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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR RP CATION TO BE ACCEPTED Date: 7 )% )C%- MANNED BY Permit Numb St. Lucie County Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial F PERMIT APPLICATION FOR: Window/door 0 3q3 KMEIVED JUL 17 2019 Permitting Department St. Lucie County, FL I PROPOSED IMPROVEMENT LOCATION: I Address: Legal Description: \ Uw-wic �oo I Property Tax ID#II:06c)2— �qG I —Ucy-03-000-4 Lot No. Site Plan Name: Block No. Project Name: (/V �0�ryYyC Setbacks Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: III V��9 t-12— S �' \ tU5 n /'J I \ rU, W-1 (� MM W 'Y+{ (M I CONSTRUCTION INFORMATION: / III 11HVAC U Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: >>�� Cost of Construction: $Q` aermu:—cnecxan appty: Sas Piping _Shutters Windows/Doors Sprinklers L: Generator D Roof = Roof pitch S Ft. of First Floor: utilities: nSewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: NameT::XAA_'(,-.f ' Yy-eds'1r_ Name: Justin Thiery Addressor ( ) '-s 0(� \ir 009 Company: Island IGtchen and Bath Cityc\State:l� Zip Coder Fax: Phone No. Address: 10875 S. Ocean Drive City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-678-8219 - 772-237-7348 E-Mail:j'YSke�yY-oj'Ps Dyyl e Fill in fee simple Title Holder an next page (if different from the Owner listed above) E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com State or County License: CBC1259508 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: City: Zip:. FEE SIMPLE TITLE HOLDER: Name: Addrpq- 1GB75 S. Ocean Drive Zip: MORTGAGE COMPANY: _ Not Applicable Address: _ City; Jensen Beach Zip: Not Applicable I BONDING COMPANY: _Not Applicable Address: City: 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 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 rnmmenrinE work or rpcordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signat (rV of Cont actor/License Holder STATE OF FLORIDA STA OF FLORIDA COUNTY OF st wde COUNTY OF sL w The forgoing instrument was acknowledge before me The fo[gDing instrgqrent was acknowledge before me this L day of 20 by this �day of J 20 by I �LlM�2 A, M J'S.1/ &yV-LC Justin Thiery Name of person making statement Name of person making statement Personally Known OR Produced Identification x Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Drivers License Produced (Signature of Not bl c-State of Florida) (Signature o Pu - State of Florida ) .°° k' MICHAEL RAAZ Commission No. * 43ee1)MISSIONtFF904140 p1;,e i a M1 Com n No. '0 % ry EXPIRES:July28,2019 r X.t. '<'61�d -` ,MICHAELRAAZ 0�'Z' FftoPPp amded Thm Moot Notary Senkes Nl�t`e?, _: .MY:EQt1t�IS810N WfF9041d .EfTO MAMPMUh B ,ded Thru Budget NaizrySeN REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17