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HomeMy WebLinkAboutApproved Site Plan All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 'R Date: 3 � Permit Number: a RECEIVED _ Building Permit Ap 2018 Planning and Development Services Building and Code Regulation Division epa ment 2300-Virginia Avenue,Fort Pierce FL 34982 0:y, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT APPLICATION FOR: ? PROPf3SED IN+,R0,,@ M!ENT �.00ATIt�N: Address: Legal Description: Property Tax ID#: R'l 54 (36 2 - 009 5 OyU `� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front 8D Back: 10 Right Side: o Left Side: a0 DETAILED DE�SCR�IPTION N' WORK: N Vim- n c�'hit�'1 62r-'n G RQrnoUsd O(`d I>O. C®NSTR�UCTION 1NF�RMATION: Addilional work to be perf-o—rm—eU under 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: lq q Sq. Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer _Septic Building Height: ©\NN�ER/LE�S�SEE: CONTRACT'QR: Name AMM A(ZC ham- Name: Address:o(\1 Ty h\ tj _ Company: City:_Q0e* P" State:PI Address: Zip Code: Fax: City: State: Phone No. �1 0�— J�JI�� CLO Zip Code: Fax: E-Mail: C.lDrr-) Phone No Fill in fee simple Title 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. S P 'L:EMEN AL CC3NSTRlJ'GTNON L.1�EN :W !(��OR{MAT ®►N; . DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: MmName: Address: Al I ' eCU bJ-.%,N. IiNGQd Address: City: AbOk E kZcz State:-el City: State: Zip: q , Phone -TI a-5;101- -10oo 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 the f' st inspection. If you intend to obtain financing, consult with lender or an attorney before commencin work or recording our Notice of Commencement. Signature ot O fire see Contractor as Agent for O Signature of Contractor/License Holder OF FLORIo STATE OF FLORIDA COUNTY OF Civ -FL� COUNTY OF U The forgoing instrument Was acknowledge before m m&5Z- �The forgoing instrument was acknowledged before me this day of 20LL b ��w Z y ¢�¢ a this day of 20_ by �o w Name of persoA making statement. Name of person making statement. aA' 1D�r Personally Known OR Produced Identificati _. Personally Known OR Produced Identification „s,�, Type of Identifi tion Type of Identification Produced Produced (Signature of Nota 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 Rev. 8/2/17