HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q-11S- I `I SCANNED Permit Number:
_ St. Lucieie County RECEIVED
Building Permit application OCT 31 2019
Planning and Development Services 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 Residential
_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPC!_SED,IMP_ROVEMEIVT
LOCi4T10N } k1
_,
Address: 10410 S. OLeGr 13(Z
I J i `EC 6 -6h5eh LD Uia r2 1W 5 2 .
Legal Description: 14U+01inbOn 1S)6r)d, Club -DPP - -606
Property Tax ID #: 9 1LI — o060 -000 - -I- Lot No.
Site Plan Name: Block No.
Project Name: alZt �Ield
Setbacks Front Back: Right Side: Left Side:
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CONSTRUCTION
INFORMATIORI
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AClaitional work to e e orme under tispermit-c ec a appy:
�GasTank ❑Windows/Doors
CJHVAC ❑Gas Piping _Shutters
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. �Ft. of First Floor:
Cost of Construction: $ ) LI I(Doc) Utilities: LJ Sewer Septic Building Height:
OW,NERJLESSEE ' '
;CONTRACTOR
Name
Name: 1J1'o r'ay13— 'I-:mii(' o -'
Address: (�0. /u6 'L�aL lion 7crr.
Company: F;TLrl .Co
City: 72n5Lr) State: L
Address: ICII O1 E- SOL • t>1Vd
City: State: I^�
Zip Code: ` LI 9 5 ry Fax:
Phone No.
Zip Code: 3k% -Z Fax:
E-Mail:
Phone No. 77— -334-9119
Fill in fee simple Title Holder on next page (if different
E-Mail: r5erth (a a �Ovtrr /cvlS Ltc �� 0 r�l"_.(cI12
from the Owner listed above)
State or County License: CGl' I�lal�I
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. }
--- - - - • _ rNU¢ Hppimcime MORTGAGE COMPANY: _ Not Applicable
Name: Z/1;9 Name:
Address: Address:
City: State: City: State:
Zip Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable,
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: y/
Address:
Zip:
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 andcovenantsthat 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
31gnemre urvwner/Lessee/contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Z4,11f U 0- COUNTY OF M�rlvd`
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thick V"'Cday of OA ohef 20 jLby this al day of 6' 4o) 8u 20 11 by
rt"C(4Y)tc) (nY)(tno< F�anlb
(Name of person acknowledging) (Name of person acknowledging)
Notary Public -State of Florida ) I (Signatur,90—Notary Public -State of Florida )
OR Produced Identification (Personally Known`OR Produced Identification
Commission No. ;' Comm(9!�giFGG328779 You JENNItif,Co
Commission No. _ �`., 4,_
a �c• Expires April 29,2023 R Commission#G 328779
nr oo- awd¢dm 13090 Notary ae ke Expires April 2023
of F�ON BondW Tice Budpeli29; IL2n3
Revised 07/15/2014
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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INITIALS