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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' l '�.�• � _ Permit Number: \�l l `' C q RECEIVED Building Permit Application JUL 2 7 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie Cow.nty� Per in g 2300 Virginia Avenue,Fort Pierce FL 34982 - Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line(,o ti 0 h. Address: 3(0,00 NVAI u e K Legal Description: pLP(r -3 " SciAlt iy p 6AEoLIUS Lf© L`f �j-D l% ��`L�l N0 A14, DoT f g C• � AC) COP— alis_- 2-0&q �Lgcjj —/0010 Property Tax ID#: 2 YO5-- —20 [- 00(tL 000 --7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D ,T� Lel IlTIC7 ? O1K � _W V , _ ass . f. _ �,+A' ` _.._„ ,...r ., r.rW, .. .: dx,� IOW za .; .e �,�W gkWUC- Hp q"t_ Awl�q f o`Y-7 r fMj U6°�.-1 Ci v 1K� r& - Ao De - Qay -l T L &j9�� %c �DDIc. f3&f-qy wlfll sr,&DA" 7l�a ,s AWP HA-"W6&�F- n�o+'s-/c.�!�.€#'�'.A*,�,�'z'W*i €` c,�,'�.�'' �-s�'�::".",mss S „1a P �� � a` ✓�, Nx`„-�v € Via,tet' _,,., � mss' �iW itiona wor to e e orme un ert is permit—c ec a r, appy: _ HVAC �Gas Tank Gas Piping _Shutters Windows/Doors Electric um ng Sprinklers Generator _Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ oZ DDo Utilities:El_Sewer El Septic Building Height: � k _, 6 0. Name 114C Name: DCAAW ,_ Address: 3WOkVCAA1L' en- Company: ��S &,Vl) InNI DF 711 City: (i C� Stater Address: g�7 S, // 1/C�S /yGUy Zip Code: ,� R�, Fax: City: YILrpe11Z, State: Phone No. �7a" 370 - 4215-7 Zip Code: 3Y L17 Fax: E-Mail: Phone No. _?7 a - L-1D r VS Dl Fill in fee simple Title Holder on next page(if different E-Mail:Jnal)n a her-4,2alywey- 7r, &M from the Owner listed above) State or County License: V�-C 13 3 /s YD If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 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 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 th first inspection. If you intend to obtain financing, consult with lender or an attorney before commenciNg work or recording o Notice of Commencement. — 0 141� J)c drz� Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA 1 COUNTY OF ,• )(�,�F, COUNTY OF The forgoing instru!tmryt was acknowledged before me The forgoing instru e t was acknowledge before me this day of J 20_ by this day of 201L by Name ofp erson makingstatement r Name of perso akin statement Personally KnownOR Produced Identification Personally Known OR,Produced Identification Type of Identification Type of Ident' 'catipn Produced V1 L ProducedL4 4A (� (Signature of Nota ♦„ ate A VJa§• Public (Signature of Notary Publi aElgfre )RAN �SLa�e Of Florida-{VOt8207464 =9 += of Commission No. commi i # GG fires �'�!'°R�":�� CO ��Or'a/V sjS N �sion EXP Commission No. ������� M�( 8i;o tar sn a: MY CO ' 2022 Y �n}(� GG 2oj r'bG ,Oi����`°� June` ion y SS'0n F_ 4g4 �2, 2 p2z Aires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17