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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 Date: / Permit Number.: /l`�U u t- ii 1A4unoD ,3I:)n1 -4S , 6ui4W-1'3d Building Permit Applica ion 81oZ 0 8db 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' Re PERMIT APPLICATION FOR: PRaPaSED I PRWA @ M I R W Mill 1I •N: Address: C�o� Capp-c fsTC�Y C�v.�3 P1u� �-- Pticr�ec� ,FL. X305) Legal Description: .LPKC-LOWD PP RK — U N IT U. L 3 LOT [ I M A e 13/11 N a(L !JI - lrl2-) Property Tax ID#: 13 d — 10��'t�— l q Z- — 600 ' 3 Lot No. 1 1 Site Plan Name: Block No. 3 Project Name: Setbacks. Front Back: Right Side: Left Side: DETAILED DESCRIPTION C}F ORK: �EPLRC;e P_Yw,57wA G 125 AMP EuE(2:rU0_- S.� \J\c_E LO M4 I S0-WM P ��l�SZt�E RU ,t L>✓CJTa2--� �. ��SL�t.�G \�cTC -REMOWAL OE CL014 SERQ1� 133' R.AMC� cA53LE CONSTRUCTIQN INF©mMATION: itiona Wor to ape Orme un er t is permit—c ec a tat appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction:, Sq. Ft.of First,Floor: ©a Cost of Construction:$ I SWR Utilities:,`_�Sewer� _,-,.Septic Building Height: OWNERjLE�S�SEE: CONTR CTOR: Name—T"6MRS - Q3 LVNPC-S - Name.1 CLL.CS LccuC li�_LjEi - CZ-1C� T--fie. Address:5`lo'68 .&-a-KI 1 O (lul3 Pv.LUl( ,Company: C Al I� ( � {�117e City:,FOaL� I C(LGC State: R_ Address:: 4N Oe Sr , r A Zip Code: 3y9S'Y Fax: City: 'F�f2 fu 11D, CR C C Stater Phone No. Zip Code: 34 q�4 9 Fax: 1 E-Mail: Phone N `l� a '33a - C lag Fill in fee simple Title Holder on next page(if different E-Mail C_L&O E —LEC-1ILACal\C0 CLO L' OA1 from the Owner listed above) State or County LicenseSJw F"60I 511 0 U Kp. ©9 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. StJ��PLEl�iENl'AL CONSTRUGT�N LEEN LAIS"N'F0'RIUTATIUN: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City?, State: City: State: 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/Agent Signature of Contractor/License Holder STATE OF FLORIDA �' STATE OF FLORIDA < COUNTY OF C i COUNTY OF Liles The forgoing instrumeFit was acknowledged before me The rgoing instrun ent was acknowledge efore me this�day of ^�t 20 16 by this day of (>V-I' � 20�by cm L� 1, rA kPS DRM 4'1�& (Name of per on acknowledging (Name of person acknowledging t11t� (Si otary Public-_51-ate of Flo id ) ES E Cy,�s.,, (Signature of Notary Public-State of�Flor da Cy/r,�, Personally Known OR Produce�l`IdentPfication Uy Knew OR Produc�e2h.ld r tificatloTl�S Type o entl (cation ` �° 202o Type of Identification Produced NO.GG 038625 Produced My Comm.Exp. NOTARY Oct 13.2020 N0.GG 038625 / _ PUBLIC (' r / _ TARY Commission No.C� ����� ;(Sealy.• Commission No. l.7 v b� b2 •-.(Se4TLIC OF FL����P REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLVI ffiAhl�ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW DATE RECEIVED DATE COMPLETED ev.