The URL can be used to link to this page

Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f 1 I Date: Permit Number: R3IVrz twlr 'J APR 0 7 2016 Building Permit Application Planning and Development Services PERfOITTING St. Lucie County, FL 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 PROPOSED IMPROVEMENT LOCATION. Address: 90A ekAys,% Legal Description:tkeS a,+ P6-14 V. I� '��P(3 �/3 -3 2� J1� A Lia-3�(or 3by�r- 228° Property Tax ID#:-7 3 3 LI 5-0 00S Z 000 Lot No._3 Site Plan Name: `Ao("(,I.5 Block No.A Project Name:_A&.4r) Setbacks Front_ Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION; Additional work to be nerformed under this permit-check all that appy: HVAC Gas Tank ❑Gas Piping 11 Shutters -Windows Doors 11 Electric Plumbing Sprinklers E Generator 0 Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ Z 2-S Utilities:'nSewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name K&re^J%11- ii Cor arkL- k oP,,c PSf.. LLC Name: T �-�a r� Address: /a 3 b�- Company: CL-bf-I V�<< l City: State:WI/ Address;32.,31 Zip Code: Fax: City: �S�zs��y State: F� Phone No. _'�O 9-5Y 3 - Zr?Y Zip Code: 3Lt III Fax: E-Mail: Phone No. 1q L L5_0 S` Fill in fee simple Title Holder on next page(if different E-Mail: C D i2,Z o ( `mer S C o m from the Owner listed above) State or County License:$LL 2-3 f663 GC—r— © 9 1 y If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE,COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone:` Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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. s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA - STATE OF FLORIDy COUNTY OF Al A?11N COUNTY OF /�'//��tT�N The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of /YMAAGh . 20/ P by this�day of_/i?/ /% .20 �by Cup,?is 74��hD. Crc�.r�s 7utko� (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of FI\ ELLAM /�j (Signature of Notary Public-State of Florida\,`o11111111111m�� \\ C s \ Personally Known OR Pro Personally Personally Known OR Producgldenlp�•• Type of Identification Produced _s_ ; , = Type of Identification Produced *;�'� p1e�e� ? o.�•:� �s—off Commission No. ;�(�� may; ? Commission No. _y; ($ •� 4fm� Revised 07/15/2014 /IG. Ifiru %021, 1 EOf �,'`\0 /��/`�; •�,�,y,••��OQ`\\\\ ��II fI111N111��\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS