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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED D Ite:_z J Z� I Permit Number: Building Perm it•Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Pi one: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: • OSED P C1/EM ANT LOCATION; Address: /(0 cSc� (�1 (D -�edl�an a- Z 23P.<�—,7 Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: DETAILED D=�S«RI�PTION 0 WORK: C- i CONSTRUCTION INFORIVIATON: work to be performed under this permit-check all that apply: Ad7Mechanical I p p _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Ti tal Sq. Ft of Construction: Sq. Ft. of First Floor: w Cost of Construction.$ 3,711 Utilities: —Sewer _Septic Building Height: NONE, E-55H~• CONT AeTOR: rpe � v\0. e Name: ,(2Cs-( - Address: 1000-So ©C£Kh -Dr �Q� Company /^dd�-vP vo.l��-� /d����.-1►� �-- City:i 2 ,h� �ps�-� State: 2� Address: ls� �S'���Gc/fie4 Zip Code: qCr 7 Fax: CIty: State: Phone No. VC7�r 10x7 sZipfCode �,,;a�a Fax r"-,P E-Mail: Pham Nb'� S7 7 o�lTfl Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License CACI LE/7797 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. f value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. I i i UPPLEMENTAL.C®N�TR+IJCTI�} LIEN M3 INFlXR,, TIdR1: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name:I rv� � �� �ic Name: Add ress: gQ[— Address: City:Xk;/6'e v State: State: Zip:,.-,35,,,<= Phone �27,a— 7-e4 1 70 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 INSPECTION. IF,YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." c Si ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFCOUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ by this day of 20_ by � 'o Name of person Aaking statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced n ( ignature of Notary Pu ic-State of Florida) (Signature of Notary Public-State of Florida) Commission No. ,Rp�{MING Commission No. (Seal) ;R'•"'Y" '- �mycOWAISSION#GG 2150 EWSES:Deva REVIEWS FR - ,,cpi; e o0 PLANS VEGETATION SEA TURTLE MANGROVE CO REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.