Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � a Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division / 2300 Virginia Avenue, Fort Pierce Ft 3.4982 1f/� 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. 6906 Sebastian Load Saint Lucie, FL 34951 Legal Description: LAKEWOOD PARK -UNIT 11- BLK 1501 LOT 11 (MAP 13/12!) (OR 3825-253: 3832-1253) Property Tax ID #: 1301-513-9310-000-5 Lot No, 11 Site Plan Name: R 1. _ Block No. 150 Project Name: Irl i 1pl Setbacks Front Back: Right Side: Left Side: Re Roof p►- co 3b Jeot 5b%t19%e_ waYrari-N . FLlun-l -vz'� fLlUb1A-eIa Aclaitionai work to be ertormeo unaertnis permit-cnecKall apply: HVAC Gas Tank Gas PipingShutters [:] Windows%Doors CGenerator Electric El Plumbing []Sprinklers Roof Total Sq. Ft of Construction: _._l.in6c) ___ Sq. Ft. of First Floor: _ l `? 4 U Cost of Construction: $ a LD (� • 00 Utilities:Sewer Septic Building Height:.5 OWINER/LESSEE: CONTRACTOR; Name Dibs US Inc. Dame: michoei Hawn - Address: 2915 E Baseline RD Ste 109 Company: y rLince i CeS City: Gilbert State: Address: (0—b N • HO Ed 6126- -- _ Zip Code: $5234 Fax: bi A City: or l orflu State: FL Phone No. m J AZip - Fax: L1146 Code ._ 931 2)Sol E -Mail: re i Illy 1 Phone No. q�g Fill in fee simple Title Halder on next page [ if different E -Mail: (Y�nhor�,t�1►11C1rr r� I�SfiDrSurGl'i(e Lord_ from the owner listed above) State or County License: 112 - It value of construction is $25/30 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 TITLE HOLDER: � Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: certify that no work or installation has commenced prior to the issuance of a permit. St_ Lucie Count, 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 ccessor uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Comme cemen ay result in your paying twice! for improvements to your property. A Notice of Commencement ust be corded and posted on the jobsite before the first inspection. If you intend to obtain financing, c It w h lender or an attorney before commencinE work or recordine vour Notice of Commenceme y • _ atu©f weer Lessee/Agent STATE OFJLL� A L—i,Z004 COUNTY OF "(kP-kC0PA cense STATE OF FLORIDA COUNTY OF GV-PhI6E The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of r j i �_i.'i 20 Eby this la. day of tCk 20 11 W by Michie I Hamm (Name of person acknowledging) (Name of person acknowledging) C�`7 Znature of a ary blic- State of Herid+ar j (Signature f Notary Public- State of Florida) onally Known OR Produced Identifiption X' Pers vnall nown \--�QR Produced Identification Type of Identification Produced 17iZl,,&—ZS' LjcertR:+ Type of Identification Produced Commission No. Z tq6 aI�STACY ERIC (�(?©L7�a (Seal) mi cion No. Notary Public - A i Meghrin Miller Pinal COun y JVJy March 27, 2018 STATE OF FLORIDA Revised 07/15/2014 COW* GQ*=25 REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEA TURTLE %N TIZVZ MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I N ITIAL5 C G d CL C d V r a r- a t co A a ➢i � CJ Ci H t6 o t6 N �d� aZ cvs U-1 0 LLu� m � � N Z � b O � v L V 09 L m V _7 �^ C a � 0 c v m � C N H a � � O A � C v O m iS a IL y w h i° o c t7 c (a 4 [a $O H L q d +,. Q m a> 7 c -0 = 7 k Y _ C V O _ a C V 1~C � 7 O O MR