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HomeMy WebLinkAboutBuilding Permit Application Ali APPLICABLE INFO MUST BE COMPLETED FOR APPUCA71ON TO BE ACCEPTED Date: `' Permit Number: r Building Permit Applicata n NOV 0 6 2019 Planning and Development Services ST. Lucie County,Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34382 /r Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential !/ PERMIT TYPE: p r�...vyr _ ern/�a;/��y'�.. 'a.r �c+.'}�.: cz-('�i�z,,-;:.-�,}�t•U'..si t�,�„�„''"- �ar�-�,.s .y''•t S`..'i�_rs't�' ti �,�- ,y,}�' '�r a•�`y�s-3r �1,air��"� _..x{� -t�;"`m���.� . ....._r.:.s'-,-«...._.:...... �_ :.frzc �,_,..s.�,.._.<.�,..t_...•__.....,_.,-....r_, :.3.�..�x. ....,.r. .._..r.,3 .a..�.m«�_�,....«.�'.7_"x:GY±.it,v .,.u�s..��r�t`'=2__...:..�,.a, �:.,= _:"�..., Address: ZS-�O t�i�m , c t�' �°ih 6"-,5 7- X"C4C= Property Tax ID#: 3-la- 91V-60, G," ©!O/ ►� Lot No. 1 Site Plan Name: Block No.CF- d 73•' Project Name: x...�� yt.,�,/ ,F. "'J y .Z t Fi" �2�: �t pi_ s x, C m�r. .� ee 7;x+� S :, ,«c�"-2�✓T a�` ia..�-;z�;'r' i�h +•z t'Y" �"sx ,_ -f:.',-zs ..,�.!s.'Yr�'- ...ria' .=?. �K;._?'.k? '`.''ty `fC'";,,•-`fir :"a. '`F•'"r'• -.e..,. a%.. r'k'" j^cs�. . '3� .;a�3't .c''.it ;i' �iti ir. ;? '�`�` g,�,-��� _r,..,..?'.'.._.'.c;r�,.rz;-.-�s'T,•.�,..,...s.....a.?��..5,x r.:�,. 'e<....;..,5. ?.;:sums 'ew.�..`�'�t..,.sYtia",.`1':u.�.,_...,..a..,�...-._...a:4�.. ._•:.._. .r;.e.,._:f?. __.r_.....�.-v-_...� .4=rr.r �,fi�ir�. ...-,,... Additional work to be performed under this permit-check all that apply: Mechanical Gas Tank _Gas Piping Shutters f,`.Windows/Doors _ Electric Plumbing _Sprinklers __Generator Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 14M© � Utilities: —Sewer —Septic Building Height: rp.n7r.X�+�..z. -:t�t�•� �;'t, �*'- *04 0ai, � �I�����EE��, � �✓ �Z) �,L*d' knS'3 4 4 ��� � S`S I�Y��.NG ��4 .. r.:� .rpt �i `S S ,*:Y�""'%3� Jh�i��' �` -� P v c t,�'� ,. 7 r ��.r 3 `t f�--. � �i .f.b ad's,.•. .,� _ ��"-�i� ,.:i'�..... :f *¢.rr.• Name Name: &4ac-man Address: City: ' �G��1� -State: Address:Address: �2 td�tL f 7riC — Zip Code: Fax: City: roty"E State: Phoni Zip Code: 33UJ? Fax: r - Phone No 3 1600 Fill in fee simple Title Holder on next page(if different E-Mail &a . / F40AW j R rti a fflAIL.,co from the Owner listed above) State or County License_ c GC 6117,�'�S" 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. SIIPPLE"TALTCQNST,,UCTtlUN `IE//N'LAW INFORMATION , °2 4 „>„ ..COY p Et�. 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,l 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 dooms 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 IT POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN&VPMEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Les a/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA N STATE OF FLORI A , COUNTY OF Ma I61 A COUNTY OF Mam Vl The for oing instrument as acknowledge before me The forgoing instrument yeas acknowledgedd before me this T day of 20 R by this,3A day of C)(;tJW.V ,20 tt[ by cT e,�►n-R4/'*' v m Ir�o Name of person making statement. F:2 ame of person making statement. W § ersonallC Personally Known OR Produced Identificatio y Known OR Produced Identific �n Type of Identificatio =o X ype of Identificatio 5� o m Produced2 a'E E roduced c 3 ai Z �o �3 3'cm u zm�.-7o O T t d x0 A Z ^. : m o "'as vim nature of Notary Public-State of Florida) y 4 (Sign ure of Notary Public-State of Florida) s w 0'e. f�l =.1�. Commission No. VIJl4 (Seal) C mission No. (Seal) N w a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.