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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MIJ T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 17-I y PermitNumber- RECEIVANED • DEC 17 2018 Building Permit App ication Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial . Residential PERMIT APPLICATION FOR: 'J0 �J-0 A PROPOSES IIRQ PUE1�, Mf T L©CA1` ��ii Address: l/7Z Ile. Nes ZI�V - JTenoy) i3�C Lr, I""` , T Y'9 � Legal Description:_/�� T1��S �J/�iNl/ . r!C. �Z 9��J - 86y PropertyTaxlD#: =/�J02 ' �Q� - /3�/ ' ���� �f Lot No//72 Site Plan Name: &e #ei Block No. Project Name: 1172 Setbacks Front- Back: Right Side: Left Side: DETAILED I?E SCRIPTION QF WOR4K: 015' 0) ;j47 r c.*a vc,/ 0 5773 s� r� o. e Q�, GJn� .�g�i1414 r00 �-J -AWC©NSTRUCTIO'N INFORMATION. itiona wor to a pe orme un er t. ispermit-check all that apply, _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 5-73 Sq. Ft.of First Floor: ' '73 Cost of Construction: $ /70 a• 9.•- Utilities: Ysewer _Septic- Building Height:177`/' 0120, ERMI SASE CONTRAC1'(+3R.. Name of P f'h� Address: #//S /?/v Company: /1-0-rn ►'/"/7 City: 'JeQO cn 3&4 State�L' Address: Z-, B4-1e,' Zip Code: 7 Fax: City: State:L L- Phone No. 77 2 -2 8J`- 8 Zip Code: 3'199'7 Fax: 772,232 I NI E-Mail: wy^04ef - e*A Y900/ Phone No '?'Z(0 '17 Fill in fee simple Title Holder on next page(if different E-Mail 2 rn Sri i �, �rIC 6i QD• c DK from the Owner listed above) State or County License 613612 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SU PLE LEE,' L G�NS�TRUCTIC}N LI. N LA iNFQIMATIQN x J 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 r cordin asp tice of Commencement. Signature OT Owner/Lessee/Contractor as Ageni Signature of Contractor/License Holder '�ptt STATE OF FLORIDA aom= STATE OF FLORIDA COUNTY OF LOLL `; COUNTY OF W m The forgoing instrument was acknowledgedef ter ;a The for oing instr ent was acknowledged before X�a this day of G(i- 20 by z mK 9 this day of ��. 20 'by z mm m III ocQ� ocnu,j y� d Sew J� ]] d �_m VU 0 Name of person making statement. 2�"= Name of person making statement. mT= -- Personally Known OR Produced Identifi o�iN Personally Known OR Produced Identifica �N Type of Identification Type of Identification Produced Produced (Signature of Nc6^Public-State of Florida) (Signature of Nota ublic-State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 8/2/17