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Home My WebLink AboutBuilding Permit Application All APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ,') 0 ' � Permit Number: RECEIVED _ Building Permit Application MAY 2 8 2019 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential V PERMIT TYPE: 1 Pn�?y:�`'E� lM;PR€�?UEMHNT!.C*�CATION: Address: plat--& C+ Yo,I S-J Lite-ie Poeida. 3q4Ly3 Property Tax ID#: � ' �" ��` 1 r '/v v 15 Lot No. 09 Site Plan Name: Block No. 70 Project Name: DETAI�LE© ©E--SCRIFTION �F WOR'K: eG e e e��✓ can. gemout� i 5�-ina_ I e��,�� r, ya.�� .P�of�t� ��, 107e4. /5016&nv "in ht-_&a4eza CtO1 STRUCT10 INF©RMATltJN: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Ga's•P{iping _Shutters+= _Windows/Doors '.7 Electric ' —Plumbing _Sprinklers _Generator'"' _Roof" Pitch To Sq.-Ft of Construction: Sq. Ft.of'F r "Floor: Cost of Construction: $ � Q�Q •0a Utilities: ,fSewei:;. Septic. Building Height: raw, NER/ NTRA TQR: Ka m e I 5 Q. ��(1 t�,0��{s 5'r-LCL:C. Name _ Ska w V\ InJ e I� Address: = /q 5 IA� 2�G ri1VU �F- �� Company: city: State: L Address.- _�lg ire-ss IA,- ZipCodec3 �ti� Fax: City: Qi�.e Stater Pon:e'No. 5�s/�7,ff ��- 7� 7 Zip Code: �q$a Fax: 15AL48(04 61, Ls(i. Fill in fee simple Title Holder on next page (if different E-Mail er wME!&c C_A CZA01CC, ,A-cr from the Owner listed above) State or County License �tn7g� 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 CONSTRUCTION Ll'EN 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 AFFIDAVIT: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." Signature of ess on ra s gent for Owne gnatur o ctor icense Holder ST F FLORIDA OF FLORIDA C NTYOF� L�,GrL COUNTY OF The forg ing instrument was acknowledged before me The for ging instrument was acknowledged before me this day of 20W by thiso2 day of 20 jt by Name of person making statement. Name of person making statement. Personally Known ✓ OR Produced Ide ifi_` NOS°: Personally Known v/OR Produced Identifi tis"'+�'•°T�'_ Type of Identificat Type of Identification �= duced Pro c d n a n� c a o a c m a a o 2 m -9) t 3 U0 3 �,�z s33CZ N p nature of Nota Public-State of..Florida �:,�,�^s a X,g ^s (Si Notary ) _ N N (Signa re of Notary Pu lic-State of Florida) N =N C mmission No. Z$4 I$�' (Sea c N o Co ission No. 2$ (Seal) +� wrTO nNWo.a Dodo a REVIEWS FRONT-' ZONING R PLANS VEGETATION SEA TURTLE E COUNTER REVIEW _ . REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED - DATE COMPLETED Rev.