Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABL INFO YLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:RECE110 7D DEC 2.3 Zg15 !�1 w . RECEIVE Building Permit Application DEC 2 3 2015 Planning and Development Services 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: �� d PR�t+W-83@IN.PROUEM3ENT LQ TI`S N: Address: .r h Legal Description: Property Tax ID#: ��f`-7� l �)�r - ex)c 7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAaFLED DEaSCRI'PTION OF WORK! C`t�?NSTRaUCTI N INF®Ft}IVIATION: Additional work to be pertormed under this permit-check all that appy: Mechanical Gas Tank Gas Piping Shutters /Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: QWN'ER/LESSEE: C®NTRAC�T'®R: �� Name Name: Address: _Company: 4�a if City. State:C--A Address: -t. , G/Z Zip Code: 41 Fax: City: State: lc7r Phone No. Zip Code: 356` Fax: / 95'23 E-Mail: Phone No �777_ 40'-4/ W&A Fill in fee simple Title Holder on next page(if different E-Mail �`GC�'t,�: z from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMEN SAL CONSTRl1CTION LI ;N LAW !NFQRMATIDN: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 jobsite before the first inspection. If yo intend to obtain financing, consult with lender r a attorney before commencin work ror I r otice of Commencement. Signature of O L see/Contractor as Agent for Owner Signature tractor/License oder STATE OF FLORIDAi� STATE OF FLORIDA U��. COUNTY OF S� • �- \ COUNTY OF The forgoing instrument was acknowledged before me The for oing instr ent was acknowledged before me this:a day of �Q cv 20A5 m by this a day of gelzl 206 by C, 61\,r �\-� \� C 6\ '\ \�-\ 1 (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pubk-State of Florida ) (Signature of Notary blit-State of Florida) Personally Known OR Produced - ifi ' ip mWaa a Personally Known OR Produced IdenV r�f 5 Type of Identification pEPN sN'&'e °�6, Type of IdentiCfication � _ � �EANN 5�ate of Fi Produced t+ 1� �— PUb\EXP`�es EEa58ayPss� , Produced T`'��--^ " c, ".Pia o Co mbExpires Der 6 G° �Ss�O a�`p°a :G°My ion a conal Notary Assn. Commission No. " ,tr. y ad�9oN Commission.No.t t REVIEWS FRONTI ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNT R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Planning&Development.Services ASBESTOS NOTICE Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce;FL. 34982 Phone:(772)462-2172 Fax:(772)462-6443 Asbestos Notice to Contractor December 23, 2015 SOUTH FLORIDA LAND CLEARING INC COLIN M HALL 15701 ORANGE AVENUE FORT PIERCE, FL 34945 FILE c® RE: Building Permit Number 1512-0413 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. Signature /Z Z3 D to 12/23/2015 3:35:29 PM Property Card Page 1 of 1 Building Information F-< �0 of 7)�] Finished/Under Air Area: 9,988 SF Gross Total Area:9,688 SF Exterior Data Building Type: HD Grade: D Year Built: 1961 Effective Year: 1951 No.Units: 1 Story Height: 1 Story Roof Cover: Fibrglss Shg Roof Structure: Gable Primary Wall: CB Stucco Secondary Wall: View: Frame: Interior Data Bedrooms: 0 Full Baths: 1 Primary Int Wall: Drywall Half Baths: 0 Primary Floors: Carpet Avg Hgt/Floor: 0 Heat Type: FrcdHotAir Heat Fuel: ELEC Heated%: 100% A/C%: 100% Electric: MAXIMUM Interior Sprinkler%: 0% { 4 ' :0 9k l0 (OOD I :. P m 02/20006' li' Sketch Area Legend Sub Area Description Area Fin.Area Perimeter BAS BASE AREA 1188 1188 188 CPAL Carport Attached Low 500 0 90 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2015 Saint Lucie County Property Appraiser.All rights reserved. X.r ah'"-Qt' r http://www.paslc.org/RECard/ 12/23/2015