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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED`� Date: 7laq 1(9 Permit Number: RECEIVE® s r _ Building Permit Applicati n SEP � 7 ��t� 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: PROPOSED IMPROUEMENT LOCATION: Address: - �, t` ���� e h K PropertyTaxlD#: 33U - 5'o5'- ,A) jet, - 000 -!q Lot No. /S7 Site Plan Name: Block No. Project Name: DET ILED DE1SC ,IPTION OF WORK: CONSTRUCTION INFORMgTION: 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: $ ?g 3<ku5 Utilities: —Sewer _Se ptic Building Height: ©WNER/LE�S�SEE� CONTRACTC+3R: Name ,' �� -r3 QJ�vA���a r r;• Name: Address: 7 q /?1 ���ti� /Y,r;" Companyr, -Ieeh(f-bn ,c_-ce tu�� City: /7r,G` State:FL Address: f, y A(zd� � �?%IQc /3((i A Zip Code: Fax:_ 'City: ,SC• State:� Phone No. Zip Code: E-Mail: Phone No 77296-SVz/ Fill in fee simple Title Holder on next page( if different E-Mail "cd_% C. C'�yr from the Owner listed above) State or County License 2_93G�g 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 ESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable ame: Name: ddress: 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: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." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S-C . Lvc,\e COUNTYOF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this"4, \ day of StQ 20\A by this Aaday of Slk FA ,20,E by 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 Identifkation Produced L- fl Produced MENS (Signature of Notary blic-State of F 1E GIVENS (Signature of Not Stag$iar�#GG022023 NAME 023 ......u U M►i1SS10N#GG0 20 �"= EXpIRES:Decembet 16, ter Commission No. ti MY(��1,Dmberl6. tars , Commission No. ed7twN0� S%?%1Res °tB�yPubli°Undet' ' _ . -dlW" REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19