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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' 8"- /•� Permit Number: N© I - 0 1 qr RECEIVED Building Permit Application JAN - 8 2018 Planning and Development Services „ Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: 131 ©SSD ti� tf € 1tEN " . CATF �Ybs �,.� .,�.�4 ,...,.m.».r...�.rT.-�_ �"�.,»,. a Address: Legal Description: 33 )-,7 1 o') do / y D 6 Property Tax ID#: 33x-? 7c1 6 O i y e,06 4/ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: t3EALf QQ�SC IP� "1Of11 1flRKS . ATFL CC? ��TRL7CTIC►N 1NFt3Rl�t T)Q�V �� � � `� ��, ,, .--� ����� � ���, � �������� x >..,?.�:"a . ,.-�._wra �._.... .v. ...«-e;, x'€t. ..r•.� .ham ata-...a ..=":<,..�. a..,o..,.-,._. ..a.... -,,' �� r ;` .. ��: �.;. ''-v -'xa ACIClitional work to be pertormed under this permit-check'a,11 tat appy: _Mechanical _Gas Tank _Gas PipingShutters _Windows/Doors Electric _Plumbing _Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ `.�i�6 Utilities:, _Sewer _Septic Building Height: OA `F.r Name T4,u 7Dt:F Name:��c/G Address: 81,og /CJ �Z_' Company: ��/y l /mss �> RIC-/l City: �T S' L l7-i State: L Address: I 11M1,A16Gy4- 9C'%/a- bl Zip Code: Fax: City: '4 �Z4 Zfii e/77 f= Stater-& Phone No. '_? ?2 /--y 2-2— Zip Code: �L/°i '914 _ Fax: �-- &Mail:- Phone No ?7 2- - 91-6 ('� Fill in fee simple Title Holder on next page(if different E-Mail &,A11 H o.V,'_=j from the Owner listed above) State or County License (f U C 8 -5_3-5'/a If value of construction is 2500 or,more,a RECORDED Notice of Commencement is required. .-�? �,�.�?� ,,x� �-.,.�": .��.�.:'�. �,....:.. s`„s �x...,f,;_ a ,�ut ru � r x rd -�`� Y .''.' �,; '�.EtC�� ,•S"s .�r' t ,. � x DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANX: _Not Applicable Name: Name: - Address: Address: City: State: City: State: Zip: Phone Zip: Phone:. FEESIMPLE TITLE HOLDER: _No t 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 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing wor or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for sFo Signature of Contractor/License Holder STATE OF FLORIDA A STATE OF FLORIDA �° "'� a x a �o COUNTY OF 4ct� a COUNTY OF z MR :M M -x:200 z u�u,� � — m cnm O The fo oin instr nt wa ,a m� _ g s cknowled ed fore m The fo oin instr ent was acknowledged befor r g � cnu,`� g g � �zc this - day of 42--i 201 by ��p's this T day of 20� by. c c�-n 0 m j—M Name of person making statement. a;N Name of person making statement. Personally Known OR Produced Identificatio Personally Known OR Produced Identification Type of IdentifiEb ' n 1 Type of Identificatti n Produced If L Produced dr (Signature officitary Public-State of Florida U (Signature of Not Public-State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 8/2/17