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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE IINF fO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: W- I - O j 9 Permit Number: `*\d'Ar90a,(; RECEIVED •• APR 0 1 2099 Building Permit Appli ation STs �.l�CI��puntyr �r?Cfrllx�il1g Planning and Development Services -- Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 �• Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ' PERMIT TYPE: FR©POSED IMPROVEMENT LOCATtO,N; Address: 17- 3`70 I eT . (J1 •'e- 2 412- s L�� iC� � 3y�187 Property Tax ID#: AAa�t9- 501-GG 5o -0 00"3 Lot No. �0 Site Plan Name: Block No. Project Name: DETAILED DEySCRI'PTION OF WORK: e move el i S " Oon C► +e 6'Ve culRiq b2 Aber-S CONSTRU'CTIO'N INFORMATION; 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: Sq. Ft. of First Floor: Cost of Construction:$ A)0. 00 Utilities: —Sewer _Septic Building Height: OWNER/L@818%E: CONTRACTOR; Name 2, S �% t\2 J oo_K Name: Address: I a3 70 ► pel` 0,6-Fe eE Company: C" City: 0ej- S4-. LO 61 Q Stater- Address: Zip Code: 3 SIC 9-7 Fax: City: State: Phone No. -7-7 2— a�? U- CI$TI Zip Code: Fax: E-Mail: C hell S o 3 6 C,1Kra Me- o r10 Phone No Fill in fee simple Title Holder on next page( if different E-Mail from the Owner listed above) State or County License 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 L�kN LAW INF�RMAT(�©N: 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 HE JOB SITE BEFORE THAE#VRr, FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOI?R 'END n—ATTORNEYCORDING YOUR NOTICE OF COMMENCEMENT." Signature caner Lessee/Contrac or as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY COUNTY OF OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ by this day of Q f�� 20� by C.. i C'1'e— Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identificatio Produced ��— (Signature of Notary Public-State of Florida ) (Signature of Nota �� IEGRfENs Commission No. (Seal) .<a w r°• MY comt&ISSIGN t GG 0220?.3 Commission No.: �3 EXPIRE$9�k)ber16,2020 10 Bonded Thru Notary Public Uri OROers ,,FOFF• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19