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HomeMy WebLinkAboutBuilding Permit Application I All APPLICAABLE F( MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ l Date. 4 C JJ r7 Permit Number: . I i � 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 _ PERMIT APPLICATION FOR: PROPOSED IN,PROUEMENT L®:CATION: Address: 1� v ) v\ I-CA a<a j 1 Legal Description: (n7- w ,� /mss zt- N gu) W. s -7--/3 'r`iA F .3 q} ---�3N Co roperty Tax ID#: �� © 1 - © (1-�2 (360- I j Lot No. Site Plan Name: Block No. Project Name:` - Occ� •�o R /-e4 Setbacks Front Back: Right Side: Left Side: ' I DETAILED D0SCR+IPTIONOF V1/0R'l<: CZ-21a 1,12 117, (3-E //1 a r tom► . d e -+- _1, 61 ,9�, yz ` �u�c � c'�c�t- e►k CO�NS�TR�UCTION I•NFO'R+ ATtON: k itiona work to be.performed under this permit-check all that appy: i _Mechanical. _Gas Tank Gas Piping _Shutters I Windows/Doors Electric _Plumbing _Sprinklers _Generator Roof Pitch Total Sq..Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ /�, J�4 Utilities: —Sewer _Septic I Building Height: OWNER/L@SSECO' RACTOR. Name G enl u- ��Gi �iy�c� Name: [SN A�� k , 1. /` Address: d�,4(� caA �ICf4^ Of?re Company;beV'.l 1►`4 .r city: L�P�Sr�a-i ,Ze 4 C4 State: / Address: �2 Skv� Zip Code: �3 9y�7 Fax: City: Aor3Y, L L,�I r e_ State:4L Phone No. Zip Code:34-9 �M� Fax: E-Mail: Phone No 2- 6 Fill in fee simple Title Holder on next page (if different E-Mail Aj Ur r v di "74-- A2erj from the Owner listed above) State or County LicenseC16C - 0(0-5(7R 5 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. i SUFPLEIVIENTAL CONSTR'U'C*TION-LIEN LAW I; IF®'R'MAl'10, 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: OWNER/CONTRACTOR AFFIDVIT: 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,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/Contractor as AgFent for Owner Signature of Contractor/License Hold r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Mr n COUNTY OF / U, The��fqq��oing instr nt was acknowledge before me The fing instrument wa acknowledg fore me this(�'� day of her 20� by thisday of 20� y (N of person ac edging (Name of person acknowledging) 0 n bf-0-D r ( ignature of Notary Public-State of Florida) (Signature of N9�ry Publi -State of Florida) Personally Known OR Produced Identification Personally Known__ OR Produced Identification ✓ Type of Ident fjcation • Type of Identifi�'a$it Produced f'1 G y vn C ISA E.VASUUEZ Produced ��JJ Notary Public-State of Florida e Commission No. 4 p �y5'M Expires Jan 27,2018 :.Commission No. (Seal) ommission# FF 086847 "OFF"" Bonded Through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 f,' 1 �v�.,�+tsGZfi (1f9G29t.G�' Planning.&Development services ASBESTOS NOTICE a; Building&Code Regulation Division 2300 Virginia Avenue 4 Fort Pierce,FL. 34982 Phone:(772)482.2172 Fax:(772)462-5443 z i Asbestos Notice to Contractor � i October 09, 2017 I DONALD K MURRY LLC DONALD K MURRY I 2298 SE SHORT ST PORT ST. LUCIE, FL 34952 • I a i RE: Building Permit Number 1710-0141 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. i l i j Signature f Date i I t 10/k017 9:29:49 AM