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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST/BSE COMPLETED FOR APPLICATION TO BE ACCEPTED RECE �1`/ Date: '7'• v}• I"1 Permit Numb7,? y 7 AVED '2C YL ':D : . - 2 2019 Building Permit Appli caPlanning and Development Services p Department Building and Code Regulation Division Co U n tY FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: .'I _ Nr PROPOSED IMIRaUEMENT LOCATION Address: �1 11/ 7 Property Tax ID#: 1/ ���� 7 Q � ©C/ �' 0 Lot No. Site Plan Name: Block No. Project Name: DETAI'EE/DrrD9CRIPTION O WORK: . L QA;*41% .S In,4916 hs Il 30 1 b Fej j 2 Q,h �51,iA1 tk S ;i li7 i 'iA i NOAAQ CONS RUCTIOIN" RMa ION:, ,4ddifional'work to be�performed under this permit–check all that a'ppI "= Me`cl anicaI Gas Tank Gas Piping I w,' >::_,Shbtters —Windows/Doors ; , — — "' EI'etric Plumbing —Sprinklers ;; G6nerator .. ✓Roof Pitch Total Sq. Ft-of Construction: ZDD Sq `!Et of First Floor: Cost of Construction: $ BOJ Utilities: —Sewer —Septic Building Height: 0 NER/LE=�SSEE• CANTRACTCIR: Name C�2fyl fle` T OVA Name: A��iah $uS/z►u Fc` Address:_A093 &trn JU('-e SIVO .15� Company: $U;n r �4 iFiny 1,1,c- City: LL City:_Grp �f(2. State: PJ_ Address: 21 ESQ= XA(' >I l Dwh V, Zip Code: Fax: City: ar( 9A Lu(i e State: Phone No. Zip Code: 34fS) Fax: E-Mail: Phone No :?22 - 501 7933 Fill in fee simple Title Holder on next page ( if different E-Mail ®tgUWk Cam. from the Owner listed above) State or County License ea 173)990 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. SUi'PIEMENMAN ION NSTRUCTIONI 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 THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, WI H YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT." +j9'ai;•; Sign ture of Owner/Lessee/Contractor as Agen F Si nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA " o COON c COUNTY OF t70n — The for oing instr ent was acknowledged before me $x The f rgoing instrum nt was acknowledge befo nN�e$= this day of 20 !'. by this day of 20 by �asftDal _ - ��—'/� Name of person making statement. " Name of person making statement. y Personally Known _ OR Produced Identification Personally Known OR Produced Identific Type of Identification Produced Type of Identification Produced (Signature of Notary lic-State of Florida ) (Signature of Nota Public-State of Florida ) 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