit applications are exempt from undergoing a full concufreney review. room additions,
aocesmry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
`WARWX TO OWME TOUR FAO.IIRE TO RECORD A NOTICE OF COHTENCEIMM HAT REUXT IN YOUR PAWA
TMCE FOR RAPROVE MMS TO YOUR PROPERTY. A NOTICE OF COM M fpgf MW BE R AND
POSTED ON TIRE JOB SFIE BOORE THE FRtST NSPECT X F {YTERp TO OSTAlN FWARCtNCr, COIRAlLT TRIM Y LENDER OR AN ATfOMILT MORE RECORMC T `R OF To OBTIICEHENT'
STATE OF 511DRfOA I%IiA wt.
COUNTY OF-Ba.A-aw „�%
The forgoing Instrument was admowledg before me
this 2oday o► J�as.QZa� by
4 6&A ws�-S S sryeAe6-f
Name of Berson making statement.
Personally Known z)e OR Produced Identification
Type of Identification ,rarrrnr,,, —
Produced a`_rcY MART'••
—�-Qua;,......,,.,/y •.,
The fo oirrg Instrument was acknowledged before me
this LOdaYof.�ut�. 20j�6y
mr
Name of person making scat _ nt.
Personally Known AL OR Produced Identl�q
Type of identification ,cpr Sy
van
Produced uQ9......... RT/y
%1.fV )A Pou�T'��? ' l�OTARY'c
Commission No. N I A
'
719% 0w: 7:
v •
Commission No.
�
1
y
STATrrrurREVIEWS
FRONT
COUNTER
ZONING SUPERVISOR
REVIEW REVIEW
PLANS VEGETATIONURTLE
r5EAMANGR01fE
nere
REVIEW REVIEWIEW
REVIEW
DESIGNER ENGINEER: Not Applicable
_ . ,.
MORTGAGE COMPANY:
r,-«F.
NotApplicable
Name:�{9p., 7a.�
Name:
Addrgegs: tots t-~:� a� +
Address:
City:r�o Stater
Zip: Phone t
City:
Zip: Phone:
Stater
n_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name: Ahi arf �J— ri �+ic / J A
Name:
Address: FYiF�su \��
Address:
City:4. != . PR
City: .
Zip:?,��, Phone:2s12URcslc�st
Zip: Phone:
vrvrvcry can r twu un AFFioYlT: Application Is hereby made to obtain a permit to do the work and Installation as indicated.
I certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a ppermit will authorize the permit holder to build the subjectssttructure
which is in conflict with an appllcable Home Owners Asoociation rules, bylaws or and covenants that may restrict or prohlbit 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.
Thefollowing 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 FAEIURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IkIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IFiYOIf WEND TO OBTAN FINANCING, CONSULT
virm YOUR LENDER OR AN ATTORNEY BEFORE REr11Rnmr: wAz in whTffrx ne r nY�eur e�ar..r "
14� s �
Signature of Owner/ Lessee/Contractor as Agent for Owner Sign t o
STATE OF EES M �A�� STA E OF
COUNTY COU
The forgoing instrument was acknowledged before me
this'Lo day of - 3%a wa- _ . 20jft by
A� i yVo-S S Sh 2
Name of erson making statement.
Personally Known IX OR Produced IdentEcation
Type of Identification
Produced .••.��•{
,........T/�y
C 1 I��IriU I 1 J, ,.
bpi AR y'•,
Commission No. N i Leo •_I9$�iIB t M .
The forgoing instrument was acknowledged before me
this mday.of%�)UN _ 201!E� by
Name of person making staterritint.
Personally Known A-- OR Produced Identlr'tratlon
Type of Identification ,.•` �
Produced `�E .. MA,4?T
Gp • ' ��L
:. 0 TAR /.::
of Notary
Commission No. N I A
1013t12.
Boo,
RVIEWS I COUNTER I REVIEW 5 REVIEW I REVIEW I V E EWDN I S REVIEW E I MRVGER�OyVE
7—'%
i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '66c? Permit Number: AfJl0 Qt4
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ✓ Residential
PERMITTYPE: g Fe�":k
I ;PROPOSED IMPROVEMENT LOCATION:' I
Address: ' I (Rn U-S nnir)C)
Property Tax ID#:
Site Plan Name: /n1
Project Name: TY, cv k !!�-E•
Lot No.
Block No.
bETAI'LED DESCRIPTION OF WORK:,
/� _i_• /� V I. Imo•_ _
`CONSTRUCTION INFORMATIONi' ;.
Additional work to be performed under this permit —check all that apply:
•Mechanical /Gas Tank _Gas Piping _Shutters —Windows/Doors
✓Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 431�12�i S}
Cost of Construction: $ — iolQe7:�
Sq. Ft. of First Floor: _
Utilities: Sewer _Septic
Building Height: + 1 w-o"
OWNER/LESSEE:
CONTRACTOR:
Name-✓••i: X S'n e:77
nn
O�l1Q
Address: ompan
Sk_
City:
Zip Code:1&(16cLVty:
Phone No. 1
dress: Bu=o �Vb nC.: �-ig2 -
-0a.P�,we, v® State: e l
Code: 3(o52Lo Fax:
one No_(2517 SSo — 433"15
E-Mail: a .r
Fil ee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail C. ,v.
State or County License V--L
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.