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HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) –. Date: ,D_1-, I Permit Number: ( 90-—CEI\ 0 ( (03 SAV 0 „> giris :471 eP�V'� 4w :9 r� N v� ;gams . vessottNn9 Pay:- : x, -,, 0'. _e- 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 DL PERMIT TYPE: N\L 0,<-e,`;r \ :11-i, Q-VA g_ oiA : g { l� 4�Uto��o i. . ... °ri": :, vk �r�,,.44.':, at .% .0«. �� rk, vam.: lxbsitleMeit,z .n4s .rw1?r�;•�i;ir��° :er , ms�s Address: 7146 ©rrk 9 Property Tax ID#: SiAt_l -510-oo4 -00o-5 Lot No. 21 Site Plan Name: Block No. '7 Project Name: 3400 \b,522,r 1;ka.-Cr \;IQ, CA c. r,, co..A" \o LW \' c -. ri r4i4 '.. , `� t g7�Y,*� ' ,Va` 'd 3� a . .., : � ,gen��sz ."; r�.'- go fe +/' '. m:.,. Eglif� � O k ���i �.. ��`� 3�� ���f v� .,.. ''�� ���'H � �������, �r�� 5?yam sZ�,. t' �i Additional work to be performed under this permit–check all that apply: l/lechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers —Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: co Cost of Construction: $ &2 Utilities: _Sewer _Septic Building Height: I i . �7T��� . `" �,,, Z � �� $� 3 `a� s� 'M ,A4y y ,,K _„r �- Wk itk 4"6 . Name c.vac . \ou0 Name: r16�01AI er--o..c'rAc\-N Address: 7146.x1...{9 .1;;1c1-1-.,46,.w, .._.:..�. Company: kmc( c.c._, iV, r C-s rej `pr, City: or 647,;:,L0co,:c. -`'r%.=2, ,4., State: +1 Address:.':�✓ I OW dVlescovAl fit. 5'\ STS IN-/ Zip Code ' `6?�t Stu.i•�;, m..•.Fax t ' - City:: r S.- �.. .. y,. ,.,. .;+,, y�.? . �a u c`c State I_:t Phone.Na: .....•,, .,,,,v; ,,., ZipCode: 6 Fax: ' E-Mail: Phone No"7? 004 73 Fill in fee simple Title Holder on next page(if different E-Mail 81r ri s e. 0.M e ri C.O.r i!Co.reS.: c 0rri from the Owner listed above) State or County License CACCD.1 Lib ) 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. 1 • R ,> , : '. , m 4' ,t o� 1N:1 ' m 'n m ' , . *°sem ."'ra" 4 %>,,...._.. ..� %, a :rH, r.: a ' ',`. „ aar a._ ,> 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 Associationciand 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 con rrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARN,.,i G TO OWNER: YOUR FAILURE TO RECORD A NOTICE r F C 0 , MENCEMENT MAY RESULT IN YOUR PAYING I, FOR IMPROVEMENTS TO YOUR PROPERTY. A NO E G j COMMENCEMENT MUST BE RECORDED AND ED ON THE JOB SITE BEFORE THE FIRST INSPECTIO IF r U INTEND TO OBTAIN FINANCING, CONSULT in. `1 YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN I fill • 1 OTICE OF COMMENCEMENT."/� iL �L Sigy�� ye re of Owner/Lessee/Contractor as Agent for Owner Signat of Contractor/License Holder. 1 STATE OF FLORIDA "� STAT OF FLORIDc,i / , COUNTY OF �I t U..GC 't- C COUNTY OF '. woe The for oing instrument wa acknowledged before me The forgoing instrument was acknowledged before me this 'I day of ,20 1 )by this P day of Mciki ,20 IC(by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known ..- OR Produced Identification Type of Identification Type of Identification Produced — Z L Produced e/U q Y:- 2,4kLAAIA0 ( . •,.ture of Notary Public-St of Florida) (Signature of N t • ,a������.,igastwaima SUSAN M GODDARD �,\1l/, , ZZOZ 'ZZ iego30Qc _.......```,,iiti ' s011 V,#�i ° $$j,• ,!�` aaiirlx3 .ingiwwoo(�i( l);���°i I(��a Commission No. ?r° '1�tl. Notary Public- sapj Florida �� - 6LOOLZ Jo# 0 f `,,,,, 4, Commission N:GG 033219 3 /, . state e" . ,..nd AJeloN-eppold 40 e3eiS 4, =N; )-'-fie My Comm.Expires Sep 25,2020 art, co of<<'F J(l VA N3113 qumn�� Al %, --",,• M tryst �; ti i ''' Bonded through National Notary Assn. R ,Nike �sj`. �(Ij zumv bur'etcvSOR PLANS VEG A G OVE o0rgr ' ;•.VIEW REVIEW REVIEW REVIEW ,REVIEW REVIEW DATE � et Q'Od 1kp 4'• '; RECEIVED ,D-to/ _ DATE COMPLETED lev.2/7/19