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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: IY< 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: To Select from'dropbox, click here 3 PROPO�ED�INPF {{ Address: (-% 0&_ 2)4%el Ifi t117 IFel it � �e Legal Description: !__0 4 00f'��-i Property Tax ID #: Seo + ®C C/ 'ori 0 % Lot No.-- Site Plan Name: Block No. T Project Name: Setbacks Front Back: Right Side: Left Side: _[-Ny Yyj S'4 9 9 ,5 DTAILCSaC��T 5� F R i Ea * r X CONSTft I�TaOl�l f 5e of la i itiona wor to a er orme un er t is permit — c ec a appy: HVAC Gas Tank Gas Piping _ Shutters l� Windows/Doors ❑Electric ❑ Plumbing OSprinklers 0 Generator Roof Total Sq. Ft of Construction: SQ. Ft.of First Floor: Cost of Construction: WL%Civ Utilities: I _LSewer Septic Building Height: • w� A dx t ,y E k 3 i "✓ x 5kg MMM RMR F9 , . Name �� A f td ��,rx�f Name: •tea P7 e,- ✓Address: Address:Company: . — Yn r �`vr 4 City: der_ State: Address: Vir- 4i l 144",1,,t Zip Code: iT J �J a Fax: City: 'S C�104S 44 11 State: )rt Phone No. 5�7ff Zip Code: plc s Fax: 7'TR E-Mail: Phone No: Fill in fee simple Title Holder on next page (if different E-Mail: ;- - j42'1 tiles to _'C6 &4C . from the Owner listed above) State or County License:J ;?,b �•� If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 corrjmenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit 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 job ite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Agent/ Lessee STATE OF FLORIDA nn` COUNTY OF Shd i ar 1`C:U,. The forgoing instr ent was ar�Tk-nowled ed before me this .Zo day of i9r2► Te_V 'te , 20[1K1 by oc rl I t>rr�.� (Name of person acknowledging) (Signiature of Notary Public- ate of Florida,) Personally Known OR Produced Identification Type of Identification Produc „ ,. , CYNTHIA LU MARC! Commission No. Revised 07/15/2014 Signature of Contractor/License H STATE OF FLORIDA COUNTY OF The forgoing instr men was acknowledged before me this � day of ec, erna— , 20 Z1 by (Name of person acknowledging ) (Signathre of Notary Public- St of Florida ) Personally Known OR Produced Identification Xy4aalof Identification Produce l� MMISSION #FF1 2 9&nfission No. iS September 21,120 ��1iv1,"-iI ilA LU PVIARC, N w' 'I��I�'C7MM1, SION #FF1 16 RX, PIRES Selptember 21, 18 REVIEWS FRONT ZONING; ''; SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE kVIEW DESIGNER/ENGINEER: _ Nqt Applicable REVIEW MORTGAGE COMPANY: _ Not Applicable Name: DATE Name: Address: Address: City: i State: RECEIVED 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: I 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 corrjmenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit 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 job ite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Agent/ Lessee STATE OF FLORIDA nn` COUNTY OF Shd i ar 1`C:U,. The forgoing instr ent was ar�Tk-nowled ed before me this .Zo day of i9r2► Te_V 'te , 20[1K1 by oc rl I t>rr�.� (Name of person acknowledging) (Signiature of Notary Public- ate of Florida,) Personally Known OR Produced Identification Type of Identification Produc „ ,. , CYNTHIA LU MARC! Commission No. Revised 07/15/2014 Signature of Contractor/License H STATE OF FLORIDA COUNTY OF The forgoing instr men was acknowledged before me this � day of ec, erna— , 20 Z1 by (Name of person acknowledging ) (Signathre of Notary Public- St of Florida ) Personally Known OR Produced Identification Xy4aalof Identification Produce l� MMISSION #FF1 2 9&nfission No. iS September 21,120 ��1iv1,"-iI ilA LU PVIARC, N w' 'I��I�'C7MM1, SION #FF1 16 RX, PIRES Selptember 21, 18 REVIEWS FRONT ZONING; ''; SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE kVIEW COUNTER REVIEW! REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ova j -\\dN wod as �o iN�oa lwva) 0000t :1 L M n0 Tz -1 r 0> 0G)zr ; =ODm;m 0 ;uOC-OQmrnal rw-;QD -i - -uD r c=Pmz===O m 0 Nm�0 yv0= 0Az>0 mD OOTc�mma nm-ip0, mxoN pm n� >0 m MM,��jm0=N p cn �AC W my r OZ0- �.. 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