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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: j � " Ili-lq; Permit Number: ti131_ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Address: It) IA BVQ I 11 4pj)15 Legal Description: _ff\-ka l i lya IIS t�pY� tAkAV_A It Vi' Ml I'S Ca YEA Property Tax ID #: _L42-3 - SW5 - QbH -: Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. DETAILED DESCRIPTION OF WORK: rIS0.�b.� 0�1 l �2 fov 1 Le y Td N Z- CO -V r t e V X 0 V_\A CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit - check all appy: z_aVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric � Plumbing � Sprinklers � Generator � Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ .3F5 100 Utilities: Sewer OSeptic Building Height: O W N ERAESSEE: CONTRACTOR: Name -\- _D Name: JAMES F GRIMES Address: N Company: GRIMES HEATING AND AIR CONDITIONING Cit e� - C 1 e X Cf State: _L Zip Code: !1. Fax: Phone No. T] 7 —A u 'I bAy "l Address: 3054 N US HWY 1 City: FORT PIERCE State:FIL Zip Code: 34946 Fax: 772-461-8722 Phone No. 772-461-8711 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: KAYLAGRIMESAC@AOL.COM State or County License: RA0018071 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Address: CI MORTGAGE COMPANY: Name: Address 74 Not Applicable City: State: Zip: Phone: Not Applicable I BONDING COMPANY: Name: _ Address: Ly' City Zip: Phone: I Zip' Phone: I certify that no work or installation has commenced prior to the issuance of a permit. ANot Applicable which Is inoconflicmtawith any applicableiHomeaOwnerstAsssociatl Associat ion aws or and covenants that build ctb©rr 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 recordinrr Urns Nntiro of rte..,. ,a.,. �...,.... *tore of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF 51 A_\Ic — The forgoing instru ent was acknowledged before me this day of \J 20 V&by -11 , If'ffiMF-­, F r,P-r (Name of person acknowledging) 15ignature of Notary Public- State of Florid Personally Known OR Produced Identification Type of Identificatiolf Produced Commission MY COMMISSION A GG 089099 Revised 071 t, a°r'°°° T''" Nom, vAc u *n STATE OF FLORIDA COUNTY OF ST L I t The forgoing instrument was acknowledged before me this 6— day of 20 L'�L_ by (Name of person acknowledging) re of Notary Public- State of Personally Known OR Produced Identification Type of Identifica n roduced Ir Commission No. (Seal) SUSAN MONTENEGR ON III EXP RES (April G2021 REVIEWS DATE COMPLETE FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW INITIALS