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HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: '"l ' 014 Building Permit Application Planning and Development Services Building and Code Regulation Division j 2,300 Virginia Avenue,Fort Pierce FL 34982 / (hone: (772):462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: PRO'@SEB f HOMO, NT LaCATIaN r� Address: tlC 'e G Prl pertyTax ID#: Cj19r �4 �-[�� �� C� "� Lot No. Site Plan Name: Block No. Pr ject Name: D �1LEB BE�SC +IPTtO O aR�K: a � r s I , CONSTR+UCTItO'N IN'FOR T 4N: Additional work to beperformed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping, _Shutters �-�indows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Ti taI Sq. Ft of Construction: Sq. Ft. of First Floor: CI st of Construction: $ Utilities: —Sewer _Septic Building Height: Name LOName: _1/1/1/ e Y L02 Address: Company: 0 D . City: I State: ; Address:2 - e Y Zip Code: ' ___ -.Fax: City: C !� State: Phony Noe: s�: .r.r-1-(: q•r� Zip Code:�C- Fax: f sA,,:� Phone N E-Mail « �, '•t' s Fill in fee sirnple Title Holder,on next_ -gage(if different from the Owner listed above) State• ` l'.:nq Gpunty;lice;nse= -. :'. , �, ,ry '>�''aa)'F'L; ,Ard;:•ei U:Cis:'trC:"j .i'_ ---�, If value of construction is$2500 or more,a RECORDED Notice oftomiiiericement'is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. SU PLEMEN L CONST CTI©N LIEN LAW 1 �ORNIAI'IQN: 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 JOB SITE BEFORE THE FIRST LENDER INSPECTION. I ANOATfORNEY BEFORE RECORDING OYOURTNOT CEOOF COMMEN EMENT." ? r _ Signature of ssee/Contractor for Ownero ontractor/License o er STATE OF FLORIDA / i STATE OF FLORIDA COUNTY OF S' lam[/` (''_/ e COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me this day of �Ir� 20(� by this!( day of C�l`uc� 20a by ZALM _C 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 Produced ref Notary Public-Stbte of Florida:) ignature of Nota Jar► MY fAMM{SS50 IOL�N,�#GG 272= Commission No., (Seal) Commission No. IRES;��'!�d'� �rs - - k'• 0� LASWWNAING 6A�r . FOF�; :. MY COMM ION 9 GG 276M a .. REVIEWS FRON `.%F, .. , MIRES; J tPLANS VEGETATION SEA TURTLE MANGROVE COUNT n'"' Y¢rs REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED