HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:A �•�q SCANNED
Permit Number:
BY
St. Lucie Countv RECEIVED
Building Permit Application AUG 0 7 2019
Planning and
odeRegula ion Dices ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ��.-`��
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
�D&L Residential x
PERMIT APPLICATION FOR: Renovation
Address:- :2(�l�j�
Legal Description:
`
Property Tax ID#:G0E-S (jCjp- 7J
Lot
No.
Site Plan Name: C1 �aG - �y�F
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
s _
�Iv"'t�rrrw4, f,�ar�s'rry, , �4r�'zP./� gi�tvoG/� �i�j Ccbr� y�d• ,�
orme un ert ispermit-c ec a appy:
itiona wor to M�—Js
C Tank
Gas Piping _ Shutters Q Windows/Doors
_ Electric LJ Plumbing Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ &-m Utilities:0Sewer DSeptic Building Height:
!
Nam -
Name: Justin Thiery
Address �JC� �. Oc� Gtr. �,- �,Cipol
Company: Island Kitchen and Bath
City�� DA^Cow �R ci,� State: �
,
Zip Code:? Fax:
Address: 10875 S. Ocean Drive
Jensen
City. Beach State. FL
Phone No.q 14— an o2z - 3mt5}
Zip Code: 34957 Fax:
E-Mail:>\[`
Phone No. 772-678-8219 - 772-237-7348
Fill in fee simple Title Holder on next page ( if different
E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com
from the. Owner listed above)
State or County License: CBC1259508
If value of construction is S2500 or more, a RECORDED Notice of Commencement
is required.
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DESIGNER/ENGINEER:
MORTGAGE COMPANY: Not Applicable
Address:Name:
Address:
State:
City: jeMM BftCh State:
Phone:City:
FEE SIMPLE TITLEHOLDER: —NotApplicable
Name:
BONDING COMPANY: —Not Applicable
Name:
City.-
City:
• • _
OWNER/ CONTRACTORAFFIDVITe 1- __
I certify that nttoo� work or installation has commenced prior to the issuance of a perrriitmic to ao the work and installation as indicated.
which Is in conFlicctt with any applicablelHothat
e Owners tAsSopatlon f lesauthorize
bylaws or and covenants that build
off 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
6Qmmencine work nr rprnrriino.,...• ni,.«:.... _c I--__
6 IVWL16CUl Wrnmencement.
ure o Owner/ Lessee/Contractor as Agent for Owner
Si at a on ractor/License Holder _
AS TE OF FLORIDA
OLINTY OF se wd•
ATE ORIDA
COUNTY OF
The f going inst ment was acknowledged before me
this day o 203—Ci by
The going instrqment was acknowledged before me
this day
of 201 ft by
YV1PS .v rr1 _
Name of person making statement
Personally Known OR
Jusnnmi•ry
'Name of person making statement
Produced Identification x
Type of Identification
Personally Known x OR Produced Identification
Produced orWm u�
Type of Identification
Produced
(Signature of /ofry�a lic-State of Florit�dKgp,RW
Comm! ngsi nNo. +r•'�' OOti918820
� `
isignature a ublic- State of Florida )
ommis ' No.
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(;T Exp.PusJuly 28
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEATURTLE MANGROVE
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
tev.8/2/17
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