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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIVED Building Permit Application JUL 2 4 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: PROPOSED IMPROVEMEN LOCATION: Address: � l �hs�J� �1 �i /�•5�?� PropertyTax ID#: (� ' Zj ©Q ' Lot No. Site Plan Name: Block No. Project Name: DETAILED DE�SR1'PTION ©F WOR+K: '4-l-- CONSTRUCT-- ­­— Additional NAdditional work to be performed under this permit–check all that apply: VMechanical _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:$ Utilities: —Sewer _Septic Building Height: O aNER/LE�S�SEE• CONTRACTt!?R: Name /l/z=4'g' Name:lotJ kL Address: Company: GG�s City: IrStater/ Address: �?c>F4,i S'4&J :6 Zipcode: ��� Fax: ' City: Pili Phone No.�3p;� Y'-r [� " Zip Code: Fax E-Mail: ------ Phone No oo .,7.1�. ��• Fill in feesimple Title Holder on next page(if different E-Mail /3kc& from the Owner listed above) State or County License /2-A1,0 64,A l2 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. S PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 WI OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 5 �Siigdure of Owner Lessee/Contractor a Agent for Owner Signature of Contractor/License Holder STATE OF FL RIDA STATE OF FLORIDA 1 ` OUNTYl COUNTY OF The for ing instrullpen was acknowledge before me The for oing instru ent was acknowledge before me this day of J 20 P1 by this day of V4 20LLby Lit� Name of person making statement. Na o person making statement. / Personally Known OR Produced Identification � Personally Known - OR'Produced Identification ✓ Type of Identification Produced� Type of Identification Produced (Signature of Notary Pub ic-State of Florida ) (Signature of otary P. li -S o r' Commission 15. " KAREN S. NIEL EN ,�:a�•P��;, S. NIE SpAyPUei �? c'-State of Florida-Notary Public Commission ;� -':State of Florida- S� Public ._ Commission # GG 207484 Commission,# GG 207484 �. o My Commission Expires My Commission Expires '��n°i���`� June 12, 2022 June 4, ZW4A REVIEWS FRONT ZONING S P RVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19