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HomeMy WebLinkAboutBuilding Permit ApplicationII APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: Permit Number: 1 ,t0� o' O RECEIVED AUG 0 6 2019 Building Permit Application, f , Planning and Development Services Lucie County, Permitting Building and Code Regulation Division 2300 Virginid.Avenue, Fort Pierce FL 34982 Phone: (7721) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: �tn L� Address:"l>✓S�-o►�e Property Tax ID #: 92,& • to 0� I Site Plan Name: Project Name: 1Y151II I 1 1-M (,e- 4V1S a iba(,l_ yU1�d c110 i n n-p, nv) eo r-� Pi �►�c.�; FL_ 349 45- ©� Lot No._ Block No. rot 11 e ' v1 -e5. dditional work to be performed under. this permit - check all that apply: _Mechanical _ Gas Tank _ Gas Piping —Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: I/�3� Sq ,.Ft: -•of First F..l•oor: Cost of Construction: $ i 000. D 01 Utilitie''s: Sewer,.' Septic _ Wind'ows/Doors _,Rogf 'Pitch Building Height: s �. Name �i// . o Name:_ Address: W Ie Q r• Company: -' r City: toy% 0 I Ci -c& State: Zip Code: 3 l l L"� pp�� Fax: Phone No. 1�1ZI118V2- 5 Address: City: State: Zip Code: • Fax: Phone No E-Mail:Nlcol@}!iYdC_oo0n(,.n-ek Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License I 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. i ' R ,, ¢ .;_.--.-.. x ��'S"-. �..—. ws - x' ,e-:. •Y-",.,� r..- q a �` _ x•^,; Fy, �sr^� r',•,;, �7 DESIG NER/ENGI NEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: • Phone- City: • • • FEEiSIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: A • • Address: city: City:_- • 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 coven ants'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 ..+.r.....,..., . �wincn nn wu wrrnD1UFv ExFFnDF DFrnRniiNr. YOUR NOTICE OF COMMENCEMENT:' igWofnerlessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing inst ment was acknowledgebefore me The forgoing instrument was acknowledged before me day of 20_ by this �-- day of 20by �? j,2j U,7 7n this Name of person making statement. Name of person making statement. Personally Known OR Produced Iden fi o ' % KAF Type of Identi ' n _ rate o *_ Comai���(1�AI6 BNiL 15orNlll� G OR Produced Identification yIOU+ Produced P : My CoMr4� 9 °inJune 12, 2022 t A- I AA r (Signature of Notary F ublic- St (Signature of Notary Public- State of Florida ) Commission No. 41115 Q 6 11M Commission No. (Seal) Permitting - REVIEWS FRONT SUPERVISOR PLANS VEGETATION.- SEA.TU.RTLE MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19