Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLf INFO MJJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number _ Building Permit Application 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: PR©POSED INPR.OUEMENT LOCATION: Address: 3901 5T LUC t (221\1 �-'�. �i 9-V-CQ-. Legal Description: 3:Z -54 4'Q QJ `700 Fr d F e= 3& of N /1Z e2e N UJ I��- -1 j6—,5 e\J 40 ET-( 2-0 --73 AQ C ©C— 31 0 - 9 90 Property Tax ID#: I 0 00 - 6.3 Lot No. Site Plan Name: ll Block No. is Project Name: RkY-S(U T `J D a Setbacks Front Back: Right Side: Left Side: DETAILED DE�-S�RIPTION pF WORK: 2 tJS PZLp i 0Q OF Rurr-c c 0e Skc..i,*er-S 8,C-r 0 s�► ©r1 T- i 6 `1-VIIee, 6 ap ul UJAI LCO 2 4N§TU IM NJ INFORMATION: Additional work to be pertormed under this permit-check a tat 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: $ �� �j e::,-('D Utilities: —Sewer _Septic Building Height: OWNER/LE=�S�SEE: CONTRACTOR: Name ��Yl': 193. Piroper�eS LLC Name: MiC�4vi%i Address: 1 \*la. O 41-7 Company: Iofg'r .�=4�,,rr� ca�(2 S�riu���'S, C. City: two o�yt State:MT Address: G�0'; , Y-' �+ Zip Code: Fax: 172--q&5 - 61-77 City: 2- YN erre State: Phone No. - -I L- O los-- (000 A Zip Code: OtY I Fax: "11Z'l9(4-1 Sw E-Mail: WWW. ODUY'Sul+600+S, C-OYYI Phone No _3 12— °�9 V Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License_ U 3 1 4 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S�IJP;PLEMENTAI. CONST`R+IJ`CTI®N LIEN IOW 1-NiFORMAI'ION: 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 you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. i.. �/ f L�'t.2�9 Com_ l-J"td�-�•9�- QU—L Signature of Owner/Lessee/Agent Signature of ontractor/License Holder STATE OF FLORIDA - / ► STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgping-instrur7t vas acknowledg efore me this lay of 20K by this Sclay of 20, by (Name of person acknowledging) (Na a of person acknowledging) (Signature of Ncory Public-State of Florida ) (Signa re�,, Public-State of Florida ) rson Iy G c d Identification P s Al A u ed Identification T •�n ANGELA M HUFF ;j TYP _ ry pdbiiE�A yUFf _ Notary Public Statr 1,,,FL �M omMIS s: srata Produ a• .•= Florida r 3s on 234730 BOndedr m ',Weg f?3 3 da 11 o�.• #FF hro Pir M 4� oFF�o •: MY Comm Expires Ma Commission No. U9hIV a), ?01eal) Com . tl. Bon Y 27,( lvdtconal Notary Assn. °ja'1'Assn9 -r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.7/2014