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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE C -', JPLETED FOR APPLICATION TO BE ACCEPitu Date: SCANNED Permit Number: By St. Luce County Building Permit Application �OSID Planning and Development Services Building and Code Regulation Division NOd'011��9 00"t 2300 Virginia Avenue, Fort Pierce FL 34982 n9 peco� ty Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential %llg e PERMITTYPE: S'/ G/i/ &LZF_7-d2IC �r_ 2F5e1,S7-1h c� ALL r2 K�L PROPOSED IMPROVEMENT LOCATION: Address: -'i / 2-3 S VS L Property Tax ID #: 3 N 2 2 —2! / O o/ p —D 00 — G Lot No. Site Plan Name: Project Name: D ELL-4 bi D gAr- 2-,0 LF I DETAILED DESCRIPTION OF WORK: Block No. 1'�Vsi/}LL LF_0 CiIW-/I/!4�_ L 4- i 1 kdL O-\ FF�C. Off- fsM:/'n CG '4F16 C%2.'< -le -,)- CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping —Shutters _ Electric _ Plumbing Sprinklers s r- Total Sq. Ft of Construction: / G 4 73S _ Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Cost of Construction: $ -7 25 . D O Utilities: _ Sewer _ Septic Building Height: OWNER/ ESSE CONTRACTOR: Name 2 Name: 1rl�wkQ� LJ�o�2C3A C 1-L Address: ? D / O s ,1 Fiz 02 sO i2 Company: S 1 G C.I Go 1lne "S b 1 City: S v_43\ cA vkrr Zip Code: 440'7/ b Fax: Phone No. /— 2LF'6 - S I -? - State: vn i 65 3 Address: 10 2 t Y 5 i- ✓t^c ^ City: %PS State: FL Zip Code: -3 `C g S Z Fax: 3 i 7-orrc-� b Phone No °✓I Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail S I G w Conn S � P� State or County License -2.vd )3 b U 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: P/ k W tc-k i c-- MORTGAGE COMPANY: Name: _ Not Applicable Address: I y s Address: City: PC, State: F Zip: 14?% Phone City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Pura- si . zuc,e of<s -4 c- BONDING COMPANY: Name: _Not Applicable Address:,,/ z P/f>'//S c .2 "- Address: City: Y'L m,or1T -N City: Zip: I 1 vo 3 Phone: 772.- K7 -3 `r y is 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 Coun 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" Signature of Owner/ Lessee/Contractor as Agent for Ow r Signature of Contra /License Holder STATE OF FLORIDA �+ L STATE OF FLORID► L� COUNTY OF A C 1 P5 COUNTY OF �5 tee The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _�L day of } )f V . 201q by this LL— day of NOV. 201a by P&)wCLrH I_etA(1f-rh1n ►l �Gdwa LP u_d_r_ COCK Name of person making statement. --� Name of person makingstatement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced � Si nature of Notary ubll - tate of Florida of Notary Public- f Florida CommissionNol7 8 �i`eissionNo.�011SYYo�uCWDDacakFbrtla Jmgirmlaturei +� My Commissbn GG 109870 �ip�d� Expires 0al07/2021 ' • W Commission GG 100610 1 an� res M REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MAN R COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED (� Rev.2///19