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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MC/UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. Date: / Permit Number: 1 \ej 5-C)XA6-'�t' RECEIVED Ell ""� 20-19 Building Permit Applic ionMAY 1 L. Planning and Development Services 5T. Lucie county,per irlq Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: RROPOSED ANAPR VA@MENT LOCATIAN: Address: �/� }ry 0 �7�06T ff y Property Tax ID#: / '-'9UU—"�'C/d yd Q�U" Lot No. Site Plan Name: /d9F/�i/ �, .>/ � /15�� Block No. Project Name: IMEATE11111@PJ[D. -*R{IBITI I OF WORK. 19W Aevi? _549 06tE_ GA ti CONSTRUCTION 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:$ _/ ��, Utilities: Sewer Septic Building Height: OWN MNI S`NEE: CONTRACTOR: Name M% OL3� 7 Name: 1- Address: UCompany: (IDS ,4 City: (> State: Address: 0/ V/9 s Zip Code: Fax: City: Stater Phone No. Zip Code: 'S Fax: n E-Mail: Phone No /90— 3 YL Fill in fee simple Title Holder on next page(if different E-Mail Tofffrom the 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©NSTRU'CTION 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Si r of r/ ssee/Contractor as Agent for Owner of Cont or/License Holder S 2ATE OF FLORIDA STATE OF FLOR�DA COUNTY OF L1� �� COUNTY OF The forgoing instrument was acknowledged before me The for instrument was acknowledge before me this\4 day of VM 0.V 20_\7\ by this �Cu day of V\%", 20a by JS0 V v\ CO3,i meq.( ahr SAV 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 Gln L__ Produced �— (Signature of Notary Pu lic-State of Florida)' (Signature o IVzs �eflnrdda , DEANNA MARIE G1VF.NS Commission No. aa� °:V°L3 (Seap�NAMARIEGIVENS Cc��mission 1SSION#G0113 MY COMMISSION#GG 0220 3 ;; :;tF. .P: S:December 1G, t N ° :°•`'• 2020 EXPIRES:December 16,202 Bonded Thru Notary public Undem•. ..v Sonaed 11rUN01arYVU011CUnoer1r11LL ers ra REVIEWS FRONT "ZU1 rt1-TfM PANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.