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HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1�] / Date: 1112112017: Permit Number: / ( U Building Permit Application Planning and Developir+ent Services Building and-Code Regulation Division 2300 Virginia Avenue,.Fort Fierce FL 34982 Phone (772)4621553 Tax:(772)-462-1578 Commercial Residential PERMIT APPLICATION:FOR: :Other Address. fr7. Pa rce I I D#2222.11.1-000.3-Q Legal Description: 0 Property Tax ID#: Lot No: Site Plan Name: Block No. Project.Name: Pole Barn Setbacks Front._ Back: bight Side.: .. Left Side: Building a 3,000 square foot pole barn on property for management of cattle and-property. -------- Additional wor , orme un er t perm t=c,eC .a app q: I HVAC Gas Tank El Gas Piping Shutters 'Wmdows/Doors OElectric Plumbing: USprinklers Generator Q Roof Roof pitch Total Sq.Ft of Construction: 3;000 square feet.. Sq.,Ft.of First Floor. Cost of Construction:$ Utilities: Sewer Septic Bwlding.Height. . ir© Name Elaine Chabot Name Address:220 SE Prima Vita Blvd.. Company: City: Port Saint Lucie StateFL Address: Zip code: 34983 Fax: City: State: Phone No,772-285-2730 Zip Code: Fax: E-Mail:elaine.chabot@yahoo.com Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State County License: it value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i I "WRI�EME TAI.sCONSTRU I�1V LIEN IAW N®R..�ON 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 Count makes no representation that is granting a permit will authorize thedpermit holder to build the subject structure which Is in conflict with any applicable Home Owners Association rules,bylaws or an 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 cornmencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 4 kee c-A r-.).6z COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thlQ& day of JVD ve.,r l o_r 20-L-1 by this_day of .Z0. by Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known, OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-Stateidai (Signa t re of Notary Public-State of Florida j Commission No.FF13q=, ` MyCo& sje0Nd �JMm ion No. (Seal) EXPIRES:Ociobar ,2018 qw"TWu rimy Punk REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 i