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HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: V1-014-Z© 19 Permit Number: Pclo( on-77 .11 I lTY F L a it 1 ID Fn - 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 PERMIT APPLICATION FOR: PROPOSED IN IP EIIlIENIT, °CATION . Address: 73 OS C \Dana 1. rirf' P,.,rcc.,, FL. aiictst Legal Description: Property Tax ID#: lolGoK0178'O A Lot No. — Site Plan Name: MA Block No. -- Project Name: /OA Setbacks Front Back: Right Side: p Left Side: CSA LEO I ExSCRe PTION ( .\ ORK4 6,5 V* Fe. ct. khsli r t yrt iv/wood. Pcssi3, l,)..d fop rs:l w;1` ,Tea } �_.pont• ba)-4vu.,/o®sff 20$ I.le.i Fon', f. 5.` Ic11. FZ. i+ !4i s:L, csck. r; 10-sl..14.5ci. rJt.r 7o l tt sits;, 07S proper%J c1 ' ' •r� I,.ts. CONST UCTIO . :{NFORMA`1 o0Ea Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping . _Shutters Windows/Doors Electric _Plumbing —Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 20 ' h.1- � Sq. Ft. of First Floor: Cost of Construction:-$ /,$So Utilities: _Sewer _Septic Building Height: O .CONTRACTQRc: Name &meteor, 51►v14 ' , Name: i, ' .a. 037 1/ Address: 73/55 b ni L,. Company: lqVer 'Cp;ft.sera 4 :' /LC, F+:.. P�trcc' . State: FL Address: Ligs5 '4134• 'Cw„,\e,.. ........ .. v. Zip-Code: • 3`195 I Fax: City: (Jed-,. &c.c'k State: F7-- Phone No. 7 72 -57/51- .4yy3 Zip Code: 12 9(02. Fax: E-Mail: Reotl 2,X e. / OL.Com Phone No 94-11417-112.q7 -NN7-y2.g7 Fill in fee simple Title Holder on next page(if different E-Mail Iftce • coin from the Owner listed above) State or County License CGC.1524 339 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 3(o (1`? PPLEM I CANS ,RUCTION • 1 til INUF@° MATI.6 a .,...",V r4z. • , DESIGNER/ENGINEER: • _Not Applicable MORTGAG COMPANY: -Not Applicable Name: AJ/k Name: A.) (+h 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 your Notice of Commencement. f Signature of Own-rLessee/ . as Agent for OwnerSig ure of Co ".ctor/License H. ."e STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 'Si• Lvc;e- COUNTY OF S{. L.rcie– • • The forg ing instrumeglvAasacknowledged before me The for oing instrument was cknowledged before me this day of ff AI ,20 6 b this day of S , 20c by flC SQ bJ (Zcxk So\ Shy . Name of person king statement. Name of person making tatement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificati Type of Identification • Produced rL (L--_ Produced Ftf �� 6(.,e./dir (SigSi . ure of Nota --.......-......„,7;•.-. • '.- ,�, (Signature of Notary Public- : _ ... ..a_'•,. , 1111flY P'��i EN..- „ o,P °°,,- ELLEN en C?G a70� ~1��,Jd�� ... E .,�N_-- �= ocState of Flo HN ?° e��_Statcw IoridaAUG Commission No. I'. iir,_ _ _ r(aen a�{lbtary Public Commission No. =�``�u, �_ Notar �� �� ,A�� mmission #GG 270079 ..s,-----,,. -:-.: Commission #GG y Public �;�oF�1 .'s MY..Commission Expires _ ` I Y Commi • •_. 27007, �A M '��u mr1 .�'or cloy'. ' 1 so ober 22, J� •µ" �-. 2022 REVIEWS FRONT ZONING SUP • v • OR PLANS VEGETATION SEA TURTLE , ; z. v:..-,--- COUNTER REVIEW REVIEW REVIEW REVIEW . REVIEW REVIEW DATE RECEIVED 0 ' DATE COMPLETED ley. 8/2/17 .