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HomeMy WebLinkAboutBuilding Permit Application J Gr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 19 Permit Number: \,C RECEIVED JUL 2 6 ?019 Building Permit Applie #011le County, Permltttng 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 PERMITTYPE: -ISS F RC PUSED NPRQ1 Ei1 E£� t.QGX, "I . , ,,..,, n Address: 200, NW uVaC ,- ow- L1,5401Cl6 Property Tax ID#: "1(1 Z5 �D� 005 - 060- Z Lot No. Site Plan Name: Block No. Project Name: CTAILFb C3E5RIPT1©N QFfINt�R f�4r�lVri. �- "t ,►P�A�-tiZS7�31� y�� dyJ�, C1N5T MIQN-iNFORMA5 . .. ...... 3 Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters 1,/Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: A�� Sq. Ft. of First Floor: Cost of Construction: $ l,tlW, oy Utilities: —Sewer _Septic Building Height: {a1NivE( LESSE. k _ C(3NTRA±�7t?Rp a uk .a?'�s:. o' f Name VV- 'L tJ } Z Name: c Address:2C61 Nle LAkACt-- 00 UK) Company: t\Ac41< 4� E)lA-Sq City:?Pj� Cy"�� State: Address:Ss \ ScL I MONTXUzzV Zip COde:3'AqC2LO Fax: City: STUArZT 'State: II t�� Phone No. (p� "23 SOS �) Zip Code:3ggQ1 d` Fax:m2 • ��� (O' E-Mail: Phone No-1-122 Z Fill in fee simple Title Holder on next page ( if different E-Mail J ZL . M (g0XL- •CDS( from the Owner listed above) State or County License 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. St1PP MEW ,I l� UICTTJC)N �.1 N ��►1�1 I��C�R(1li/�"f��N��„ �� � ��. ,,,,.., ,. ,,,, .. ..... .. ..... 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before com rk or recording our Notice of Commencement. Signature o wner/Lessee/Contractor as Agent for Owner ;�ature ontractor/License Holder STAT OF FLORIDA TE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrurpent was cknowledged before me The forg ing instru ent was acknowledge before me this day of �� 20 by this day of k 20' by Name of person making statement. Name of pe on making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Hat"y * Nctary Public State of Florida Llsa � �� Lisa Greer Bharath • a Commission FF 962709 My Commital"FF MY% My 11612020 (Signature o - da (Sign ure of Notary Pu i C missio N ( al) Co sio o\ (Seal) 6V1W S FRONT ZONING SUPERVIS R PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev. 9/26/18