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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ! �• Permit Number: t R�4'i?d'� S7 aA E • - OCT 05 -2018 Building Permit Applica �A?mittihgL�, � ,�� t Planning and Development Services �t. �.IICf� �4}I.II'1_ , �� Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 X Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Re 0�AZ em 0 n f �� �• �_ PROPOSEDIN ',ROUEMENT LOCATIQ Address: � �.��- �oM� SunS�� ( �,,J ( '4n-� Ro c,,,- `�,S_ Legal Description: i��F� onC S'I L B L-0i ( 1 • UGA Property Tax ID#: Lot No. I Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DE�SCR�IPTION QF W�R�K; bP- c5 i S D C4NSTRUCTIO INFORMl 0 ATION: Additional work to be pertormecl 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: $ 69 42 Utilities: —Sewer —Septic Building Height: OWNER/HIS-& ; CONTRACTOR: Name P Name: Address: Company: City: �, i State: Address: Zip Code: 311 Ts— Fax: City: State: Phone No. -)S-2- (,� i SSD /� Zip Code: Fax: E-Mail: , �, �� <<�1� C1- Phone No Fill in fee simple itle 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. SJ PP EMENTA�.CONS RUCTIaN 1. `E ' LAllV ?NF©EtMATI, : 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 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. ;,��'•�•"•-".off: Si Kafure er/Lessee/Contractor as Ag ?;o r.. r Signature of Contractor/License Holder STATE OF FLORIDA2Lm_< STATE OF FLORIDA COUNTY OF 92,Litt, a xiQ� COUNTY OF The foo>ging instru e t was acknowledg e lie The forgoing instrument was acknowledged before me this�—day of 20b e z this day of 120 by l0 y- Na&of person making statement. ^' Name of person making statement. Personelly- nown OR Produced Identification Personally Known OR Produced Identification Type of Iden 'ca ion ,p _ Type of Identification Produced VPy Produced (Signature of No Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.