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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) T1 t , Date: �'�� �, Permit Number: �7 7 RECE Building Permit Applic tion MAR 2 5 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: 772 462-1553 Fax: 772 462-1578 Commercial R la PERMITTYPE: C h . PROPOSED IM!FR©VEMENT OCATIOIN: Address:�(�J 02� S'. ( l e6/ZT -Sl i✓T ,/-yG o= Property Tax ID#: L/ -S 0 ;DD6-6 - A/so Zd Lot No. Site Plan Name: Block No. Project Name: DETAI'LED DE�SC«R�i�PTION OF WORK: a CONST UCTION I�NFORMATf®N: Additional work to be performed under this permit-check allahat.epply: !_ echanical Gas Tank Gas Piping =: .,.;:Shutters Windows/Doors — — z —Electric —Plumbing —Sprinklers '; -.-:. ^'Ge nerator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 9 Utilities:Hl - Sewer Septic Building Height: OWNER/LESSEE; C«ONTRACTOR: Name -�-ro Ryr GC G J' Name: Ff2a i✓G.S Q, PleoS7-511 Address: A�J 6` M ei;J J t Company: dAS C.O 06,2. City: State: !�� Address: /� CC1�7C�✓ i`� _ Zip Code: -I o2-/I Fax: City: >-0 eV G L�4 State: r� Phone No. 'q/(, Q,4q too ��, Zip Code: oL'G Fax: E-Mail: Phone No � b Fill in fee simple Title Holder on next page (.if different E-Mail cPSw�tA•zl3-oo 61j,-71*a. ci-;zi from the Owner listed above) State or County License' kif ISI 64' 11 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. SUPPLEMENTAL C«ONSTRUCTION LIEN LAW INFORMATION: 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 W­=OB SITE BEFORE THE FIRST INSPECTION. IF YOU IN D O OBTAIN FINANCI , T WITH YOUR DE OR AN ATTORNEY BEFORE RECORDING YOUR NOT I OFC MMENCEMENT." Signature of 0 e ee/Contractor as Agent f Signature of Co tracto ense ftlder . STATE OF FL RID STATE OF FLORI 0 COUNTY a COUNTY OF OF The or oing instrument was acknowledged before The forgoing instrument was acknowledge efore 7` ' = thday of rnj,��� 201)1 by & _ this„,Wday of QJ�? L`f� , 20Vby Gt OS " Name of person making statement. Name of person making statement. ersonally Known OR ced Identification Personally Known OR Produced Identificatio ype of Identification Produced Type of I f c 'on Produced (Signature of Notary blic-State of Florida ) (Signature o otary Public-State of FlcVida ) 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 Rev 2/7/19