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HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a. Permit Number: ywq- s(� s RECEIVE Building Permit Applicati , n AUG 27 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: �� \-% :5 PROPOSED IMPRO EMENT O A ION• Address: RC }� ( 9-%Z_ PropertyTaxlD#: t'� �a��a3-�d3a3'��O -� Lot No. Site Plan Name: Block No. Project Name: DETAILED ©Eh5CR�IPT ON OF UVORK: CONSTRUCTIaN INNFORMAT ON: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank''' _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Vl�oof Pitch Total Sq. Ft of Construction:_ Sq. Ft. of First Floor.: Cost of Construction:$ C�OCD,4)o Utilities: —Sewer —Septic Building Height: OWNER/LESS E: CON'ITI C?R: Name �pJM (/44V' (A Name: Address �'a�cl e�gvic,(-c%,e%_ Cay• Company,;:: City: State: Address: 1�i13 ,�CJ G1Rnc�p/�e Zip Code: .3` d-�Z Fax:•:. City: 1u �:,;SP ' �i1t.c c_ State: 'f Phone No. - Zip Code: sgci 7 Fax: E-Mail: Phone No _1- oA, .060 66 Fill in fee simple Title Holder on next page(if different E-Mail `�'yc= ,n::�-f • W J' from the Owner listed above) State or County License �- . VS3WJQ 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. NPR2NEML CO STR • W• M UM-0 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 COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." W Signa re o Owner/Lessee/Con ract r as Agent for Owner Signature of Contractor/ icen Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 4h. \—vim 2 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a day of<�.�G 20 1ok by this day of 20_11 by r Name of person making statetment. Name of person making statlament. Personally Known OR Produced Identification Personally Known OR Produced Identification- Type of Identification Type of Identification Produced Produced (Signature of Notary P lic-State o)f_Eig& � IEGI o `3 (Signature of Nota �,,,, GIVENS ,,.«•h. 0 SSION#�' 2020 '�y�}�• s MY COMMISSION#GG 022023 w Commission No. U '' bh(�: em Undet�dlg ommission No. = IXpIRF6086nber16,2020 j9 'Z-17� 4 �`pyNotaN %; .....op4 gp�edTtuuNotazYPubllcUnderwritoes f! Cnnded ��'� :PY P: � REVIEWS FRONT ONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.