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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i I r7 Permit Number: 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 PROPOSED IMPROVEMENT LOCATION: Address: S �v C��- IYLik% �✓1 , Legal Description:�tzply 91%Jzt % ,VaTe,5 Property Tax ID #: 3 VOZ GO S 0111 &)03 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. �D I C) (--e� pqj is OJ czgi q kw q�a�,s C) /a, CONSTRUCTION IN MATION: Additional work to be erformed under this permit— check all appy: HVAC LJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ %S -?0 S Ft. of First Floor: UtilitiesliSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name_ fi�vk} �(_�' Name:L e C'q jK Address: .� 2 & Company: (SL _ M j4,1 0 f I ppcf" City: &F&7- -_Cf l euc-e State: (' 3y Addres �_<,W e0JU7f6* , Zip Code: n Fax: City: State: Phone No. Z Co o Zi Code: ' j _ Fax: Z' `� �1 Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different E -Mail: �L © r 6eivq from the Owner listed above) State or County License: Com- 136.7 2 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 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,V your property. A Notice of Commencement must be recorded and posted on the jobsite before the i st i spection. 1pyou intend to obtain financing, consult with lender or an atkorney before commenc' g w rk or recorilim your Notice of Commencement. .1� 7 as Oen lfor Owner I Signature rise Holder STATE OF FLORIDA U STATE OF FLORIDA COUNTY OF S�Z— LAC�\ 42-- COUNTY OF The fo ing instrumn was a jmowledge before me this ay of 20 by ;Name of person acknowledging) A (Signature of Notfiry Public- State of Florida ) Personally Type of Id( The forgoing instr ment was ack owled d before me this lay of 20�y by (Name of person acknowledging ) re of Personally Known Type 4 W State of Florida OR Produced Identification s - -•, aiaie u� rlorle V�nu�a. ANGELA M HUFF _' � » •= Commission FF 34730 F'L, Commission N'.';"^* "oec Sp� Com i e`er; Notary Public - State of Flor(6e I) i,'OF F����` m. ExpirS fVfa 27, QO;g - . ; .; Commission # FF 234730 '"' Bondedthrough National NotaryAssn. - * 2019 ZIPE` r e . My Comm. Expires May 27, 201, Bonded through National Notaryry 1.or Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW TATE