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HomeMy WebLinkAboutBuilding Permit Applicaiton I, All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y�7 Date: 1 _ Permit Number: RECEIVED 2. Building Permit Appli ation JUN 21 2019 Planning and Development Services Permitting hep Building and Code Regulation Division a rtm'ent 2300 Virginia Avenue, Fort Pierce FL 34982 S . LSI ie Co u ntyr FL• Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT TYPE: i i anO �! o ® r PROPOSED I PR01/EM'ENT LOCATION.• p ` Address: (�f �(G���P r, 9-0-A/ Property Tax ID#: -M 19 '510` 00(7 000 9 Lot No. Site Plan Name: Block No. Project Name: l V 2 PC, r DETAILED DESCRIPTION OE WORK: ISG ed �o yJ -S e &)oo r vo r /fin '^Ane+c�c WjAdctj S n on 'im 9 ,1,- CONSTR+UCT(ON INFORMgTtON: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _ShuttersWindows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 06 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name _7)o Asn.c LName:. Address: (GI r f grrC�cr ed - Company: City: Por+ State: Address: :.. ._.>.:. Zip Code: 3 L1195 Fax: City:"..: t„,,,.s ,. ',;State: Phone No. �- �(�5' -17016 Zip Code: Fax:>.. E-Mail: OM'F GA M'•. C e M Phorfe.;No..::..,.. r Fill in fee simple Title Holder o next page(if different E-Mail from the Owner listed above) State or County License. If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I' If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. •'�C� � oil-- 0'�U1 SUPPLEMENTAL CONSTRUCTION LIEN LAW kNF©RMATION: 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 COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.". Signa ure of Ow er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The fgrgoing in rum was cknowledged�efore me The forgoing instrument was acknowledged before me this 1 day o 20—.by this day of 20_ by C Name of persdYKrnaking statement. Name of person making statement. Personally now OR Produced Identification `� Personally Known OR Produced Identification Type of Identifica Type of Identification Produced � C ' Produced (Signature of No Public-State of Florida)U (Signature of Notary Public-State of Florida) Commission No. AUDREYOMPHREY Commission No. (Seal) '_' :—B, Y COMMISSION#GG 300817 REVIEWS F ` d OR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE . COMPLETED ev. 2/7/19