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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3� 1-' k os Permit Number: noD��1 1 C O L.f.IN 17 REcEIVEB F 1L 4 R I EA ark ` - Building Permit Application MAR °12018 Planning and Development Services l'ernitk",o e Building and Code Regulation Division 8t'Luclu c my nr 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ,k. PERMIT TYPE: PR®.°USED I PiiQVEMENT QCATIC}N°. w .. . z. . . , Address: S 3csom( cl _ m Property Tax ID#: 31'ti--/ U ` -'00013 Lot No. Site Plan Name: Block No. Project Name: DETAILED DEE«°{1PTI©N @11 WORK° LI - -t--.(kc-' A-1'. c' , ' -i. ".' 1 2.= l'''','5 -- -k.._. ' /a (x_i /1-r-) efituvwcat €®NSTr UCT® INFORM• IONo 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: 069 Sq.Sq. Ft. of First Floor: Cost of Construction: $ V�� r DCJ Utilities: _Sewer _Septic Building Height: CM MA�--K.? I -. .. c®NTRAC 0 R0 •• Name I Address: !h ��4 �/�'lZ✓� Company: Al —_� _ �,' ,ops �� - City: 5 /. State: , Address: 2, 9e �' ��« i� Zip Code: _S ,Z Fax: City: g4— ._... . State: Z.-,Phone N - .5- -- Zip Code: .. ��9 Fax: /�/ E-Mail:. Phone No 7V.Z.-_‘.9r4/ ((1G Fill in feesimple Title Holder on next page(if different E-Mail / from the Owner listed above). State or County License (��r 1 / /�/ 1 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. 'MENIAL CQNSTFt CT Ok11k 1 IN:=ORMAT ONo . 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER O' AN ATTORNEY BEFORE RECORD . YOUR NOTICE OF COMMEN r NT." t. ....dttr _.•••••"' _---- ______ Sig j10 •wn ire/Coarm , :ent for Owner Si ature .f Contractor/License Holder STAT •fiFLORIDA r , STAT., • FLORIDA a j , „ _ COLV.1 ' OF $ L �.�1.( COUNTY OF (�'I,� The fgoing instrument was acknowledged before me The forgoing instru � ntt as acknowledgefj,tjefore me this Vu day of _ , 20L by this day of / 1'`_. , 20 17 by .c 5 C \ bar C5iInoSZ... Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identific tion Type of Identification Produced p t-- Produced F 35 -9 o_., -- fie __ (Signature of No aryPubl (Signature of Notary+LLIit Stvtie of Fie-i-4-) o�PgYa4Bi, ELLEN VAUGHN _ ,,�;VPie., ELLEN VAUGHN . �r,.Stat��o ,�Bo Public :_° ��State of FIR Notary Public Commission No. _; _ ��o��j Commission No. yy\ w q GG t _ Car�fnion # GG 270079 4 �� -_Commission # G 270079 '9 111,\1` My Commission Ex ires `1 '�'` ,,SOF F�\�\�\ P '�'e,l F�o�`A�` My Commission Expires /1111\ O •)' � �/ \\ 7_ _ 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED