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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U Date: U 6 P� .'� 0 f 7 Permit Number: \4\c6c�a 11 y�>7� RECEIVED COUNTYAUG 13 2019 Building Permit Applicatilan ST. Lucie County, Permitting Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _)k PERMITTYPE: 3 rr'f PROPOSEDaIMPROVEMENT�LOCATION} ' _ _sp° f . , _ . . �, , ..�s Address: 0101 Lo E CA\0 6a . 'pi T l E-QiC—, Property Tax ID#: `'t(� J 2 "©o�yJ -dao- l Lot No. Site Plan Name: Block No. Project Name: '"DE�TAILEQ�DESCRIPTION OFWORK � � ,� - � y ' r KE tW( RC N60 A C, WINVT UPCgj:�DE eKI S►1I-A& � 5d AMP pveifL- kCzF�o RG1t Tc� 1�G« SEP -\J ICE ` O 150RMP QVOJ-GAD a,\ 'DG U\� aIof sC-RVIee, CONSTRU TION INFORMATION w` Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors X Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 1�©® � ©0 Utilities: —Sewer —Septic Building Height: OW3NER/LESSEE CONTRACTOR = p r Name Ki e o ame: ' NRR-LGS L Address: \ q9(P E-CfA0 ST Com pany:0.ti-Af:1%CLES t^-b W6 CLGCT_(_IC City: F©sz.7 P I r✓2CC State: 5L Address:45;)- H G&�JA Ny(l , A P r A Zip Code: 3L4 q 8&')� Fax: City: V6 R-T Pl EkCC- State: �L Phone N47_7a) a � to 09 acv Zip Code: 3 Lf a 5 ( Fax: E-Mail: Phone No 17a 33,2- I4(0 t8 Fill in fee simple Title Holder on next page(if different E-Mail CL cyV &0 M from the Owner listed above) State or County License �.K COCA V51 k l 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Appli Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not A e 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 4inAatureof Owner/Lessee/Contractor as Agent for Owner tgnature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA �t COUNTY OF PO l CI G COUNTY OF t`— & d The forgoing instr ent was acknowledged before me The forgoing instr ent was acknowledged before me this 1,-3 day of 20_L!? by this 15 day of 20,(q by Name of person making statement. Name of person making statement. / Personally Known OR Produced Identification Personally Known OR Produced Identification V Type of Identification Type of Identification ) Produced ri r a-c Produced O rr i u_e►ys O�DfkV P(, JESSICA LYNN JONES ���s' JESSICA LYNN JONES _ '2; ;°�_ otary Publi -State of Florida I!Aary u is- a e7=01f mmission# GG 038637 (Signa re of Notary Public- i Ei tgnature of Notary Public S id � ommission#GG 03863 •,',FOFF,o,•' My omm. Expires Oct 15,20:10 r o,• ,oFF %e mm. Expires Oct 15,2020 Commission No.�-�C U (�ga9j p C mmission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.