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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` Date: Permit Number: - - - Building Permit Applicatio RECEIVED Planning and Development Services JUL 30 ?p;g Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie 5ot�hty, Permitting Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResideAtoal PERMITTYPE: PROPOSED 1I1/l Em N' LOCATI©'N Address: *g' CL Dy --r_ - l erl e 7Q,gJ Property Tax ID#:_24cxi 6oZ0&-3 goo Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION O. WORK: Ct�3NSTRU—TIC);N INNO,,MATIMN' 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:$ jTu Utilities: —Sewer —Septic Building Height: OUVNE 7% _S-S : CONTRACT©R: Name Cv,/\ clN .r\- Name: ! ZLA Address: k) Drl Y 4)ve Company: '_.,, R�- Y 'rG�'flur'i C-e City: r ��C State: Address: lJ P r e ✓ i' Zip Code: 4� Fax: City. lyn e S Stater—� Phone No. Zip Code: ?i C Fax: E-Mail:. Phone No 2- -Y Fill in fee simple Title Holder on next page(if different E-Mail ( i :>-1"�` aA 0a - ro)-o from the Owner listed above) State or County License CiAL/ 149 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. PPLEMENTAL CONSTR+UCTION LIE- LAW I FORMATION 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 WITH YOUR LENPER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Ow r/Lessee/Contractor as Agent for Owner Signature of Contracto /License Holder STATE OF FLORIDA STATE OF FLORID + COUNTY OF 'S)r , )--U'- COUNTY OF S�, ti-�)r-%R The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this'bb day of Shy 20_q by this14 day of 20� by zNA o g y Z %,-6 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 Identifiction Produced �- Q Produced V k. L of Nota u bliS '� pFltl�\tfi1.[" `° t (Signature ry _ uC[,0'i (Signature of Notar :jblig,—Stat�ofFao�rgp,�hAR'.= °� ? h"iY COMSJIISS10P:1>i'G� Commission No. P1R P ° �' A. EXP ( 6a. �5.�(�� l,icu„e^ Commission No. .' 7 ': 3 IRE S 9 1 . W?ry lic Undery riie+s Bended Bonded 7hru N t"1 -0._ Q REVIEWS RANT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19