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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 11 1 I (q Permit Number: 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: ELI - Address: :D 4 C - Legal Description: ` . Property Tax lD #: L -� _ �a La 1 Q Lit No. Site Pian Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED' DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional wor to e er orme un er t 3s permit— check a at app y: ❑HVAC 0 Gas Tank ❑Gas Piping_ Shutters Windows/doors ❑ Electric X Plumbing o Sprinklers 1 Generator L=1 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ �' Utilities: O W N ERAESSEE: t Name, I�� I S Ft. of First Floor: Sewer Septic Building Height: CONTRACTOR: Name: JOSEPH{ F TULLY Address: .-_�� �'^�t - Company: GENESIS PLUMBING SERVICES INC Address: 1532 SE VILLAGE GREEN DRIVE UNIT B City: i State: 0— Zip Code: Fax: Phone No. no, ��' � Cl ST LUCIE State: FL City: 34952 Zip Code: 34902 Fax: 772-335-2680 Phone No. 772-337-3682 E -Mail: E -Mail: genesispiumbingservices@gmaiLcom Fill in fee simple Title Holder on next page { if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED (Notice of State or County License: CFC1429103 Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: i Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City.. State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE MOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: 1 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 Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner./ e,lContractor as Agent for Owner -' gnature of Contract r/Licensff F'dlder STATE OF FLORIDA,..,,,STATE OF FLORIDA: I, c COUNTY OFi.—J1a ,y COUNTY OF The forg ng instrument was acknowledged efore me this day of _t , 20 ±.by (Name of person acknowledging) (Signature --of Notary Pubi'rc-- State of Florida) _` W Personally Known `Y V Pr Aahk fR:ifk fZ Type of identificatl Commission # GG 9715 -'+, Vtg My uommtsslon x i Aprl Lil Commission No. "!!'"4°4° 24 2021 Revised 07/1512014 The for4oiing instrument was acknowledge efore me this It day of 20 by (Name of person acknowledging) (Signature of Notary Public- State of Florida) Personal! Known y .. R Prq Rfi AggemHii f:Z Type of Identificati - °o `s Commission # GG 97150 =ti - y ot_ My Commiss,on xpire Commission No. '%`„',„° Aprll . .021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE COMPLETE INITIALS