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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO �MUST BEE COMPLETED FOR APPLICATION TO BE ACCEPTED / /� Date: ! Dmf• / Permit Number: / 07, 0r� b-? ` Building Permit Application Planning and Development Services Building and Code Regulation Division JUL 2 1, 2.017 2300 Virginia Avenue,Fort Pierce FL 34982 wlrkPhone: (772)462-1553 Fax: (772)462-1578 Commercial Resident*pke-°c y,FI _ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PR'OPOSED..IIVIPROUEMELVTF+LOCATIO'N Address: 4 1 Ei RsT- -Tee .R® SRT.. ST LW ' EL 349 Fk Legal Description: s7_) .A1 -THE PHASE .. Y,I NG6H U_ _wt -1-31 'Property Tax ID#: � -x.c✓'" L� ( �'`� Lot No. 3 Site Plan Name: Block No. Project Name: M CAU Li FFE Setbacks Front Back: Right Side: Left Side: FS R[ DETAILED DPTION QFEWO:RK � < -{...., e.:7... >h..a: — t,- WjV HeR-TER ItQ>TAU, TOOK � �t CONSTRUCTION INEORMATIOIV Additionalwork to a beff orm ea under this permit-check• a appy:" 11HVAC Gas Tank Gas PipingQ_Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator 1:1 Zoof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ '�I t�l� �fin® Utilities:cn Sewer Septic Building Height: "I 'T_, �> x t>l i" CONTRACTOR r x. r Name—l - Name: MAK[K � Address: 941 r — Company J� at RTIL IMC, City: Gp', LUCE FL, State:� Address: �e����,� MC.E TUID Zip Coder 9b Fax: -- City: P)RT kSr UADE Staavte:_ai Phone No. �� DCC- 3304 Zip Code: Fax: 78-15 7©�'9,15% E-Mail: Phone No. ^/� Fill in fee simple Title Holder on next page(if different E-Mail: N1l,40 Gf AA(0 M 1 W0 COB from the Owner listed above) State or County License: CK44a9q29 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTIQN LIEN LAIN INFORMATION DESIGNER/ENGINEER: •d 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: lot 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 tc 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:roam 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. fXlut'i'L P-1— I'L s �idnature of Owner/Lessee/Contractor as Agent for Owner S' nature of Contractor/License Hodder STATE OF FLORIDA r_ Lune— . STATE OF COUNTY OF FLORIDA C g Lu e t COUNTY OF Ty I Thef oing instr ent was acknowledged before me The for oing instrum nt was acknowledged before me this day of P 201-1—b, thisyr day of ' 1 ' _,20 J_7 by Fro iik1 RL66L 0A ss O (Name of person acknowledging) (Name of person acknowledging) (Signature of Notafy Public-State of Florida) (Signature of Notary Pu lic-State of Florida) Personally Known Y OR Produced Identification Personally Known il_�OR ProJuced Identification Type of Identification Produced Type of Identification Produced_ Commission No. ea�u-HOLE AP YEm fission No. Seal MY COMMISSION#FF X31 "WHOLE APONTE F_XPI9 My 04, my COMMISSION 0 FF9=31 Revised 07/15/2014 s3 ^oii&*W `ow EXPIRES May 04,2020 NCf1398.0'g,' P1aiMtiltaf/ :com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS