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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: MOMIL I I I Permit Number: r RECEIVE© ^ - ,� W-'P7 �'F7MI fy MAY 14 MQ Building Permit Applica ignLucle County, Permitting 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 PERMITTYPE: T PROPOSEDIMOUE PRMENT LOCATION: G Address: 95805' Casnei �/r . (t Pjel Ce �Z- Property Tax ID#: • Loz- le I(J © z�',L'7- goo-le Lot No. 317 Site Plan Name: ReS) 'en ct - �I 57,0-57 Block No. -71 Project Name: refVe , IAivak, DETAILED DESCRIPTION OF WORK: .Fwoodeti ' ncf in ac lC leffsi4 - A C Vd I_ , ri,61 s', cL Race m1+- IT. 7 CONSTRUCTION I 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:$ 1,5'00, 00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name klafitiA Greu Name: Address: Sags Co-5-6 Pr- Company: City: fro VierV - State:_ Address: Zip Code: 3y]B 2 Fax: City: State: Phone No. a oZ0 l ' Zip Code: Fax: E-Mail: M 2varam I R QnLiaj CeMPhone No Fill in fee simple 41e Holder dd 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. 19,121 EMENTAI CO:NSTRUCTiON LIEN LAW INFQRMTHAM' 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 thepermit•holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants-th'at may restrict or prohibit such structure..,. tructure. 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 ariother.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 YOUR LENDER'OR' , ATTORNEY BEFORE RECbRDING YOUR NOTICE OF.COMMENCEMENT." Signa re o Contr for as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for ing instrument was acknowledged efore me The forgoing instrument was acknowledged before me this day of 20 -47 by this day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known_,OR Produced Identification Type of ldentgiGaotion Type of Identification Produced Produced (Signature of No ary Public-State of Florida) (Signature of Notary Public-State offl'orida) Commission No. KAREN (SeNI)IELSEN Commission No. 3= V+ ate of Florida-Notary Public *= Commission on ii GG 207484 My �-ornrnissiotj Expires REVIEWS .tun 12, 2 9 WTOOR PLANS ;VE.G,ETATrON,' SEA TURTLE `.' MANGROVE COUNTER REVIEW RE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19