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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED - Ou Date: ZZ Permit Nu b mckociv KJ ' AUG 222019 Building Permit Appl go%ting Department Planning and Development Services St. Lucie County, FL Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: MWEDD M ROv E T LOC O Address: 9OOZ �eS�irn off► 1� E-�. �i' .d�� �L 3yt 195 1 Property Tax ID#: I Jot- Go3-o OoI)- Lot No. Site Plan Name: Block No. Project Name: i =am ILED MCR+IPm OF V1lORK � o.ag&, PWo dl of n.Q.\ CION- RUCTION IiNP©RM IDN: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors JElectric Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 1200. O 0 Utilities: —Sewer —Septic Building Height: O ,E /LEaSSEE: «ONTRA OR: Name Name: j�Aoa,r A t/ uSS Address. D Company: City: t-of State: F�-(� Address: 71 LA OZ 1 Lcr►^aSck ' L--on P,_ Zip Code: Fax:: City: ,e rce- State: Phone No. • Zip Code: '514 q5 ( Fax: E-Mail: Phone No -112- 3GO-S?T9 Fill in fee simple Title Holder on next page(if different E-Mail 1gJAe,36r1n (ezJri'L. LLG from the Owner listed above) State or County License 29 2'7 9 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. PPE E TAL QW=U=W1 M M,W U000 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 COMMEN EMENT MUST BE RECORDED AND POSTED 00,XHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU TO OBTAIN FINANCING, CONSULT WITH UR END R OR AN ATTORNEY BEFORE RECORDING YOURFJ ICE F COMMENCEMENT." S. t re Own r/Lessee/ ntractor as Agent for Owner Sign e Co racto License Hold STATE OF FLORIDA S ATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instr nt was acknowledge before me The f ping instr ent was acknowledged-before me this,Z�day of N. by thi Clay of 20 by LOOP-\1 PSS ISA Name of person making statement. Name of person making statement. Personallyno OR Produced Identification / Personally Known OR Produced Identification Type of Iden ficatT Type of Ide ' 'c tion _ Produced Produced Z5 (Signature of Nota P PHREY (Signature of Not r Pu lic-State of Florida) AUDREY B.H G 3oo817 vru Commission No. ° c' MYCOMMISSIRNe I23 Commission lo..; �?Y'�''•, AUDREY B.HUMF�k`f W) <' EXPIRES:`�a Puhlic Undemliters o: : MY COMMISSION#GG 300817 onded Thru Notary Bonded Thru Notary Public Under iters i%! REVIEWS FRONT ZONING SUPERVISOR PLANS VE" GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.