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HomeMy WebLinkAboutBuilding Permit Application A1DatePLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE PeCrEP NDmber: I�©� ni s Building Permit Application 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 _ r PERMIT TYPE: I Address: PiopertyTaxlD#: 3Jlb- 5C--3~ ��- ��� Lot No. cS Site Plan Name: Block No. Project Name: (M " ✓ S k;C 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: �go�Sy_ Sq.Ft.of First Floor: .I Cost of Construction:$ ) ©,h u,Z� Utilities: —Sewer —Septic Building Height: jName Ge4=S1z_ �n�z.� Name: RC CnA- UV I,45: Address:5 i$ &AcAq Para Company s�we-c- :`. a ft ra City:�� e;e.ft zi F L 3'A�l�,�- State:_ Address:t5� 3 S LJ Gfl;�, ems- Zip Code: Fax: City: 96 t Y �'c;A r L',crZ Stater Phone No. Zip Code: 3L(j 7 Fax: E-Mail: Phone No`-)7�L` 3-60 -15 iS Fill in fee simple Title Holder on next page(if different E-Mail (�? from the Owner fisted above) State or County License C-C i , i 17 J I 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Dame: 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. 16 consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work i i 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 YOUMLENDER OR AN ATTORNEY BEFORE RECO DINKeY0J"0XKE OF CQMMENCEMENT." 7�_ Signature of Owner/Lessee/CoArd6tor as Agent for Owner Signature of Contractor/keD5elfi older STATE OF FLOR`MA STATE OF FLORID COUNTY OF MO o lO r h COUNTY OF ���n Th=ayof g instr ent was acknowledge efore me The r oing instr ment as acknowledged before me thi - ti 20�Rby thi day of (� 2019 6y �i Chi Name of person maki7staterunt Name of person making stateme . Personally Known OR Produced Identification Personally Known V OR Produced Identifcation Type of Identification Type of Identification lProduced Produced 1 )k Q i U (Signature of tary Public-State of Floridar ) BRANDY MOORE (Signature of o ry Public-State of Flo%py)Pua� BRANDY M 0 1A,.. GG I�`�03�� commission#GG 1021,39 _ I�•Z p 3 Commission#G 1 2839 Commission No. * ea[) Commission No. yy 1 C� " Expires May 9,202 . �. Expires May E.2 1 1rFOF F�n�\ Bandnd Thru Budget Nnlery So M.ae ��'oP r�o�� Banded Thru BudgolN tar Imms REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.