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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDSt. Lucie County `l g Department Date: oW. Date: .F3 Approved By: Building Permit App ABLE ATTAINABLE Planning and Development Services WORKFORCE HOUSING 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 PRQPOSED 1„MI�.RfJ E'MEMT LOCAT,I0 Address: c�2 Legal Description: Property Tax ID#: 273C 9 —%1”Wil L' — Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILEp DESGR(RT10N OF WRK"' ]l u� G-- spy►. S S r I ,�Y 1.h, kU,uto , A1C�rJyCs�-� v V w, ' V q t y Z � �i°t �cyi , i pI, v-rz% e-" X 0- 77777777 CONSTRUCTI©IV'li�li=QRMATIUN: Additional wor toeperformed.,.un erthis permit-c ec a y: HVAC GasTank ❑Gas Piping _Shutters windows/Doors ElElectric EiPlumbing o Sprinklers Generator Roof F-7 Roof Pitch Total Sq-Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ r Utilities: Sewer[]Septic Building Height: QINNER/LfSSE _ CQNTRACTOR Name If `a ��?L' c� e Name: \� Address: P i Company: P Cs C State:2C Address: -76 r�� ''� fit- °� � lc I --�-- City: ® -� (� \jCb-� Stater Zip Code: Ll Fax: City: X00- Z .l Zip Code: A ; , Fax: -- Phone No. �ry E- Mail, Phone No. e simple T+tie Holder on next page if different E-Mail: ^P��k O �� �e Owner listed above) State or County License: f construction is$2500 or more,a RECORDED Notice of Commencement is required. t" TAL�Q��TFtt1GT1l3#� Ll�l�l`t�AW fNFQRMAT!£}N `� � t , , 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: 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 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 dd 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-residentiai 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. 7rz��__ r�jj"'u m 01�." s Signatur f OwnerfLess I ej as.Agent for Owner Signat f iC&Ytractorr n - A ro t STATE OF FLORIDA I a STATE OF FLORID COUNTY OF S' t>C.�-�� COUNTY OF 1 U C �P- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisq_day of�� �� 20 Eby this y_Lay of, erJ u a20 � by 0 SCA (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known Personally Known 2/ OR Produced Identification Type of identification ProE LA LUZ VELASCO Type of Identification Pro MADE LA LUZ �l€1"A;;C�S -•, "I,,•= MY COMMISSION#GG050399 , 's ir; 9 Commission No. EXFf1November28,2020 Commission Na. =•� ••:MY C +tMllsION#.GLASC EXPIRES November 28,2020 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW - REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS