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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` Date: \011-tN 14\ Permit Number: RECEIVED ' OCT 8 2019 Building Permit Applic tion STs I±ucle County, Permltting Planning and Development Services -- -. Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential PERMITTYPE: PROPOSED,IMPROVEMENT LOCATION: Address: 2 eccC Aoe i 'crce. 21 5I Property Tax ID#:M1' 0),- f Qq0' i 0' 3 Lot No.f o Site Plan Name: Block No.SO Project Name: D'ETAI'LED DESCRIPTION OF WORK; If CONSTRUCTION (N'FORMATION: 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:$ 306CO.OUtilities: —Sewer —Septic Building Height: ;;OWNER/LESSEE CONTRACTOR: Name D2fWlis kl66 ke, LLc . Name: - 0 Address: _�305 ,Beer Rvr1 or- Company.#4,'C ( b(,0CA0bF1' �l I#V(- . City: (.,6d kme, State:f(- Address: Zip Code:3 11(45 ( Fax: City: VejTj &ff,,Ic //x State: Phone No. �� Zip Code:9K 2 Fax: E-Mail: -"1�-'eJ bz_a_`7 a&4 YV1n;I.CO,V 1 Phone No'11a- fol-,,23!?q Fill in fee simple Title Holder on next page(if different E-Mail C g a( &A UL &OP10, from the Owner listed above) State or County Licensek-d�5-1 91 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 10-7—FI-0- 71 l 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 111WROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON=JOlI3 SIITE BEFORE THE FIRST INSPECTION. IF YO INTEND T TAIN FINANCING, CONSULT WlITK401W W' A ORNEY BEFORE RECORDING YWJRAOTJO grf*MMENCEMENT." A W_o,�XC4�5 ,A.�� 719'n;Kure of Chvne essee/Contractor as Agent for Owner 4511ghature of Cont actor/License Holder STATE OF FLORIDA STATE OF FLORIDA�,� COUNTY OF c ��d,��__ COUNTY OF The forgoing instrument wap acknowledged before me The forgoing instrument wgas acknowledged before me this,day of 20_* by this(may of 0 CO--— .204 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identification Produced Produced (Sint e f aor Pu�hli -S a ) (Signature of Notary Public-State of Florida) np'��,, ELLEN VAUGHN Co """"' ELLEN(,sAHN �I�tate of Florida-Notary Publi al) Commission No. o`.rr00% =+ *_ Commission#GG 270079 _� ._ tate of Florida-Notary Public oP°,4 My Commission Expires ;y Commission#GG 270 My�mmOctober o„"MO�"`•� ommisslo Expires R N 4O ING SUPERVISOR PLANS VEG r 2' VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19