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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �r ' `;/ Permit Number: 0 1, 03©� .�_ _ RECEIVED . ........ Building Permit Applica ion JUN 14 2019 Planning and Development Services PerMitting Department Building and Code Regulation Division St. Lucie 2300 Virginia Avenue,Fort Pierce FL 34982 County FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia Tom` -• PERMIT TYPE: • 0 L,4JS- PROP©SED I�MPROUEMENT LOCATIO Address: 671Allverov Property Tax ID#: WA 000/-7 Lot No. Site Plan Name: Block No. Project Name: I D ENV I I I @ I A ID,PRO RIPTION' OF MY ORK: W- �+ Ce Pf LI w i w !huwS X92 0 o-e ev i %m CONSTRUCTION IINFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical —Gas Tank —Gas`Piping _Shutters _zWiridows/Doors Electric _'PlulfAing Sprinklers _Generator _Roof'. '.'Pitch Total Sq; Ft of Construction: Sq. Ft..of First Floor: Cost of Construction:$_ -��� Utilities: —Sewer Septic Building Height: OWNER/LESSE: CONTRACTOR: Name , •C:C (1-ate`. s'0 Name: .,✓r-�sz.� �3 4d,1-L� Acicln s. 'z N/f A)L47 �� 7vNf� rt?dd) Company: r',aj Gr�r� ��r�T2 �7"O✓L LLQ City: it (P�1 yLi,.ri •{i�"(� State:��— Address C" c v Zip GOde 3�Igci } Fax City: . .1,v �L d`bic/a �' State:A_ Phone G1„„ Zip Coe E-Mail: Phone'N6 772=3C?� uZZ Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License STMT( trG4+_ 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. (� Q� v/ S PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER:- Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: citv:,", —,- ," 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 per i mit 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 theermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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 QR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO3MMENCEMENT." Sign ati]/epf-01of Lessee/Contractor as Agent for Owner Signature ooh eorm7e.(tor/Licehse Holder STAXE OF FLORID STATE ©F FLORIDA AW- 1 COUNTY OF COUNTY OF The for o20ing ins was acknowledged before me The f ing instrr"ntwas acknowleclgedAefore me �M thisday of by this day of 20!/ by Name of personmakingstatement. Name of person making statement. Personal) 'R w n OR Produced Identification Personally "n OR Produced Identification K ona rs' Type of Ident 1. t' n Type of l2n�tfiifica Produced r- r- Produced. (Signature of No-_fiAublic-State of Florida) (Signature of Not ublic-State of Florida - - - - - - Commission No. AU REY W." K' DREY B. MP AUDREYB(KWPHREY Commission No. C 300817 My COMMISSION#GG 300817 EXPIRES:March 6,2023 EXPIRES:March 6,2023 ff..F�-V Bw Led Thru Notary Public Underwriters bonow I nu N.-Y!2 L­ REVIEWS �-OLU!ffINI IN U OR PLANS VEGETR�77 TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED :UDRE PHREY N#GG 30 817 OMM B(r EXPIRES ISS �6. 0 ITh RES.;Ma 2 203 0 P bliQ N c DATE COMPLETED iev.