HomeMy WebLinkAboutapplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: D_• 2_6-w) Permit Number: Qbco
RECEIVED
Building Permit Applicatio 1.I
Planning and Development Services FEB 2 6 2U20
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation i ICI
Legal Description:
Property Tax ID q:
Site Plan Name
Project Name:
Setbacks Front Back:
Right Side: . _ Left Side:
FV (L C( ODo e&VOVIA-T-(onJ, Q�tp_yVtDV 2
1 �`'"'iP' bo-o- I C IS b(�s I Ga�tn t�t'y t
UK Electric FV
Plumbing
Total Sq. Ft of Construction: S Ft. of First Floor: I
Cost of Construction: $ lc^),- r�L99. (70 Utilities: 0Sewer ❑Septic Building Height:
Lot No.
r-Y (ace K t.4cftA^, I ►tiU�s ✓
tSciw.A t Q'tt.�ri.ttr,r
Wind
❑ Roof
Roof pitch
OWNER,iESSEE tt I:atir:;,?t
CONTRAG QFtVKV
x'r.h.`°�,
NameiiipcA--N ,.o l ( Sr,
Name: Justin Thiery
Address:�7i)C S G o a.-. I;,— :k{Q
Company: Island Kitchen and Bath
CityXAQ�'O_in State: I:Z
Zip Code:5q'_il� Fax:
Phone Noka")\-UP4 --±-6f!d-
Address: 10875 S. Ocean Drive;
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-678-8219 - 772-237-7348
E-Mail: vd% La
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com
State or County License: CBC1259508
VYCUV V, wneuucuon a pcouu or more, a newrcueu nonce or commencement is required.
uealurveryervuirveett:
_ NOT Hpplicaoie
MORTGAGE COMPANY: _ Not Applicable
Name:
Name: Justin Thlery
Address:
Address:
City:
State:
City: Jensen Beach State:
Zip: Phone
Zip: Phone: I
I
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 10875 s. Ocean Delve
Address:
City:
City:
Zip: Phone:
Zip: Phone: I
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 restriction's which may apply.
In consideration of the granting of this requested permit, 1 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 accessary 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
commencing work or recording our Notice of Commencement. I
I
ignature of Owner/ Lessee/Contractor as Agent for Owner
Si re of Contractor/Lice Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Leda
COUNTY OF st Le=le
The fo going inst ument was acknowledged before me
thi day o 20� by
i
The for oing inst ument was acknowledged before me
this day of 20D(� by
I
�l_
, C A `C-AA— Op J
Justin Thiery
Name of person making statement
Personally Known OR Produced Identification x
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Type of Identification i
Produced Drivers Ucense
Produced
i
I�
t —
(Signatur Not ublic-State of Florida) ^'�
Co issi No. Y::2• )<GG3i8520
p"--• Comma
a���9. ExpltesJuly28,207J
"�V' i'��� edTvuauWetLi°�SO�o
(Signature of Notary Puy'V&Ate of FlgAidp t��
Commission'No. • i • I C°'^rissionU G3f8320
._ Exyire� .2023
vriln"' Bonded nxuiLVWNotuy-
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
DATE
I
COMPLETED
�
Rev. 8/2/17