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HomeMy WebLinkAboutBuilding Permit Application " All APPLIC/A/ E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j�Q Date: `i 3� Permit Number: In(w-D� ] P. . 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 1� PERMIT APPLICATION FOR: PR©PaSED iNPROVEM�ENT LOCATION: Address: 5306 r6voe; w Legal Description: 7g 2 -17 Property Tax ID#: MID5�� � -�0(7� Lot No. � U Site Plan Narrre: Block No. Project Name: Setbacks Front' F� Back: �"� Right Side: Fr Left Side: �� DETAILED DE�5CRIPTIO OF WORK: 'AddCONSTR CTLQN INFORMATION: itiona-won to a pe orme uncler 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":$ '17pf1 '` Utilities: Sewer _Septic Building Height: OWNER/ BSSEE: CONTRACTOR: Name -,twrri;'��Z Name: Address: _ Company: City: '�� '' v State: ,i�_� Address: Zip Code: Fax: City: = State: Phone Nq. Zip Code: f`n Fax: � .. -, . E-Mail: (A&11. 4.1:.��r J Phone No Fill in fee simple Title Holder on next page(if different. E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENT L.CONSTR+UCTIDN LIEN LAW INF©RMATION: 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 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 covenarnts;that:may restrict or prohibit such structure. Please,consult with your Home Owners Association and review your deed for any restriction's which may apply. In consideration-of`tH' grahti6' of this'requdsted permit'] do hereby agree,that I-will,in'all respe.ct�,' rform 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'fooPn's and accessory"uses tb 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.recordJn ' our Notice of Commencement. = '. x -,...�. 5 gnatla a of.O c/ essee/Contractor as Agent for Owner.; : .Sigpature of,Con toter/6eenkee.Holder STATE OF FLORIDA STATE OF FLORIDA . ORIDA . .. COUNTY OF S�'1�ir COUNTY The f$Rrgg^oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�U day 6ZLq!n,'A0 20A by this day of20_ by (Name of person acknowledging). 0 (Name of person acknowledging) (S' natu a of Notary Public-Stat of Florida) \ (Signature of Notary Publi -State-of Florida " ) tN. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification f Produced Produced .�s' , Commission No. 'ot YpO� SNMAa;yGRAM ? Commission No. fir.. ww, ,#N' ab) •§cft�spe? otic?State of Florida' sNvilmm,.F,< •SPS nP. n 9n s fi Commies on ��FF 177249y, � T+ REVIEWS FR t T�'' O�'�°20iNdi6`d6ttirouq GIJP.EP-VA$@,Ri. PLANS VEGETATION SEA T 4TiL ,-MANGROVE COU,. "REV'` REVIEW REVIEW "ji RIVIEW REVIEW DATE '�■'� RECEIVED DATE COMPLETED ev. 7/2014