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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r 1 Date: 01/16/17 Permit Number: 91 1" da RECEI'.' D A�� 17 2017 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 arrow at the end of line S CA b `>' six .:-. i . c �� €' .. r• �..z`•:. ,- ,� 0zR ?P£ Ef3 t;11/t'R1T L'C3CATIt �I � Address: 9062 Pumpkin Rdg,Port St.Lucie,FL 34986 Legal Description: MAIDSTONE'(pb 43-11)LOT 149(OR 3214-2441) Property Tax ID#: 3322-505-0158-000-0 Lot No.1.49 Site Plan Name: Block No. Project Name: � r Setbacks Front 5© Back: ' `b Right Sider LeftSide: �2®r x <_,: E-. "^z-..• �_...K v.,=„r,� _-vim`_' _ �`'�"��_�F�. _ _ _mss F�SI'AGG rodrejZ OA)Z�y ra-t_ oVe- v�rS �yr of f/c' 5 b� �t�� PsT- GPgR�►�s 1� TyP I�v1€f. 1_0 G 2"Kr 1�2 w!Z rtiona wor to a pe Orme un er t is permit—c ec a t a app y: OHVAC �Gas Tank Gas Piping _Shutters ❑Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq.Ft of Construction: -70 S .Ft.of First Floor: Cost of Construction:$ (Pont. Utilities: Sewer E]Septic Building'Height: COiRGtRz =�3 � �' PAUL KUHN.. Name I5- !'can ,. 0 Name: Address: ��` O°u �r� �� �� Company'. City: r.CG+ State: HERITAGE-CONTRACTING.SERVICES, INC. � d Address: 3690 NOUS HWY-1 or"7 S�� 1 � Zip Code: LN Fax: �— City: FT PIERCE State:FL Phone No. 77W—:216-602 Zip Code: 34946 Fax: N/A !e n E-Mail:�atc0..��. /. < �frn.�.I. �a�, Phone No. 772-216-6612 Fill in fee simple Title Holder o next ext page(if different E-Mail: PAUL.K.HCS@GMAIL.COM from the Owner listed above) State or County License: CGC7507158 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. E7lfi� lT ? �JT1L�l �frltlf 5 � � a a e` 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 Countty 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 1 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/Contractor as Agent for Owner Signaturd of Contractor/License Hol STATE OF FLORI A STATE OF FLOR A COUNTY OF 5 . 1-yc �2 COUNTY OF S�• LL1c e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20'j-by this i—k day of -'s°1'r, 20 Q_by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pu ic-State of Florida) (Signature of Notary Pu 'c-State of Florida} Personally Known OR Produced IdentiflcaU Personally Kn e1 ��� motion Type of IdentificINP Type of Iden ,3 `Y' liuc eemmISS18N#GG U D PIRES:December 16,2020 1.96"�57 MY EANNA a�N#GG 022023 Commission No. mber16,2020 Commission P d7hmNpinX&M41 rwrilors c.a EXPIRE Notary Nb6c Underwriters +,F...•oc gpndedTh Revised 07/15/ 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS