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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u Date: \ �� Permit Number: r 0 PM I RECEIVED Building Permit Application APR 18 2018 Planning and Development Services Building and Code Regulation Division LST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 .Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: -� hC PROPOSED INPR(&EME .N Address: � ��� 5� 1 r060 �3D,)L eycav�0 `-)5 L �'' ,3 L1 9�`S Legal Description: LC-)r,5 0 66G 1K r✓ t'�i' UCi' pay- V iA i t Property Tax ID#: 13 4 t9 - SY5 40:�(1` ©nn/ Lot No. 5 Site Plan Name: n n /� Block No. Project Name: C?,�/ For o Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LL -1-n 6T4L '510'1 &'t A ea.L Ect7- o F b� ��LL 6 Mc0 no'w Gia)t w oob Fe nc j= 17rn Rear Yai-D 57"arti %q 91- /tear IZrg4T Ccs ne.r- d F homc LA? :r" m>�F gF06r! cite CE roc��rl �cT'L !•���© �Z egt' F?��ne�F w iY� a�v `1 Foy uT� Additional work to be pertormed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: st Utilities: —Sewer _Septic Building Height: NameFo rf) Name: ���n h �7 % +Y►Cj`'1 Address:&S5 j56 &c roso O L vb Company: 51%ftH �Q 2�rimuu"l,©NJ City: Por-7' Sa;ryrLoei State: El, Addres{s�: 13-5 SL✓ anl��el O/Z Zip Code: 2�{9S Fax: City: 1^ y C- State: Fz— Phone No.7 7� 0� �J Zip Code: 3C(��7-3 Fax: E-Mail:1ffi�jht i r%e (PJ3 (LSatDtH� n�1- Phone No -? coil, - 91,7 ©�� � Fill in fee simple Title Holder on next page ( if different E-Mail ,5 F2 116(D @ Coo Cc'gC✓O,Xl�f from the Owner listed above) State or County License C 49 C ('),5 /3g7 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: }G 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. 4 r f Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA , COUNTY OF COUNTYOF -GA . Lyc�\f The forgoing instrument was acknowledge before me The fo going instrument was acknowledged before me this day ofd. t . 20� by this day of p( .t 20� by �e av%Y'AL-,�In ck.:Af',drYir-AeAV YndY\a (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary P lic-State of Florida ) (Signature of Nota Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Idem Type of Identifi tion �,. '= Type of Identification " NAMARIE GNENS Produced �ti�,. �__ ----r,_;6NAMWEGNENS produced LEAN GG 022023 ION#GG 07.2023 .;OMt�11SS10N# ., •�;.,.., ;; MY �r 16,2020 EYP c December 16,202'O. S:Decem Underwrites Commission No. ES:December Commission No. de ded ThN piot�p REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. //2014