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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '� `ao1`�� Permit Number: I7g7RECEIVED Building Permit Applicati n AUG 2 2 2018 ,Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PRCtP SEED I'N! M.LINI E T LOCAT C3N: Address: 3a lSc-cajti Legal Description: n® V r, PropertyTax ID#: U3flI- CSC -air-d0.0-T/ Lot No. 112- Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D'E A'L�D DESS+�RI1iPTIIDN QF WOR 1 r A I u r �A CO'NSTRLOffil 11110f'ORf TIQN: Additional work to be.peFFo-rme.d under this permit-check all that appy: Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _�ZRoof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: � r Cost of Construction:$ Utilities: —Sewer _Septic Building Height: OWNER/ E�S`� EE: CONTR CTC�3R: Name i Se. Name: Address: -9>36''S �i' t - Company: City: Stater-- Address:'� '� Zip Code: Fax: City: Stater Phone No:C"i-/A nsf' A Zip Code: �` \ 3 Fax.{" 19�(e (y; 11PF''LEME ' LCONST ION L:rN LAWI' " '0'RI�fAT1.C�1 DESIGNER/ENGINEER: _ of 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: _ of 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 inspecti n. If you intend to obtain financing, consult with lender or an attorney before commencing work oArptording your Notice of Commencement. Signature of Owner Le ee/Contractor as Agent'for Owner Signature of Contra t /License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 'S*� COUNTY OF 5*, L�Ue The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgecJ before me this day of 20XI by this'4_Z�_day of 201 by k0-w.S-9- g RO Ut La-w..' S1(� o4d`Lq �Q.Z Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced V-1. lD L_ izl:e (Signature of Notary, Pub c-State of Florida) ,�� (tnature of Not ,,StateS #G 16,c t GNE� .• .'•s MY bet 16.2020 \E �q 3 ES:Deceto snot?ecs Commission No �S�'�ro a all- S�N# yo oCgltmission No. a�[twNc ��ub end •BSr-: COMM t4�t Un��' 1� '•,Je Fro.. ,���'�Pu •.�. MY p1R�s_p�pubYw�ncle v,?.�. ,�;� •' �.• ,. e_ gon ed REVIEWS FRONT Et;,il -, PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev..