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HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 `O 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: AAA�..��. �,. c �c L -i -'Z�> I r" �f--ts�" 7-- ,QI �fr'G of Legal Description v P6>�,17 Property Tax ID #: 1 3 ( Z Q i �� ii Lot No_ Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: l n sTR0 19 GF-( C3 u.TLItT5 u 51 ii c, ()_-aI Z )- G FC- i f--� &q_" -Cr!� r CONSTRUCTION INFORMATION: Additional work to be erformed under this permit – check a appy: 11 H V4C Gas Tank E]Gas Piping _ Shutters Windows/Doors _ Electric ❑_ Plumbing Sprinklers Generator F]Roof Roof pitch Total Sq. Ft of Construction: J'i� tf1 t Md S . Ft. n of First Floor: Cost of Construction: $ 7_ �— utilities.In Sewer LSI Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Li`--�}litg ��LL1' Address: 5 5Pi9&1zf1 'C_kVU t<I) City: C -o pag C_ i" State: Zip Code: `i Fax: Phone Na. % � 1 'r `J.�i � f...... l C Name: �Ul.i.r}(�? � fl� Company: -b 5,777 c 60,--2 %tf Address: L�Q -5 -1 y 2-- City: _ C Lee -f %e'i 0 a �- State: �_ Zip Code: 3i -O I.] Fax: 3 ,�- ,9Y 2 Cl&� Phone No. 3� ` 3�7Y --�)L S7 L/ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: aJl-V&41U_ CLeCIYL1C IG � �6 State or County License: l_ Coo � p If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. T2 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION - DESIGN ER/EIN NFORMATION:DESIGNER/Et GINEER: Not Applicable MOR1GAGE COMPANY: _ Not Applicable Name: Name: , Address: Address: City: State: City: State: Zip: Phone Zip: Ph ne: FEE SIMPLE 'T TLE HOLDER: Not pplicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zi p: Pho Zip: one: OWNER/ CONTRACTOR A�FIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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, by'' iws 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 commencinirwork or rgWrding yoLVNotice of Commencement. re of+ wner/ Lessee/Cgritractor as Agent for Owner I Signatu se Hol STATE OF FLORIDA STA1E OF FLORIDA COUNTY OF LIn COUNTY OF Waz The forgoing instrument was acknowledged before me this day of 20 11 by a(3Sc' Jh V- 6 L), ('n on making statement rsonally Known OR Produced Identification I Produced The for Ding instrument was a� cknowledge_c�before me this day of _ S&.a J z(?^ by -7- +6 – rQ d ^� Nameo rson making statement Ilv KnoOR Produced Identification _ Type of Identification (Signature of Notary P lic gate of Florida y (Signature of Notary Pu ic-��NALPt ref Horid�ElGlp G. BACON pig k. KECIA G. BACON 4 e .1- c htY G�i�I�N N FF 199551 Ii�ii���ON # FF 199551 Commission No, * Commission No. l* " MEXPfat EXPIRES: May 1, 2019May 11 2o19 "`qT N5 8orde;ThrjBudget Nataryseniced ��r�oeFtn�`p 8vndedThruBudget Notary Service$ F OF R� REVIEWS FRONT ZONING SUPERVISOR PLANS7VEGET ATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEWIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 a C, Pt f r5 Lb(fl� jar L-> E STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION G ELECTRICAL CONTRACTORS LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 BONJORN, JOSEPH ROBIN BONJORN ENTERPRISES ING ©BAADVANGE ELECTRIC 1500 SOUTH US HWY 27 CLERMONT FL 34711 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR LICENSE NUMBER (850) 487-1395 = STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC 0002680 ISSUED: 08109/2016 CERTIFIED ELECTRICAL CONTRACTOR BONJORN, JOSEPH ROBIN BONJORN ENTERPRISES INC DBA ADVANC IS CERTIpIGO under the provisions of Ch.489 FS, Expiratten date AUG 31 2018 L1608054002252 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. 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