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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Permit Number: CEIVEQ Building Permit Applic ion SEP Z 8 �p±g Planning and Development Services ST. Lucie County, Permitting J Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578, Commercial Residential PERMITTYPE: N[1t.11-O�IT 5-r-MK klIA4 C119-CLAT �' PRC�3#�OSED tMPROVEM�ENT LOCATION: 'Address:�F21611 BA-W ETUP AVE-We' Property Tax ID#: d 3 . 5-40—2 • 6101 . 00015 Lot No. Site Plan Name: Block No. Project Name:, DETA(LE© DE�SCRiPT)ON OF ORK: 1N5TAL AMOR 41: 9 - 17100EEr— M1141 5TL1T. 3 ZONE AIA 4011P1110HEPI/14PEAT F.!rip 51�YTU``t L�12N'®1/aL`f CONSTRUCTIO INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors XElectric _Plumbing _Sprinklers _Generator =Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: e Cost of Construction:$ � 6 n0Q ,oo Utilities: _Sewer _Septic Building Height: l W ER LE--SSPE CONTRACTOR: ame Name: ddress:514I P�1.hfi�Tr•O AYeW9 Company:.. City: rMT P1FIKGP— State:FL Address: Zip Code: -34q Fax:Fax: I`!/A City: State: Phone No. Zip Code: Fax: E-Mail:MWOY' (NOO '$a QWIM 160M Phone No Fill in fee simple Title Holder on next page( if different E-Mail from the Owner listed above) State or County License 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. UI�PL ENTA CON TRt1CTION LI I.AW INEQ • ATiON: DESIGNER/ENGINEER:. Not Applicable MORTGAGE COMPANY: IVof 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 AFFIDAVIT:'Applicati't'is Her`CjA"ad"e to 6b46iA'a permit to"do the J o rva nd'iristallation 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 subjectstructure which is in conflict with any applicable Home Owners Association rules, bylaws or'and covenants;that:rriay.res'trict or pr.ohibit such structure. Please consult with your Home Owners Association and,review your deed fbr any restrictions'whlch mail apply., In consideration of the granting of this requested permit, I do hereby:.agree.that.l will;in all respect's,perfo.rrt7-th'e 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 AWATT EY.,BEFORE'RECORDING YOUR NOTICE OF.COMMENCEMENT" = ,e Signature of Owner/Lesse /Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF 'SSC. hoc \e COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this V'rb day of k 20 \N by this day of 20_ by %.3 Cr c) 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 Identification Produced t. L Produced r '^4`J� •• A.. a-♦ . ' "�" � ♦ 1 -.• e. ,, ••1 3 C � ff • .•lF (Signature of Notary +��••••tie o FIGLWR)MAMEGIVENs j (Signature o#`MDtery Public-State of Florida.): ; MY COMMISSION#GG 022023 . Commission No.�{r0 EX IIA j' rr. Commission No. (Seal). •,F;FF�o?• Bonded-ChruNotaryPublicUnderwriterc i ? R w N REVIEWS FRONT ZONING SUPERVISOR PLANSt'-- "W9UT T]'ON.�• SEA TURTLE. .' 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19