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HomeMy WebLinkAboutapplication All APPLICABLE INF MLIPT 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 X PERMIT APPLICATION FOR: pRfSED (NP,RC�1lEMEIT LOCATION 3 :' � Address: 5o21a. �riG,<oPti �f Ft P(c.✓c�? r,>d.• �'�t�8� Legal Description: r-d�cn 01 - &we, Property Tax ID#: .3y0-z— o8-e4sy_ocov( Lot No. Site Plan Name: Block No. 5�-- Project Name: 7--r\Ckk0tA Setbacks Front Back: Right Side: Left Side: ETf�LEO ©ESCRIPTIONE RI& �.7 y t 04 TRCTC � SNIRMA "[G}I : Additional work to be pertormed un er t is permit-c ec all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator Roof Total Sq. Ft of Construction: c�a•;Cy Sq. Ft.of First Floor: Cost of Construction:$ / , g�-0 Utilities: —Sewer —Septic Building Height: "���� ���x Name 7skCLName: Address: 5a\a WC-Y-O" Company: .yc: ✓�-� akn!, ,.. City: State: - C��7L- Address: t-•o• PSK 1?(c(01; Zip Code: 3%4 9 ?oZ. Fax: City:pow- - .5�- L4C4State:-EA Phone No. 9"la- 14 Wo- 334 Z Zip Code: 34 RSI Fax: 91;l -3 I(.- E-Mail: (.-E-Mail: Phone No 91.2-- 3�t.- 3 F Fill in fee simple Title Holder on next page(if different E-Mail Sicv- F-ron-kq— 0) he f' from the Owner listed above) State or County License if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 5u .�ME14770-� iQN$TRU77T7 NLA 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 structurin e. Plconflict ase consult w with applicable lome Owners Association Owners andrreviewyyo r deed for any restrictions wh ch may apply obit such 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 bgwcorded and posted on the jobsite before the first inspection. If you intend to obtain financing, cons wit lender or an attorney before commencing work or recording our Notice of Commencement. Signatike of Owner/Lessee/A nt Signatur o ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF '(Y)ARA-%n COUNTY OF rnlAlZ�hn The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this (90 day of 120 1(o by this 40 day of T(Anc.- ,20 1 b by \[C"tghn �evc, SronAei'a (Name of person acknowledging) (Name of person acknowledging) (Sigpture of Notary Public-State of Florida) / (Sign ure of Notary7OR -State of Florida) Personally Known OR Produced Identification �/ Personally Known Produced Identification Type of Identification Z.Vpe of Identification Produced R- Ste*of oduced Notery p�btl SwedF xi • Carmela Frantantor>l bsWFF975783 mmission No. FC4-�j'1S"1 g a�'"'=FrantantoM Commission No. �IJ ate, (�r p"'y��020 reso�2oFF 97s aw E* REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.