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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n /� Date: Permit Number: J�l/ `�' DQ a I zeAN RECEIVED Building Permit Application APR ®3 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: To Select from dropbox, click arrow at the end of line Address: +�_ C�C,Q�1 s 2 . Legal Description: LOT 38 AND THE EAST 1/Z OF LUT 39,BLOCK 1,WAGNER SUBDIVISION, ACCORDING TO THE PLAT T11EREOF AS RECORDED°IN PLAT BOOK 9,AT PAGE 74,OF THE PUBLIC'AECORDS OF ST. LUCIE COUNTYJLORIDA. Property Tax ID#: r7 Site Plan Name: -56Y P-2 / 0 ol- - © Block No. Project Name: Setbacks Front Back: Right Side: Left Side: O%%////r///r.,%///./%/rr/r//v�///iso,..i///�/,✓///..//%o/ '...f09/ ////%i////%``i% / /' //%%% // /d...// // // r ... i/ .//„/ -O / ,,...,. (jS; wa f v,, bl G y/ /��/ /u///i i ,.,, _c,r ,,� S ,RUC�I ,1NFC►R�, ICl-N..,��/ . / �,� // �� Additional wor toe e orme under this permit-c ec a appy: HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors 11Electric 0 Plumbing 11 Sprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$��• Utilities:Sewer E]Septic Building Height: v.,ci////,;i i/o,,.,,,;;/,,,,iiir✓; �,.�%�,,� ,i��i'�/,r,, ���3%//,i/,%%u/%%;�%ii„� i,,, >%„r' �d.;; if,!// .%z,��//���,r. ����� r/r;./��/_ /,fir; Name Lk l 6 Ux- Name: - Address: .rt_ 1w—aa flrmpany: �e-�City: t��czQ &�o Stateess: �, �t cJ'� . Zip Code: _ _ Fax: �7 �y City: Stater Phone No. ©ro c�`� g ” ! Z -l: Zip Code: i Fax: E-Mail: WUJUJ- _S®(krCf_S° LACIt'05_OG Ie No. I1n Fill in fee simple Title Holder on next page(if different E-Mail: �usd�L7a�6 S . �, YV1G$1 ` from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. •a 7® � G AT ,,.! PPLEiVIENTtL%@.ONSTRUCTION LIEI�'tA\N INF ,RN SU i'' 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 thepermit 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. Signature of Owner/Lessee Co AA en fo'r`e ner tSjnatr reo°fEonfraetoY icense Holder STATE OF FLORID �N =o m�2 STATE OF FLORIDA � COUNTY OF ii�� COUNTY OF Y!�,; Z >2 t Q0 2 O Op. The forgoing instr nt was acknowledged fore °D'�; — The forgoing instru nt was a knowledged before me a Uw s� y y R_W this day of 20 by thi da of 20 b r_ _ a `UX " / tea'`•'*Y0 Cr Ju' z1 rn a (Name of erson acknowledging) 's (Name of pers n acknowledging) (Signature oft,ry Public-State of-FloridaFloricla V (Signature o T Public-State of Florida) Personally Known OR Pro a Identification Personally Known 01k- uced Ideytification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) rA Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS a