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HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 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 vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OFF _.?LI A _+i �� COUNTY OF I �\,LI,C Theoing instrumentwas acknowledge fore me this T day of C) L �JA 20by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) -k-, 40 04 L0� Signature of Contractor/License Holder STATE OF FLORID ft n .4,,_,\_ COUNTY OF Y The o oing instr nwas acknowledge b fore me this day of ;u.1 20 by 1�1 �Yl �Aj `50 n (Name of person acknowledging) (I - G U '(A� at 0 (Signature of Notary Public- State of Florida ) Persons II X t LLNr�c� � Cation Personally :n �s u n Type of I I Ct� d Type of Ide t i P YP MYIaJ1QN FF904048 ��� 10M# FP994E /G EXPIRES Jul 31, 2qg ) " a , • EXPIRES July 31INA Commi: si' Y Qal Commissio ((4cn3&' 53 Pbrq�N«sysarvka.car (40/)398-0153 ftrkh cUy Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:_I("1 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 x PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: 1 Address: 16'&60 � J 1Aw -r 1 ixw+ r C Legal Description: 1f; I OAd bLuws ©u%�6i � 1 f1 i) r l; n iit cfn 1 ___LL(11i + 110 5 Property Tax ID #: 55"35 -- LPC 2 - 00q D©®- (.o Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back. Right Side: Left Side: DETAILED DESCRIPTION OF WORK: L, it YV Com' 4izN) �0 kVJ I . � ;A£�'• +u•, CONSTRUCTION INFORMATION A Additional work to be erformed under this permit — checkrszx.x all apply: ❑✓ HVAC El Gas Tank Gas Piping _ Shutters p g Electric El Plumbing Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 2500.00 Sq. Ft. of First Floor: Utilities: []Sewer Sewer 171 Septic OWNER/LESSEE: l i CONTRACTOR: Name Ev; L `t J 0CI L- T LLt"fly t' Name: Kim Wilson Address: I M<An _z>I Company: Premier Plumbing & Air LLC City: (1-w [Qf'C) ' r State: Address: 108 NE Dixie Hwy Zip Code: � 0 Fax: City: Stuart State: FL Phone No. Zip Code: 34994 Fax: 772-692-1094 E -Mail: Phone No. 772-692-2500 Fill in fee simple Title Holder on next page ( if different E -Mail: preplbgac@gmail.com from the Owner listed above) State or County License: 25222 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I� Windows/Doors F]Roof u Roof pitch Building Height: