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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.