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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: !0- >©- CS Permit Number: RECEIVED i ` OCT 3 0 2018 _ Building Permit Application Planning and Development Services ' 9T.. welt I~@NRky's mr-if ming 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: ROPOSED kNPR'04EMENiltTjfLOCATION; Address: I Ll 16 Gctl I b•ea g Legal Description: Property Tax ID#: �y �5-1 b3� �aa.3, d�O—� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front _Back: Right Side: Left Side: D TA LED 10Ex5CR+IPTION OF W R c,P- -Cf i ke ah o w l- IDn I.Ll Seer l0 w bedier CONSTRUCTION NFO l+M TION: Additional work to be performed., un er t is 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: $ Ll 0©O Utilities: —Sewer _Septic Building Height: OWNE /LESSEE: CONTR CTOR: Name S�6A'Y1,`y; GCDi7'f: �ws,� AddressGal.l_b. r�y r Company :;S'Miel SyS>iPivl'S City: Por+ ,S�{-• Cy c i e 04 . State: F I Adii'ress'/34 = Seatuay y Zip Code: 3 Cl S Fax: City: Pr e State:--Ll Phone No. 7 7 " 971-O 7 7 �r Zip Code: 3 Ll 9 y 9 Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail SkA PSh1Qr+SySfPm S I ca from the Owner listed above) State or County License C f) C C$ 18 7 �� 9 JLvalue of construction is 2500 or more,a RECORDED Notice of Commencement is required. LEMENl"" C©NST CTION L EN LAW I ` '0'RMATI , . 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 ol-cecording your Notice of Commencement. '3 S Ignatur f Owner/Lessee/Contractor as Agent for Owner S ature of ntractor/License Holder STATE OF FLO-RIDA STATE OF FLORIDA , COUNTY OF SS COUNTY OF O CAk The forgoing instrument was'acknowledge'before me The forgoing instrument was acknowledged before me this-6-6dayof OGb 20 \ by this36 day of 6c 20A by Gcev.�rk�0•ul61�1, v�1$� G•�ca.n�k,awak� Name of person making statement. Name of pers n making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification�� Produced L Produced •Lai j..�'�J (Signature of Notary P (Signature of Notary `fie 01 EGIVEIS I "'v DEANNA MARIE GIVENS' ;r ION#GG 022023 Commission No. MY tSS[ON#GG 022023 � EXPIRES,Decelgber16,2G20 i EX tRE .De comber 16,2020 Commission No. ,.li BondedThniM blicuna ,1 ,0 5 entt'to. " ;;;�?•' Bonded ltvuNotary PublkUndenvriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE.- MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW' DATE RECEIVED DATE COMPLETED ev. 8/2/17