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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _/f-/ 17 Permit Number: J • ouliming rermi-E Hppillcavon Planning and Development Services Building and Code Regulation Division s 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential IJhKMI I APPLICAI IUN FOR: To Select from dropbox, click arrow at the end of line NKUP05W IMI'KUVEMEN I LUCAI IUN: Address: J'rI�' AlAtZe Legal Description: Property Tax ID#: IF Z/ Z 4r-rr Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: UE I AILLU DEKKIN I IUN OF WUKK: l Ille- CONSTRUCTION INFORMATION: Additiona W-or-k tore erfo—rmed un er this permit check a app y: HVAC Gas Tank E]Gas Piping Shutters a Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $ �'-32- Utilities:o Sewer D Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name a1it'byn.k a- 2LI10_ QcCi b-PJu— Name: 6U1�Zi S 'S-p4uIncn Address. 15 `� eu-) l.� rr Company: 0u 3�G rvt u S eititS { ti'c- City: Me) Cris P(O-i'n s State: :v � Address: d_Q-,e � r eea Zip Code: 7 Ol 5 C Fax: City: 6c)R T St. L uci t_-_ State: r�- Phone No. �50�'�S9 ary5`�� Zip Code: a+q52-- Fax: '77J- d-3 5-1q 6� { E-Mail: Phone No. '� 3 3 5 - 3 2 3 2 Fill in fee simple Title Holder on next page{ if different E-Mail: C u S t C'1 r Sys Cc o{ C(.yrn from the Owner listed above) State or County License: R C C.' 5( $ l C) if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUYYLEMEN IAL GUNSI RUC I ION LIEN LAW INEORIVIAI ION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Ad d ress: City: State: City: State: Zip: Phone: Zip: Phone: i 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 exemptfrom 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 rec ding your Notice of Commencement. s � Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder 1 STATE OF FLORIDA STATE OF FLORIDA COUNTY OF X t 4 U er% e- COUNTY OF_ "FZ Z 0 /-e- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me g g g this /� day of 20 /7 by this day of `� 20 /'7 by nolwons' (ZTI S nmmyn S (Name of person acknowledging l (Name of person acknowledging) I (Signature of Notary Public-State of Fi a j (Signature of Notary Public-Stat of Flori Personally Known_✓_OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced j t� In 0 �� ° CHRISTINEB 171 ©� 5`1 .'�zE GHk 7u: >* Commission No. mission No. * * pr�v:;:�. . � •, s 1 BSZ�6 * * MycoLWtS "# 05M r 121 MIPIRES:April 4.2021 wn. eonawn.�,eer►�nys«,.s r ..�., g>] SH —, Revised 07/1-/2014 * * ► yC0WMSM#GGowe `oe EXPIRES:Apd 4,2021 REVIEWS FRONT ZONING SUPERVISOR Ii PLANS i VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW I REVIEW ' REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i