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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ! "1 Permit Num A)1r-0 &' RECEIVED • - OCTI2 2019 Building Permit Appli ation Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: kj P P ,• T 1• N. Address: 7/7 de2 De. -- Pox:7-57-lvac e Property Tax ID#: 3`1.7~7- 719/-D19/S-1900 -O Lot No. Site Plan Name: Block No. Project Name:t,e40"410 CD_-Cdgr"" © S ' I N • O S"s7o// i (0oe90ov c4 le-7Gs/,196 &.Ie071 .—,/ee- Zeoo A- /y !,ock oL Aye�.Ce-- Y~Z' #C_It- 6pow isi7` d,*Dy.ce'.0Tos+ AAsgoe,o-cP {�QNS CTIC�? E MA 10N• 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: 420 O Sq. Ft. of First Floor: Cost of Construction:$ _�R do O Utilities: —Sewer —Septic Building Height: WNE c;701 TRAC OR: Name Name: Address: 717 �sF/E/���P� /d��G .l',�✓v Company: City: t oma? LsTo%�,"�. State:_P.4 Address: Zip Code: 31/y 9-3 Fax: City: State: Phone No. 7/7— 517- 7 9.5-5 Zip Code: Fax: E-Mail: pa/�c%c�ss.r,s. ce'w 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. UPP ENT,logU09O S RUCT O LIE LAW NFOR+ AT O 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 thepermit 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 accessary.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 Y UR LENDER qR 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 COUNTY OF The folgoing instrum was acknowledged efore me The forgoing instrument was acknowledged before me this y of 20R,by this day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica 4, Type of Identification Produced C Produced njtAA. h)lArX (Signature of Notaryublic- ate of Flo—ricla U (Signature of Notary Public-State of Florida) . Commission No. AUDREY"YI PHREY Commission No. (Seal) COMMISSION#GG 300817 EXPIRES:March 6,2023 S; 3o ided Thru Notary Publ c Underwriters !" REVIEWS R PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.