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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1A ' C"1 Permit Number: ,t yg� .' , RECEIVED Building Permit Applicatio JUL 2 6 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: r w k :b -, Ni.P€h+§ PY:YE{" 3- �3 PSa£ &' R ' "°4 Qi 4 1 x 3 al yy '` "`i K4 PFS QSEC} IMt?RC}Aft' UOGATION ... � ,mR r. x, 2 Address: —7-703 #y*r ' t(Apo l�ty � lae j -_-5qgQ Property Tax ID M. 6 d( - (n 07 - ©. 1 tl L Lot No. Site Plan Name: Block No. .Project Name: -,'9,1° '£*�d;a�' e.,.%'_. .a$.-. .e�'�m'�a:�sw ." m ��'F x,..>Fa3 -�, -, s3.--r .-� �i-. f .%.�. � F.. .•-`-f� �.��iz .. as•�'�n ._.z..0. ar °, �.,ix� Q g M ay� Afy D Who- AvAi "- istw4vCry°A(a� J-le, :lvlmar��u1 C.) 1 5;MLvW, CC}IVSTRUCKTI IFC?F(MAT�ONa m rr ;s � ' �. ........... u�.`'�.' 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: c90 Cost of Construction: $ (90, g Utilities: _Sewer _Septic Building Height: p1NNEi%LE5 ' �8 � CONTRACTOR Name 1Y1�S u��1 j T]` Name: -DyA/A) &4, Address: "7"10S?W'4 OLA" PH-VO Company: Dboo AVO 009 (9F -W Tel City: Vt PIOWC State:-- Address: q3-7 S: KINDS WY i- Zip Code: Fax: City: 1�, PjW6 State: rL Phone No. Zip Code: 3YJ Fax:1 ))L,' asr}' T633 E-Mail: Phone No 1-7,L_- Y5-01 Fill in fee simple Title Holder on next page(if different E-Mail 0_l° pD/ m pre�C. CDM from the Owner listed above) State or County License C R C1 3 3 1 SYo 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. �" '.N,, 1477!n MENT L.C NS R(` �� IfJ( II�N� a WIN; aQEtM� 1 N 9 a k.x\ .r.� , dW;70515-�... . _. a„ DESIGNER/ENGINEER: _ le MORTGAGE Not_Applicab MOR e 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ��aa4ell Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF COUNTY OF FLORIDA � COUNTY OF The for oing instr nt w s acknowledged before me The forgoing instr ent was acknowledged before me thisa� day of 20_Q by this day of 20_& by &,.. I/ 4Q '_ JA' Name of person making statement. Name of person making statement. Personally Known ✓ OR Produced Identification Personally Known '� OR Produced Identification Type of Identification Type of Identification Produced Produced 1. k:,A— ign ture Notary Public-State of Florida) (Sign ture o Notary Public-State of Florida) Commission No. �•""""4 BEnYPRIDE (Seal) Commissi n ttS"4'x''�•. BE7TEPPJDE (Seal) )� Canmlubn03188881 .'� rot J 22022 _ Explre2.2022 - REVIEWS UPERVISOR PLANS V, , ' A• SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.