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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ����ff //-- Date: �' �� l I Permit Number: 1 q o�— 0 i� (o RECEIVED • AUG 2 ITT • artme^r Building Permit Application Per 5t,t�9�D Cann Planning and Development Services Building and Code Regulation Division l 2300 Virginia Avenue, Fort Pierce FL 34982 v/ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: �"A��,� 000(s PROPOSED IMPROVEMENT LOCATION: Address: 1'L S` 1?e-^1ynn Ave, ?oc4 5a . k'%A c•,c FL 14983 Property Tax ID#: �� ( � 51 U© I 12 U o O r Lot No. Site Plan Name: Block No. g Project Name: DETAILED DESCRIPTION OF WORK: aors CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _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: $ S Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name J oSt-„l, Ho11e4i Name: JaMaS A Mcinu„E,11 Address: 12.- ?c,\6A(\ A\ic, Company: 64orr/\ • .61y" hnMr\A-Jbh. !� City: Por4 S4 . State:FL Address: 993:) SVS I Zip Code:13�44h'3 Fax: City: S-0,1A .r State:Q Phone No.(-71-1) Li 14 5331 Zip Code: 33`+-'1 Fax: E-Mail: 15�hl P011 r-AA ca" Phone No '111--\ S S- 1;113 Fill in fee simple Title Holder on next page (if different E-Mail l.JsnJ,rL6�S1 ol7�-Iec�n�us4 .t,,+� from the Owner listed above) State or County License CG G I S2 S 16 q 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 I I SUPPL-FMENTAL CONSTRUCTION LIEN LAIN INFORMATION.. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: I� Address: Address: City: State: City: State: 11 Zip: Phone Zip: Phone: FEE 51,MPLE T1T;LE•ROLDElR:' _No AppJ:ica.b�e BO!>,ID!@!dz C1�f IPJII�JY: _Not Appli,ca,b1; e Name: Marne: Ad,dress: Address: City. City: Zip: Phone: Zip: Rhone: -OWNER/CONTRACTOR AFFIDVIT. Application is hereby made to obtain a permit to do the work and installation as indicated. I certifythat no work or installation has commenced prior to the issuance of.a permit. St. Lucie County makes no representa,tion,that is granting a permit will`authorize the per-tmit holder to build the subject structure which;is in conflict with any applicable Home Owners Association;ru'Ies,bylaws Gran covenants that may restrict or,prohibit such; structure.Please consult with-,your Horde Owners Association,.and review your deed for.any restri'eti.ons which.may aI5ply. In consideration of the grantrrtg of this requestedrpermit, I dor hereby agree that kwik- ivy alli vespectis, 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.OYVNER:..YOUR.,FAILURE,TO:RECORD.A .NOTICE,OF.COMMENCEMENT IWAY RESULT IN YOUR PAYING TW, ICE F0`11 J IPROVEINIENTS TO 1COIJR`PROPEMTY. A;XO E;.OF:CO?4MENCEM,EI41T ltilll+sT 7BE RECORDED:d>►TaID., POSTED:ON-;HE JOB`SITE BEFORE :THE:FIRST:ICNSPgCTBID)i19."liF VOID INTEND TO OBTAIN;FINANCING, CONSULT ,WITH TOUR1ENDER OR:AN ATI0RNE'�Y:BEF0RE•;RECORIDiNiG YOUR-:/NOTICE OF'COMMENCEMENT.7 nature of Owner/Less /Contractor gent for Owner Y19nature of Contractor/License Holder STATE OFTLORII3A STLAT€OF FLORIDA, COUNTY OF �•c;c COUNTY OF S� �--�►c;�- The forgoing,instrument was acknowledged.before me Theforgoing instr..urient was ackn.owledged..before me this 2` day of A..4-11 ,20 11 by this Z G day of A TSA 20]_�_ by 1`�(,�u1a11 hAL� 3urnc J X4,11 M r c .e,l �. �rnt✓Ij J I M �� I J t n.� l�l c . Name of person making statement. Name of person making statement. "Persona'llyNnown V iOR�Produ�oed.'Wentifitatien `.Persona'Ily.Known V 1O.R,'Pnoduced'Identification Type o`1dentifcation Typeof1den,tifica'tio.n Troduced ..,.'Produced (Signature of Notary Pu (Signature of Notary Public-State of Florida 3 23 /e'er {. Notary Public.State of Florida �x MiChB QhBn Barnett 323 �•► "�a Notary Pubu Sta of Florida Colmilli'ssiorn No. i'?E, Coulrn�issioln I�'o. �h t +1 My Commission GG 323788 Michael S 'eamett p� Expires 04115/2023 �` My Commission GG 323766 a �! Expires 04/15/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE "00,M P,LETED 217/19 7