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Home My WebLink AboutBuilding Permit Application 12/29/16 06:21PM EST '8666027933' —> 7724621578 Pg 5/5 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: pES1GNER 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: I certify that no work or installation has commenced prior to the Issuance of a permit. St.Lucie County makes no representation that 16 grantinga permit will authorize theermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or anfccovenants that may restrict or prohibit such structure.Please consult with your Homeowners Association-and review your deedr 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 commencipis work or recording our Notice of Commencement. �f9 s Signature of Owner Lessee/Con ractor as Agent for Owner Signature of Contractor/license Holder STATE OF FLORIDA STATE OF FLORID" COUNTY OF_ ' L-A/a'e COUNTY OF_ 5�-i ucI Lb The forgoing instrum nt was ac cnowledge before me The forgoing instrument was acknowledged efore me this"day of 20 L4by this I,day of_ ACG • 20 IV by 48 2>__ Arz)4 it /Vow (Name of person acknowledging) (Name of person acknowledging) (Signa ure of Public-State o nda) (Sign ure of Notary•Publlc-State of Florida) own OR Produced Identification erso5e�n now OR Produced Identification Type of Identification Produced ti+catisa�ArAduced_;�^ OV opt, �fy ,++�� F� WCOMMU0N1 Commission No. Commission Commission No. 'IWiE9:JuN t� • �@%PY3E8;Deaembor 1B,1pT0 '�o►n° 9adN�u 6u�1 xoh,y:,Mesa Revised 07/15/2014 REVIEWS FRONT ZONING. SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS �'�f 1L70 '0505 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4 jt� Date: Permit Number: 6 �© v K5_ RECEIVED Building Permit Application DEC 2 9 2016 Planning and Development Services PER.MJTTING Building and Code Regulation Division St. Lucie Cou , FL 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: / / ► E Address: AID ��/CGI of `J'h aw 144t 2 r• r 3Lt 01$2 Legal Description: 3 y�0 7U O 0 741— 660"_ 7 Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [DETAILED DESCRIPTION OF WORD: W0*0iev�0,e, 'UArn"ti; �M.t 'A"O c477� !f `e dl'd mob k �o FCONSTRUCTION INFORMATION: Additional work to be nertormed und er this permit—check all appy: HVAC Gas Tank F]Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator L"I Roof 31 M 1 Roof pitch Total Sq. Ft of Construction: 2-100 Sq- Ft.of First Floor: Cost of Construction:$ ��, %O 0 • Utilities: Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name /'fti w- Y! Name: KriS4'` S00 Address: 9 // /'1 .f.4t',11-6a 2/ Company: WPS(Av% CovtWo st oy - City: For-( State: Address: .5/30 400f?~t A l e%k .Sp^k K Zip Code: 3/982 ? Fax: /✓ City: /f7e1 �/I'n� State:•F� Phone No. 51�0 '3/7' O Zip Code: 3t94V Fax: A✓G -402 -7933 E-Mail: IWSS Yllaly 0 Y4A#*.RCo/'h Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: /1�OI�G��✓�.1Coh• �o�fC'�'O�` from the Owner listed above) state or County License: Cr G (330 75 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.