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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CCU,*Y.-iLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St. Lucie County WMEW-W -- Building Permit Application RECENED Planning and Development Services OCT 1 S 1019 Building and Code Regulation Division Pert, -Ong oeparrment 1300 Virginia Avenue, Fort Pierce FL 34981 / sc_ Luoe County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial t/ Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION:' ��ra«• 392.0 N ui61lwav h iQ, FL- 3444R Property Tax ID #: _ / va-3 �S-d5 - ©OaQ -coo - Lot No. 7 Site Plan Name: 0 CFAoti /`AP4� �aJ7C� yjJiiv �`u�vi �j��`j �'�jy Block No. Project Name: C AA/ f � C �'Ow _Do Al Jpy/ pm 5 DETAILED DESCRIPTION,OFWORK:' CONSTRUCTION INFORMATION: 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: /6W1 Sq. Ft. of First Floor: - /, 9,5-D_ 00/ Cost of Construction: $ 'Po, ma Utilities: k/ Sewer _ Septic c Building Height: d7 ' f OWNER/LESSEE: CONTRACTOR:, Name-99wna%s o SYA ARECL.1 Name: 1?0"Ae'!# _ oLJ:7 Address: loi41' WiN£ GoL147 LAr.►� y Company:__��-��i�'%s�aJ/�/MC��^5,r Address: � City: '#AMMoNIZ fb2T State: Zip Code: 14MO Fax: Phone No. 60-7-3/68--31-91 City: VC--ko mgcw State: Zip Code: 32'116Z- Fax: 772-775f-29c10 Phone No 772-633- 34?-o E-Mail: e.CgFFARZt t,l 19 STAY- AR»C.onT Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail cf -S. Kipp Q AaL •-CC1 State or County License it 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: Name: k Not Applicable Address: Address: City: State: Zip: Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: K Not Applicable Name: BONDING COMPANY: Name: Not Applicable 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YPURJLENDER OR AN AhTORQEY BEFO ECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Own / Lessee/Con tactor as Agent for O r Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF =�0:pa2:is COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this S day of oc +ori:r 2019 by this_ day of. 20by fiCuu:S�CnFp'A�ri�:a i IFl M Cer=fn.rU, Name of person making statement. Name of person making statement. Personally Known OR Produced Identification X Personally Known OR Produced Identification Type of Identification Type of Identification Produced MewY,, 1t 0.:u-' s L:c:a1= Produced (Signature of Notary Public -State of Florida ocswlz of Notary Public -State of FloridaCommission No. io i 73 y a sv6u& a#taryPmb11OGGIOI734amission Jimonature No. SealMy Comm ExPto%rllNotaN REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7119