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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 Date: Permit Number: RECEIVED Building Permit Applicatio JUL 2 4 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permittitlg 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential [� PERMIT APPLICATION FOR: �v LM 11 LOCATIQ` Address: `Z L4 O ^ U J i 8 C-e /CQ_ G g Legal Description: Property Tax ID#: '�y�+�� 5 -� a3y- acro 3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: WE. DESCRPPTtON G1F WOR 1r 3-7—Ovi Ce._C Q i ` .. (/t. CO STR'UCT1+,N 1NF0RMAT ON: i0ffi-tionai worK to be pe orme un er t is permit—c ec a tat appy: vlVlechanical _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:$ Utilities: —Sewer —Septic Building Height: OWNER/LE�S-EE. ® CON RACTCIR: MIS NameC '�f`QfrC.✓l ,,"!/ Name: JA 10 Address-�2.c � City: ✓ -1--�v;�- , - Stater Address. ~J`� �2- �P�C� QA.M4 Zip Code: (012— Fax: City: Stater Phone No. 72 2- '� 7 D 1 — ! 9:2--CL Zip Co Je: Fax: E-Mail: Phone No 77 2 C4 O 9 7 0 Fill in fee simple Title Holder on next page(if different E-Mail Ca eLc_S( Q from the Owner listed above) State or County License CM Z�f j 2 DlL Evalue of construction is 2500 or more,a RECORDED Notice of Commencement is required. S PPLEMENTAI CONSTR�tJCl'1©N LI°EN L�1W I�N`FO'RMAT 0 : DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Ad d ress: 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 iiRtend to obtain financing, consult with lender or an attorney before commencing work or recording d! 'r Notice of Commencement. Y. 7 ge(7(& � n V Signature of Owner/Lessee/Contractor a' ent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF L.J t e COUNTY OF } _ L The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of SV�y 1.20A by this�day of ,>N !t 20� by 4,�► t S e Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identpcation Type of Identification Produced L' 1_ Produced (Signature of Notary Pu lio-'Sta D�typ� tIEGNENs (Signature of r,, S+pN#�,(,622023 ti`�: z, DEANNA MARIE GIVENS Commission No.l,� �a'vPRAtem Un16.d 'ters Commission N J M20 S•tDSecember16,202p '.j; .,' gondedl'hN NOgry ',•'„;°.'� Bonded Thru No Public Underwriters erwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.