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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED g Date: �'/ /�. Permit Numb . RECE _ Building Permit Appli ation JUN 17 2019 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: 'DEMOLIT OV4 RC?PUSE© 110, VEMENT LOCATION:. Address: 100(oN 1 .. 6T• FORT PIERCE FL• 3 �I � Property Tax ID#: 2401a'70Z'YLS9"000® ( Lot No.20 Z.1 Site Plan Name: "4R oW--( 951614TS Block No. Project Name: ` &PISIA&LL DETAU ED � ESCR�IPTION OF V1/ORK: bt"' . cttin CONSTRUCTI{7N IN'FORMATI©N: Additi n o al work to be performed med un er this permitcheck all that apply: _Mechanical _Gas'Tarik, Gas,Piping _Shutters -Windows./Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: M a Cost of Construction: $ 91900. Utilities: —Sewer _Septic Building Height: [MM NEROK LES�SEE CONTRACT®R: Name Name: 1TUX. p• Address: V4• ATTI Sii• Cpmpagy.;. .,I n...0� NUR �,lV4 "'Cify �.T ::�E�iCE Sfate:f L,',.,Ad,dresS I�DlI .IDLE WY� Zip�Code Fax: City„ State: FL, r� I— Phdne�No. ' Z+p.Go,de., -3, - Fax: �� ��� { —I(0 E-Mail: Phone No C154 0 Fill in fee simple Title Holder on next page ( if different E-Mail • CO • nG from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. °��� �'�i If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. �L V SUPPLEMENTAL CONSTRU TION LIEN LAW INFORMATION0.: 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 OWnors Assocl.ation,`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 fu(I 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 Signature of Contra or/Li nse Holder STATE OF FLORIDA STATE OF FtMD COU COUNTY OF -1Y( �W OF�khIo � - ` The f oing instr ent was acknowledg before me The oing instr ent was acknowledged before me this�day of 20 by this day of 20 by 11y5m - OZ till CL( Name of person making sta ment. Name of per on making statement. Personally Known OR Produced Identification Personally Known `� OR Produced Identification Type of Identification Produced Type of Identification Produced 1 �n f (Signatur o Notary Public-St f Florida ) (Signatur of Notary•Public-State ffl No.GCS A°0w'15 b Seal) //�� n Aw Notary Public St to of.Florida Nota Commission No.el� "�qD 1j�j ( MarybellMarti i dp" �'ty, ryPublieStateofFl ri My Commission GG 270975 Marybell MartJnez a Expires 7ot24J2 22' - MY Commission GG 27 7 Ex it REVIEWS FRONT ZONING. SUPERVISOR PLANS VEGETATION SEATURTLE MANGR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED' Lev7/19