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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cx P Dater$ �11a'1� Permit Number: �_RECEIVEID Building Permit Applicatio Planning and Development Services JAN s. Q ,� Building and Code Regulation Division ST. Lucie Courity, �'errnitt nig 2300 Virginia Avenue,Fort Pierce FL 34982 _ Phone: (772)462-1553 Fax: (772)462-1578 - Commercial Residential Yes PERMIT APPLICATION FOR: Other, <\,N,7. PRO POSED1KAPROVEM,ENT LOCATION: Address: 6705 Ocala Avenue, Fort Pierce, FL 34951 Legal Description: Residential Home Property Tax ID#: `�� 1 a �3�� d�Cj— S Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION=OF.WORK: 55' Footer on travertine patio with rebar. Lj 45 ?"T 3co © 9-1, CONSTRUCTION,,N FORMATION Additional work toe performed under this permit-check all appy: 1_1HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 651 S nFt of First Floor: Cost of Construction:$ a.4C�� •a a UtilitiesSewer Septic Building Height: OV1/NER/LESSEE: CONTRACTOR:` Nam Name: tel. / Address: Ocala Avenue Company: q City: Fort Pierce State:FL Addres : 7 AO+ Zip Code: 34951 Fax: City: Stater Phone No.518-578-5855 Zip Code: 3x91 G Fax: E-Mail: Phone No. s - clu- 0 c1q Fill in fee simple Title Holder on next page(if different E-Mail: SC.c0C_-_C_0A W-L from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 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 twiee for improvements to your property.A Notice.of Commencement must be recorded apd posted on,the jobsite before the first inspection. If you intend to obt ' financing, consult with len r r an attorney before commencin wor, or recordin r-PJo c f Commencement. _ ��. Signature of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/Lice older STATE OF FLOR A STATE OF FLO ITA , COUNTY OF. �3r 1-oc�� COUNTY OF `fi 1- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of '�Sq^!1 .201 by this_�,b day of 750,1^ .2019 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced !D L- Produced L. (Signature of Notary P lic-State of Florida) (Signature of Notary ublic-State of,Florida) Commission No. Mrd a.Z+b 2.'3 (Seal) Commission No.C4 G—Jrawt17.3 (Seal)_ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.