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HomeMy WebLinkAboutBuilding Permit Application Ali,APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cy •Date: Permit Number: ! �- i RECEIVED Building Permit Application MAR /6 2017 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: PRQ.PtJSED IINPROUEl1�!ENT LOCATIQN: Address: X7/02 e �/�i (.e �' ✓'f YO)et-(.u- Legal Description: �l` It"'M >I/Cs/ �lS�" - tL"'14 Oji e1 ld,4 % r����y��A) �o y 779& 7.9/ Property Tax ID#: OL102--&o y- p,Tz 7- OV O 0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DET.A('LE© D'.E�SCRIPTI®(� OF WOR+K: � bkava'd , -4-'Vk' a, '/v?� i AddCONS�TRUCTlON 1N�F©RdIVIA►T!®N: itiona workto a performed under this permit-check a that app V. _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric I _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 17-00 00 Utilities: —Sewer _Septic ' Building Height: OWNER/LE�S�SEE: CONTRA OR: Name Name Address: 7I P' l Company:.. I City: State: Address: ..' ' Zip Code: Fax: City: State: 4 Phone No. 77 oL0 v Zip Code: Fax: :7:::— E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. I Sl1�PPLNMIEM'ENT'AyLtJCTI`®IV LIEN 1�1tU IN?FORIUTAI"ION: . . rv. �.. 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: 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 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 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 commencing work or recording our Notice of Commencement. Signa re of Owner/Lessee/Contra cto s Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF ,S', - Lu 61 tle— COUNTY OF The for oing instrum nt was.acknowledged before me The forgoing instrument was acknowledged before me this day of !/ t76 20�L7 by I—/J9- /�� this day of 20_ by OoLA (Name f rson acknowledging) (Name of person acknowledging) (Signature of gotary Public-State of Florida) (Signature of Notary Public-State of Florida ) Personally Known " OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification ProducedProduced Notary Public Stat i Commission No���'� `/.1'.� Dorothy Fisher -882433 No. (Seal) My Commission E 88 ' or i� Expires 05!071201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.