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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: . ....... Permit Number: RECEIVED Building Permit App icationAN 3 0 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St:,LucI County, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT APPLICATION FOR: MiCmel oP Address:—Jql0 'KOVAI eAIM DL Legal Description: Property Tax ID#: -A, (a 4s-, Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: SM4 IML . PAM?% f�%J Additional work to be pertormed unclerthis permit-check all that apply: —Mechanical ^Gas Tank Gas Piping —Shutters Windows/Doors "Electric ^Plumbing Sprinklers —Generator Roof Pitch Total Sq. Ft of Construction:— Sq. Ft. of First Floor: Cost of Construction:4 S 110 rl 00 Utilities: —Sewer _Septic Building Height: Name tA1AO Uuoc-& Name: Address: Q�VZ 'Kb\IAI 5fFtktk I'Xk Company: City: T-N. 16tMX State: F1 Address: Zip Code:- 3%A4?*Q Fax: City: State: Phone No.-=3 -gag I RAM Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) I State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. i All APPLICABLE INFO)MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . Date: /' 3�' )�/ Permit Number: �� ©(Qrep R E I Va INE D _ ussa��M i ........... 47 : Building Permit App icationAN 3 0 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. LU CI County, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT APPLICATION FOR: 12,10BRASED IMPROVEMENT LOCAT ON: Address: 4410 T\G UA I FA IM hK Legal Description: o Property Tax ID#: -A, '- � �� � � � Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DE�SCRIPTI()N aF 1NORK: �Zeb�l C�.rne S+k d t S Naga TRUCTtN iNFOR+MINION: Additional work to be pertormed un er 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: Sq. Ft. of First Floor: Cost of Construction:$k S 1101—(O0 Utilities: —Sewer —Septic Building Height: O � ER/LE-�S�SE : �ONTRAC�TOR: Name Mi�►(�}L1 QO^C& Name: Address: Kb\I'AI Nik lt(; Company: City: VT. Pick, State: Address: Zip Code: 31q%Q Fax: City: State: Phone No. Zip Code: Fax: E-Mail: 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. SUPP E E=N AL GC'?NST .0 TIC? LI !N Mai lIFORMAT!a 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 recording our Notice ncement. LU Q rN III 999JJJ 1 Signature f0�1v essee/Contractor as Agent for C § Signature of Contractor/License Holder a z� a� STATE OF FLORID - zcn w STATE OF FLORIDA COUNTY OF 9�p�- COUNTY OF The forgoing inst nt was acknowledgT-byefore e m The forgoing instrument was acknowledged before me this day of 20 Via` .do_ this day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Idi a on Type of Identification Produced Produced (Signature o otary Public-State of Rvorida) (Signature of Notary Public-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. 7