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HomeMy WebLinkAboutBuilding Permit Application i� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 00 _ OLIG� � e y 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: To Select from dropbox, click arrow at the end of line " C?PQSEQ'1 ROVE�I - 4W IA7Iti�'. s S .� ., E •, �� . �s Address: 6-92 ME T1•. L �iar ..2. � y AchV) 342 Legal Description:Oaf# ?6-;2 /v P_ft T_51_A 1N 1/ St-,AJ Property Tax ID#:Z5_0o( 0/ 1139 6 0 Lot No. Site Plan Name: /VI/A Block No. Project Name: �� Setbacks Frt6A tk Back: �i ht "R 00 Sid y TAILIR.�F T� � �,� b s ' flEM01/45 S 1 W000 Pe:C ) L/VS/0j5C'j AND •/VA iL -Y Z2 4 CM., M F_tALj o lie 8 Pz E L � s fl`C. K ���� SA ET a • � I1U. , EIf11AT �IEt R f4a #bj� a { F �a �k >as,• ? tz, ;�z '.?..•.r•�s��'�.,.�.,..�' ,....�:..,. ....�5'`.M,a. .,r+_...�_..< -� .a< �-3 .E. Additional work to be ertormed under this permit—check all appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑_Plumbing Sprinklers ❑Generator 2Roof Roof pitch Total Sq. Ft of Construction:© -770 S . Ft.of First Floor: Cost of Construction:$� 7®� Utilities:nSewer❑Septic Building Height: ..«waa�lr3f�u va`,..°- '� �z,..._,a ,.�.` ...3.-s ......,� ....... ,. ....�• •. •az��:w.� s a�•...• .x,�)� az...,a•....E•..... .,;. �'.... .., a ._✓Y..�� " u?'.n4 .e�E° K Name ® Gi 1 l Name: ,,, Address:2.a M• C I1 CSI Company:l // /fE/R A 1�I R04 " City: Sttater Address: /1708 �E b(i E l bg ) WAY •� ZipCode: ® Fax: GQ Y? %IgQ City: "Y R �'CJ��v' State:FL, Fax77�X3-(29Phone Na E-Mail: WM Phone No. '77R-3 —&70 Fill in fee simple Title Holder on next page(if different E-Mail: ;oL.,l P:L''G �i[� fY�`f,a H�L- �O from the Owner listed above) State or County License: C C_c 13Z 76 3/ If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. t f SUPP .E Eq CONSTRUCTION [ I I [ 1UIr IN aMAT[Q l 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: XNot 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 thepermit 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 befo a the first inspection. If you intend to obtain financing, consult with lender or an attorney before co nein k or cordin our Notice of Commencement. r- — Signature o Owner/Lessee/Contractor LS Agent for er Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA/MV-IN COUNTY OF COUNTY OF f going instrument was acknowledged before me The f rgoing instr me t was acknowledgg urbfore me this L day of `�O��by this day of 201 by sl:"o )p 'Rvmoinlc'q _ 4- i Name.ef r_erson making statement Name of perso making statement Personally Known._90 OR Produced identification_ Personally Known OR Produced Identification Type of IdentificationType of Identification Produced _AI Produced (Signature of Notary Public-State of Florida) _ (Signature of Notary Public-State of Florida) Commission No. & .- (Seal) �- Commissio "P ABs ( I) My COMMISSION#FF982221 E)CPIRES:April 13,2020 OF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED _ Rev.8/2/17 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4359208 OR BOOK 4052 PAGE 317, Recorded 10/12/2017 03:39:22 PM NOTICE OF COMMENCEMENT a 1 Permit No. Property Tax ID No. State of Florida,County of St.Lucie The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance wit Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. Q N 1L 9X q- Legal Description of property and address If available S —' o General description of improvements RD g 1� yy N Owner�E4RAND Q F�� Address" (� �.� ►r C P 1333 DRD R� fy. C Anl s7r>,, AL'tY" s✓v IL U Interest in property: D ld/1V�JQ.S LL W p 0� AANN t—Z Fee Simple Title holder(if other than owner) +�1� O V U. H Address 3 1-:_ 9 O Contractor �/ > N D� e 17AP Phone# ,7-3 �'" Address 1!� 11 a Fax# Surety Phone# Address Fax# Amount of Bond AL Leader /A Phone# Address Fax# Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71,3� (a)7.,Florida Statues: Name Phone# Address Fax# In addition to himself,owner designates of Phone# Fax# to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b),Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.713.13.F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED O\THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNF•Y BEFORE COMMENCING WORK OR RECORDING YO NOTICE OF COMMENC•MENT. Rd 01O(I ICA OR er r cr's cssec s horized Otricer/D rcc[orlPartner/�tanngcr/Signature ou�rn e o�+1 e Slgnatoryy's TI1(e101Fce State of Florida,County of &lJ eb"' QV' da kk Ackw)w1g4R4,befbre me this G th ,day of 20 L,,by ;nature ers nal known to me or who has produced ne,u P_!` { �, A c- as ident A , o' of Notary Type or Print 7Name of Notal C^ y Seal} Title:Notary Public Commission Number