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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date:T "l Permit Number: �� "V 1 A I .. RECETVeD Building Permit Applicatio JUL 291 2019 Planning and Development Services Building and Code Regulation Division ST.,Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPti3S�D N�PRa1/EIUI =NT tQCATIC�N• Address: 3771 o I a e r Ave p Legal Description: IlliCi e W/therci fork CD d0 i e COR U?3-Z 5g ;Y I (/V5 OR 3ZY -e 13), Property Tax ID#: Z, 3 "503 - 0005' Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DET MECRlPT10 O W® Rk C 1'r4u I o ri, Ka CONSTR. CTI+�I INF®RIVIA ION: Additional work to be pe orme un er this permit-check all that appy: —Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors "Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: -� Cost of Construction:$ 60090- Utilities: —Sewer —Septic Building Height: ®.W�N�ER�/ E�S�S �. tONTR CTOR: NameMet S SMC. T tivoB®r s LAG Name: ``'61g r1•Ybe. - Address: Z.5 k� 1- 5 w x Company: ��N•P EI e c ' '�"T aC'. City:_ V 2=tr'O�N�e-d f�. - _ State: =f'i Address: ".P.�,_.Bdx Zip Code: 3 2Z jao Z Fax: City: i Cr'c,g State: �L Phone No. 7 7 2 3Y?_- 36 Zip Code: 3 9 7 9 Fax: E-Mail: Phone No 77 Z Lt Z7 - F0 v Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License L�I�"oo 153;40 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S PLEMENTAL C© STR CTIO LIEN LAW I�NORMA ON: 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 oir-a6d 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 consideratjon oft'H6rantin' of,this re uested ermit I do hereb a`'ree tha't, will'iii•all res ects` '}erform.the work g �� 4 P Y g respects,P 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 m 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 our Notice of Commencement. Signa a of,Owner/Lessee/Agent _ i. - Sigri, • re;of Cont actor/ ' ense Holder. STATE OF FLORIDA STATE OF FLORIDA COUNTY OF (',11= COUNTY OF o Theoing instrument was acknowledged beforent,me The for oing instr mewas acknowledge before me this day of 20a by this day of 20by hN (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pu lic-State of Florida) (Signature of Notary Public-State of41ond Personally Known Personally Known OR Produced Identification Type of IdentificatEnPpYPUB� KAREN S. NIELSEN Type of Identif Produced ;State of Florida Notary Public produced ;_:�,��YP�,,,. KAREN S..7GG N n #;G.G'207484 ,O a ublic. as oo° My Commission.,Expires _; .:- Commission#. 484,$;fto`� - June 022 �n o Commission No: Commission N June 12 REVIEWS FRONT ZONING _ . ,S:UPERVISOR PLANS VEGETATION SEA-TURTLE MANGROVE COUNTER ,-, REVIEW "REVIEW REVIEW REVIEW' REVIEW REVIEW DATE RECEIVED DATE COMPLETED ke—v.7/2014