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HomeMy WebLinkAboutBUILDING PERMIT (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: e I I2 Permit Number: r COUNTY F i n k i r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential 1" PERMIT TYPE:t-+tj�CGKuO S PROPOSED IMPROVEMENT LOCATIC Address: ��'��D 1(�c�>e(onnoCl ►V LUC;cXii`1-�Z Property Tax ID 4: Lot No.V; P Site Plan Name: NIA_ Block No. Project Name: (_1Pync_(L DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank _ Gas Piping VShutters _ Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: 4( Cost of Construction: $ a O _' .0 OWNER/LESSEE: Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name36hr,% _k d11�(eGr� l%h#i2htf� Address: !'3ka iYif i':6- 'bpan t'3 •�1U�1 City:Iva ST C CIP State: 111. Zip Code: Fax: Phone No. - X W E-Mail: kA_Y)QaV-n•P_f I� Slc�rtiQ 1 �. CG1i Fill in fee simple Title Holder on next page ( if different from the Owner listed above) iq ft) Ly 11,06,11 ''I>•1hw, • h . n e N . • 16190 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 LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: BONDING COMPANY: Not Applicable FEE SIMPLE TITLE HOLDER: 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 or restrict 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 YQUR NOTICE OF CO MENCEMENT." Signature of Owner/ Lessee/Contfctor as Agent for Owner Signature of Contractor/Licensp Holder STATE OF FLORIDA.- 1/ STATE OF FLORIDA COUNTY OF (ocr` n C �ko 4, COUNTY OF �l The forgQing instrument was acknowledged before me The forgoing instrument was acknowledged before me this y of m Q 2019 by this 4day of l �h 20n by o. Name of person making statement. ' `�:' Name of person making statemen ' Personally Known y_*1 OR Produced Identifica ; Personally Known Produced Identifica a,_►' Z W OR V. Type of Ide tification €' 3 Type of Identification g 3 AL Produced I>l1,lp LLeASe =7 m Q o Produced P i l o &Pl'� k is z 3 3. E v3�— zm_gz . ti. � � o LA,zcOA 34cl a O O O o r., o C o 0 (Signature of Notary Public- State of Florida ) - N s (Signature of Nota Public- State of Florida) N CL d Commission No. a }-!6�p (Seal) Commission No. (Seal) •' "pM 2. a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED eW 114/2018. Florida Building Code Online Business Professional BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search Fbada ti Product Approval USER : Public User r4 f Product Approval Menu > Product or Aonlication Search > Applicatlon List Search Criteria Refine Search Code Version 2017 F (:::389 Application Type Product Manufacturer Category ALL Subcategory ALL Application Status ALL Compliance Method ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL Product Model, Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL iPArrh Rpcnitc - Annlii aAfmnc FL# ......... ---._.._—.__._---.............. .....�.--- .._.__., Type Manufacturer r---- .............—._....__........_.._.....------ Validated By Status FL389-R9 ___ _...... Revision j American Shutter Systems Association, Inc. John Henry Kampmann I(941) Jr. Approved History Category: Shutters Subcategory: Accordion 922-3854 -Approved by Ut31'R. Approvals Dy DIbPR shall be reviewed and ratified by the POC and/or the commission it necessary. Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: rr ®�° El El Credit Card Safe https://floridabuilding.org/pr/pr_app_lst.aspx 1/1 bra rn w {IN V j 4f� {1i 4 ^' c' P SS NI5 t �oc xp •I� �(m�G F ..J p� 2 r K tr W r b f ' 0 ro �3 1anCii r< rpm 06F Y � M n s � 97 A r . { a • o J S2 �A w 4 `yam! � h Z p@� r ro A p � t� p ■ "Os■ C O C CA rs, s`wc ■ rp... a " 3 g ■ y Chi x rccsp7 r -:-E R: s 32 ✓ z �. � y V � o N 2 hWY A a� � bCcmD "r z_x`ic x A.a\ Ymm {b A O A y co ~ A d � 1 d x C q " O y < m O' ��,r_ zc: A > d d n a CA OR �+ zn > r V! X c:0 v X (iu 250 MAX! ..= v S£PARATIM L. 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