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HomeMy WebLinkAboutBuilding Permit Application ►71 APPLICABLLE�IINFOI MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date: 110.q 1�� Permit Number: �F. r ilk RECEIVED - Building Permit Applicati n Planning and Development Services J U L 3 0 2019 Building and Code Regulation Division ST.-Lucie County, P rmitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: P'RQPOSED IM!PROVEMEeNT LOCATION; Address: O�Q3- 3 le�C� n'a-, Cl O'd-e' Property Tax ID#: 3LIIfs- X622-075H1 D-om-O'I Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION Q'F WO'RK a e _ a r ma R&-mlood CONS•TRUCTIQN.INFORMATION: A,W; n 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: nn Sq. Ft. of First Floor: Cost of Construction:$ . aOO o Utilities: —Sewer, _Septic Building Height: -OV1%N'ER/LESSEE CONTRACTOR ' x' Name 1 6 o Name: E . HQ,+"cL- Addresst9a - Company: I wi , JC* City: FT p x Q , State:a• Address: 6 Zip Code: 34gp01Fax: � City: R1-716222 State: F1 Phone No. A-A, yk s O�i Zip Code: 34C(g off--, Fax:'1'TP 4(o(-4(c�t� E-Mail: I I�V��� �SYI .L'0� Phone No LkcA-5�3a8- Fill in fee simple Title Holder on next page(if different E-Mail oV1GSiY�g �C�© Q4� • CG from the Owner listed above) State or County License eC- (W,-n Vo q 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. SUP;PLEMENTAL''CON•STR`UCTI�ON .LIEN'LAW [NF.ORMATIO: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. Inconsideration 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." Sign u` of Owner/Lessee/Contractor as Agent for Owner SignRtb of Contractor/License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF— COUNTY OF 7 Thendayof_ = ing instras acknowledged before me The r oing instr men was acknowledgeAbefore me this20� by thisday of 20_M by Name of person making'sttatement. Name o person making st tement. Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced -.A 0 S\ (Signature of9:i�`--`�''�of (Signature of Not y ,p, )F- a FIEIELSEN ?a°SPaYP`e`c';State Of FlOride-NO ery Public KAREN S. NIELSEN Commission N =_° `;State of FloridaES Qry Public Commission No. 3• Commission( i 207484 - ommission # GG 207484 My Commission Expires '°'Fui,i��` OF,�o�°� My Commission Expires June 12, 2022 Room REVIEWS FRONT ZONI G71717M (ISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. $�.. JOSEPH E':; SMITH y;wCLERK OF°'THE CIRCUIT COURT SAINT LUCIE COUNTY FILE #w;4$97503.r,_OR BOOK 9299 f PP.GS 2578, Recorded 07/24/2019 .02 27c28 PM°Doc } Tax: $1182:30 " RECEI+VED Ttds 1? eCrttent pre""By and Return to s Eliaab'tfi Moran JUL 3 b.2019 - St:•Lucie Title•Servicea, Inc 800'Virginia JLV4� ,,"Suite 47 � it Pierce, FL°34982 ST Lucie county, Permitting - g PareeiiDNumtuer•"3410-503-0346-00019 Warranty":Deed , i I This Indenture, Madethis � day off Jtiziy , 2019 AO BetweeII { Caren.McCullouga single":xoman` of the County of St.' Lucie" , .State of Florida - ,grantor, end 4= -Villiam°r. Davidson'and Jeer afar Davidson, husband:and urife 6 . , whose addmss'is: 6233 Alexandria Circle, Fort Pierce, FL 34982 ' r of-t6c county of St Lucie: , slate of Florida ,grantees Wltn'eSSCth that the GRANTOR Cor and m consideration of the sum of;,N -__ TEN DOLLARS ($10) ----- -- DOLLARS j • end lothergood`and valuable consideration•to GRANTOR..tn hand.paid by GRANTEES, the•n:cript whereof'ta•hereby ackn-owledgcd, hss ` bargained and sold to the said GRANTEES aid'GRANTEET Heirs,successors and assigns forever ,the Wowing:degnLed land.situate lyaigandtieingmthe Countyof St. Lucie State'of Floridato vat; - Lct:,;8 Block , ``L, `Palm Grove Su- vita on'.. according to-the a or Plat thereof, a`s recorded inPlat Book 31, Pgge(ts), 4;..' 4A. through,4D;`; ; ! inclusive; of;;the. Public�Recorde -of,;St. 'Lucie County, Florida. ° • , i t and the'gcantor does tereb'y fully warrant:,the`tide to;said land, and wiU defatd the samc:against,lawful-Claims;of an,petsons whomsoever- - In WitnessWhe Of,'the.grantnr has hereunto set,his]tend andtseal the day and year firs[above wntten t' Signtal,seared and e6ered in our presence =>Painted Name:: Ka - ,McculloUgh Witn "9. atorTnm DrW Fort'Piem-e FC34M PO;Address:4313 G {,• Pr' ed N Wi ass STATE+ Florida' :`- COU3NTY'OF st "Lucie The foregoing instriuneat was idmowledged]afore me-this fw -day of , July -';20 by ]Caren McCullough � ' 1 1►Ca •I `who is pemo u known to me or who hes produced her .• ' es iAeotificauon Printed ai>ye ;..- `. htrcaNuu9sroN t Notary U-20lir t }y>D[_�; •E)6?ISiE Mateh ?A oinmissn k g, lprn MNrryPu4t'aUsVartn My Cw 4f�L 19375 :F" t,Rrc Q VD4 rsyM—tucl'm'wias)i7o)-ssss 1;anAAW '