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HomeMy WebLinkAboutbuilding permit All APPLICAB GIIN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q'(1 Date: ( (7 Permit Number: t R Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: PROPOSED bMPR2OUEMENT LOCATION: Address: Z J rig a✓1 w q Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: DETAILED IYNSC■RI.PTION OF WORK: 6. C in .- o 3_S_ -6/V w (o (��v A-eel CONSTRUCTION !N'FORM TION: 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. Ft. of First Floor: Cost of Construction:$ ��U Utilities: _Sewer _Septic Building Height: 01tVNER/LE=S SEE:MCONTRACTOR: 77 Name T z '- In of Name: "Z(—m Address: 2G' '�� ' p V`�(! . Company: u s e�f C� �i�C a CQG /J [ City: P�T t .d�J r erce_ State: Address- ' j .-.AFO 0'7 -f T' Zip Code: `3`f q S(.:.. Fax: City: ey-e State:/ Phone No. . .:. Zip Code: .32 J r..�fJ. � Fax. . ' E-Mail: Phone No 77 2 97 54'r-V-� i Fill in fee simple Title Holder on next page(if different E-Mail l�o'�JtrtC' e (_('--C(.ce from the Owner listed above) State or County License C4C �� 3 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. SUPF' EME TAL CONSTR TI©N LIE LA IN 'OItMA INN: 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 COMMENCE M T MUST BE RECORDED AND POSTED ON THE JO, SITE EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA FINANCING, CONSULT WITH YOUR LENDE R ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MM MENT:' Signatuire of Owner/L sse Contractor as Agent for Owner Signature of Contractor/ ce a Holder STATE OF FLORIDA STATE OF FLORIDA IR IN. COUNTY OF . COUNTY OF ,� Th forgoing instrument was acknowledged before me TheN!dayof(—))A,,D,.,- ing inst ument was acknowledged before me thi�day of 20_n by this 20]S' by 1 D Q aL A 9-sz- Name of person ma i g statement. Name of person makin tatement. Personally Known OR Produced Identification �' Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ( ur of Notary Public-Stat f Florida) ( ignature of N ar• t�,ic- :?°' SH4HI�gINGRAM. Commission No. ;, x?far. LASHAHNt�� M"RpHMING :+ MY OM RAHMING t * MYCOMMSSI N#GG275060 Commission N :a• ��5060 FpF FLOQ` ES:December`20,2022 oQ: EXPIRES:Decembeft 2022 Bonded Thor '••.FOFF2°•• Bonded tart u i s REVIEWS F SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.