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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \ q Date:T�)9 Permit Number: RECEIVED F-LCOUNT 0._P. D A AUG Q i Building Permit Applicat on .9 nig Planning and Development Services . ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential T PERMITTYPE: tndlpwS PR®P®SE®IMPROVEIVIV%IIENT l®CTNwt ' � �., �ec. a. an .+ .,.a,.�ds....tA:,�w ..,�i> 3 �. '6 c. ,Fs.�.ritd' a,�'`t .rh .:, F " nL :..v .N Address: IZ323 S- 11\d1CV\ Ue,%en '�Ge-k F-L sygr:• Property Tax ID#: 4s0y- 603 -Ooc,a-aha-5- Lot No. 2 Site Plan Name: Block No. Project Name: M©©r'c- e) ;r-c c tam DET�►ILED DESCRI'Pl ION OF WORKe. 10 L �fr►u�cfi7 cJi•�xyl b�aor-, �*.� IG�ten�-�Y�,} Si Zf'_ -�Or �S Z� Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _ShuttersWindows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: - �+dr/. Namert Ca?n Ooor-C- EliuS Name: 1 Kc S"�'rer- S�pre cc- Flo.ric•AAY%c- Address:-IZ323 5. jAeAk LN e-:Jer >r Company: City: Tgn-'e^ State: Address: NS6 NE7 Zip Code: 3 615'7 Fax: City: 0c M m,,d 194r"k State:_L Phone No. YScf-TED - 5'2-'g- Fax:Code:_33 3�I Fax: 9Sy-S66-6y 13 E-Mail: Phone No 95`1-S6G- 64Y Fill in fee simple Title Holder on next page(if different E-Mail cow from the Owner listed above) State or County Licensee- i ill 5806 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1 all value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. t S,UP�PL`EkIVIEM1ITAL CONRU'CTIONLIEN IAWINE,ORMATt0N ,k :F7, j': DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: on FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: YNbt 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 apermit 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 QF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 1 OU IINYAD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING 13OUR NO CE OF COMMENCEMENT." A,/,17 //--/,A//Zv nature o Owner/Lessee/Contractor as Agent for Ownerign re Contractor/License Holder STATE OF FLO STAT F FLORIDA, COUNTY OF COU COU TY OF /✓/ll��]�icl� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me th20-day of gby this r`'day of Ain , . 20,E by Name of person making statement. Name of pers&n making statement. Personally Known • de 'fid ti n �ersonalI n ce epA Rt Ty enti ' ,atZn �a"""'� KATHRYN KEATING•KAY Type dentif'ca ion �"��a'�° <►.Ay°(����� ,apQ 51 `'os Notary Public-State of Florida o iced `�= Notary Public-State of Florida Pr d ced '• ' = Commission#GG 029994 '' .•= Commission GG 029994 %gi cta My Comm.Expires Oct 21,2C 2 F�0M MY Comm.Expires Oct 21;2020. Bonded through National Notary 9 Y Assn mot Bonded through National Notary Ass n. (Signature ofotary P blic-State of Florida _ (Signa c State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.