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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. Date:�� U�1q Permit Number: �� RECEIVEg Building Permit Application ,JUN 2 0 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 PERMIT TYPE: Address.-AID ML( Property Tax ID#: �� N®2- O(gD ` -1u Lot No. Site Plan Name: Block No. Project Name: ! e- r r / 2C� - ,bac �/ a G._'G/K ©CSO ./�2_S �. V\ o`) �' -s 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.Sq. Ft. of First Floor: Cost of Construction:$ X90700 , On Utilities: —Sewer —Septic Building Height: 7Add!r: ✓13 r✓ e tlL Name:3nUS '�.Q2.('_�w� {'. Compan Cr G6� J � c�5City: r- N-CcC.c- State: Address: R 2 S0 GT::CC.a(-—t Zip Code: `�y�� I Fax: t City: C9rf 5 f t. t Stater Phone No. Ems{ Zip Code: `lrt7 Fax: E-Mail: I✓liAr Phone No ?2 2 21 Fill in fee simple Title Holder on next page(if different E-Mail 5'TC' 0.0 from 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. 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 thepermit 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 LE E N ATTORNEY BEFORE RECORDING YOUR NOTICE COM CEMENT:' Signature rFLORIDASTATE ner/Less eel/Contractor as Agent for Owner Signature of ntra r/License Holder: ' 'y STATE OL + OF FLORIDA COUNTY OF '1.-�-• L��(��� COUNTY OF TheYZdayof ing ins t ment was acknowledg before me The fo oing instr ent was acknowledge before me this 20JA by this day of U OF, 20M by A'PXp" (-1)- 1 --�P'4' G�(dn� 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 Identif . n Produced Produced 1i Ai )AA (Signature o - LJ (Signature of No �pa'r''P'�w, KAREN S. NIEL$EN �,'"llit" KAREN S. j?Exp LSEN Commission r}2° a =State of Florida- Public Commission No. �O`DR °<<'�State of Floridry Public v: Commission #GG 207484 _+ Commission 207484 Expiresp; My Commissiires My Commission o. REVIEWS FKUN I LUNIM3 3 VISOR PLANS VEG TUN A TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19