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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 Permit Number:'`'`�$ da13 RECEIVED AUG 12 201 Building Permit Applicati n 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)46271578 Commercial Residential V PERMITTYPE: I L Change pu-� PROPOS D IMPR©1/EMENT LOCAT O : Address: j LfO P0'iy h Y P . 5 . L, FL 3 LO!'X Property Tax ID#: "�yl'�' a►,5_ 4001-dd0- Lot No. Site Plan Name: Block No. Project Name: ©E AILS DE�SCEtfPT1C1N OF WO K: 0 M;n, p ea tit "1-t+•` X�-4" � A it+ �10,vtd lt.r ce-t&%A RNeY Ro�GK, e-*4 C©NSTIR,UCTION INFORMATION: Additional work to be performed under this permit-check all that apply: VMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator —Roof Pitch Total Sq. Ft of Construction: " Sq. Ft. of First Floor: Cost of Construction:$ b � Utilities: _Sewer _Septic Building Height: OI,TiNi@ PSSEE: CONTRACTt7R: Name A Hto V1 no Mt GG(j Name: tAV^ Address: 14-0 CAVO" by Company: cyuyn-Y Atv JIAL City: p • S • L. *L State: FL Address: k-- 0 N1 VJ . L.&VD�I . 6it - Zip Code: 34.952- Fax: City: p , S. /L-. State:-L. Phone No. �O Ir �D x &663 Zip Code: :)LH1s4 Fax: p E-Mail: Phone No 1?1- �f ` 0 3 / 4 Fill in fee simple Title Holder on next page(if different E-Mail tV Am 440un" A v wal_Ce k4 from the Owner listed above) State or County License CSG I O��rT3s 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. 7Address: TR NER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: 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 YOU LENDER OR AN ATTORNEY.:BEFORE RECORDING YOUR NO CE OF COMMENCEMENT.'•' ignatu of Owner/Lessee/Contractor as Agent for Owner i nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORI A COUNTY OF 'Sar_ ►-uc�e COUNTY OF S-Y, The forgoing instrument was acknowledgK before me The forgoing instrument was acknowledge before me thisVZk day oilyq 20_ by this j a.day of by 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 Ident' 'cation Produced ProducedL L Ji N�MARI'EGS a 025' 11. s i r;tENJ (Signature of Nota Public= at toriclatYZO "":' emb:r16.'`J',.,Signature of Nota. ��s"`°` .te f o GGDzzo' EXPIRE pLblleunde �11 Sfl k jylON'# 20 a / da :ae ,djjl w F1otaN ���Yi =* _ EXPIRES:December 16,20� Commission No. a`a '-Eg�;,o:;( � Commission No.�F - ° Banded?hmvmau�^blicunaenyritares, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE' MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.