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HomeMy WebLinkAboutBuilding Permit Application I I All APPLICABLE INFO/ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3// / / Permit Number: \ R03 00 I;!1. 1 , C LI IIT'Y s'` RECEIVED F I. co R i Ei A MilliMMINEN Building Permit Application MAR 41 1018 Planning and Development Services Building and Code Regulation Division Permitting Department St.Lucie unty ;I 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: ,I ;PROPOSED I1N°ROVEM L©CATI®N,s ' fl »i .. .,j,,.:.' Address: Cp U 1LI �(n (C) t Ll `/ A4- e'`ere-6 AL 3 yqI -Z_ Legal Description: 1 Property Tax ID#: (p-Cpl 0 - Q t- too /O Lot No. t Site Plan Name: l Block No. I g./ Project Name: „shO'\ hh c\\'emsE C.P I Setbacks Front Back: Right Side: Left Side: 11 SAILED DE=sCapTIm`Io ..w®RK°407 -.' % 4. .. FUN l S 1\ (2 i i()I ;✓I S)-t, ( ( L IA" d i4 (o 4a 4- Lt cJ i w •(-t._ 7'13 ✓ 67 PIL 1-c frt Cc) -J ,,,ut t-k Gvz.. T An) ,i--- Dl) `y et.4- 0.-.at Q>i-c__ y0 " r.✓z.A..(II� �Ct.4-,e .. g" ' ry✓� dry 1 ked 1,61,3 (/ c/o " walk j a.-1-.e f s.l • 11 :CON-TRUCTICO I [FORMATIONo _,, ,u ' 'e 4, .;r; , m Additional work to be performed under this permit–check all that apply: ,I. _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors II Electric _Plumbing _Sprinklers _Generator Roof 1 Pitch Total Sq. Ft of Construction: (PyO L r Sq. Ft. of First Floor: .I i �G Cost of Construction: $ 55 o _ Utilities: _Sewer _Septic Building Height: Iok ✓ ti ®W SER/LE-�S`�SEEo v, ^.. CONTRACT.®R°. g,.., - �: Name A 6�/ Krct1CL+7 , Name: - 4x_t u,.--e... Prve .h 2 ee,,,t-er ,i Address: (001�✓G-c' �����v �l CompanStater- Address: • �-%�� 5� �� ac,,,, C�ta,}-e�l��� City: M 1 4-v-<-- _ Zip Code:3q �Z Fax: City: Skc>Gc/-1 State: I Phone No. 33 a - 9(0 --7(P / 0 Zip Code: 39997 Fax: I E-Mail: Phone No -7-)Z - 9-53-7(o2- Fill in fee simple Title Holder on next page(if different E-Mail Pw� S?--3 yeA-1^-00 • o I from the Owner listed above) State or County License 1; < 01 I .I If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 1 Ii I SUP'PLEMENTAL CONSTRUCTION , INF@°MATIONa.. .��uY��, . a • .em ... fn,;h . g,„.,. ,.r s+.w :. . i'm'F. �' ,�� - .. �. ,�"� � .'..s. '�`^� Vic'• 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 represu sentation that is granting a permit will authorize the permit holder to build thesubject 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 com�nc'ng work or recording your Notice of Commencement. / Ie S':natu 'f Owner/ 'ee/Contractor as Ag•n for Owner Signa- re .f Cont .cto Wire - Ho ger ll STATE OF FLORI L `J� STATE OF FLORID, , ' 11-Liefe COUNTY OF ��t-t-C�� COUNTY OF The forgoing instrumentrnwas� ackn ledged before me The for oing instr - ent was ack7 ledged before me this I /—clay of ' i /2. 20 by this l day of DW3/4� ,20/1—by Jekeq,V0 INC. `OVQr2C ). ,Tekc, ,&11,c_, p rate' 1 0n L. 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 P(, (a -. Produced FL- i-'L V' -- : Alommil;,, ,.... - _, ..,...... _ ..... .........".... (Signature of Nota Public �b grr is LLEN VAUGHN (5 nature of NotaryPublic Sta�o' ;t.".�� °' N VgUG yN-.... _ `a: tat: of Florida-Notary Public 3+ „`4 =State of Florida-No an * -i1-, E®mmission # 6C 2 Publh *s Commission #GU 2700i g %;rii.J� r '0078 Commission No. '' aF f`o`�c I C+t mission No. �' @al)MY Commission �Aires „������� ( �ommisslon Expire Ootab#r 22 October 22, 2022 ids j REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17