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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S� sl:*\, Vk Permit Number: RECEIVED Building Permit Application MAY 2 9 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED I�MPR01/EMENT L©CA (© Address: 00 ? ° FleCcf c.c.) L Property Tax ID#: ���' � d3�-aaa-3 Lot No. Site Plan Name: Block No. Project Name: ©ETAI'LED DE�SC«RiPTtON OF WORK: 1 'SCt��I�6 C 5 ggc-57 �xa Cb CONSTR+UCTIO iN'FORMATI'(ON: Additional work to be,performed under this permit-check all that apply: _Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors ZI-flectric —Plumbing —Sprinklers —Generator —Roof ' Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ �Q zx-o,oo Utilities: —Sewer _Septic Building Height: OWN'ERf LE�S�SEE CONTRACTOR: Name Name: R610'-"-L Ge C-�sii c rl f Address: r%X) 0 1;kz Ad<2 � Company::i'kCAC -O-aC (-e-), fQ X1.-9 Zle-- City: (9! L State:F�. Address: :�)i l'W C..r,&A,4 �r Cie Zip Code:',- )Q /h Fax: City: State:�G Phone No. Zip Code:�3yf f� Fax: E-Mail: Phone No 772 --;?g! )-- oZs/ Fill in fee simple Title Holder on next page ( if different E-Mail 40 Cw A,e- , cov,w from the Owner listed above) State or County License f'c, «o�lSd2 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. SUP ' LEMENTAL CQNSTRUCTIO'N LIEN LAW IN�ORMATIO 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." Signature of Owner/Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORI COUNTY COUNTY OF OF Is The forgoing instrument was acknowledged before me The Lorgoing instrument was acknowledged before me thisa�day of VVN4�!a 20 1A by this ay of `Md.Y 20AA by ( {•� S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced �-- Type of Identification Produced (Signature of No ith I d c arP ap; dz} , DEIWNAMARIE GIVENS (Signature of Nota Public-State of FIS= ommission No. ' C0MMISS1of(3(fd11)22023 ' GiVENS e o'_ EDXPIRNAMA�IEn } 5 btr 1uEXPIRES:Dere SSIDNP GG 022PublicUn,d2e0w20riFer—sCommission No. BondedThruNotary Dec —Al underr _ Notary Public DondedTh� _. s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19