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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \, `� Permit Number: DECEIVED Building Permit Application NOV 7 2019 Planning and Development Services ST. L.ucfe County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential — PERMITTYPE: PRO'OSED flVl'P OU M NT LOCATION: Address: 39 1�S- 7FQ AL.a�rk A',-C- `mac �cc��c c Property Tax ID#: :zapu SS f CLO-2- Lot No. Site Plan Name: Block No. Project Name: Q Ai LED I?E�SCRIPTION OF WORK• NA c2�OrA- In S T�i'L1Z CONSTRUCTION K NFORMA IO Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank' —Gas Piping —Shutters _Windows/Doors —Electric _Plumbing -Sprinklers —Generator L.",'ROOf 11 `71G - Pitcli Total Sq. Ft of Construction: �f,2-00 Sq. Ft. of First Floor: Cost of Construction:$ t o Utilities: -Sewer _Septic Building Height: 1�S O E�R/LES-SSE CON RACTOR: Name —n ooL Name: Address:� Company: City: �( PlexeJc' Stater ,Address`. ;'3 ` t 10 ,Aifc� Zip Code: 3 tf lf-I -Fax: City: 't'1-- Rope-.e .' Stater Phone No. 71-L, Ifs?. 3J SSZ Zip Code: 2�3T! --. Fax: E-Mail: Phone No 7,-7-7- Fill Z7-7Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License 66.4- Toign i 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. SiJ PLEM NTA C©NSTRUCTION (SEN LAW IN '©RMA ON: 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 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 COMMEN NT MU TBE RECORDED AND POSTED ON T OU ISITE BEFORE THE FIRST INSPECTION. IF YND TO OBTAIN FINANCING, CONSULT WITH YQJJJKENDEA ATTORNEY BO CEEFORE RECORDING YOUR NF CO EMEN Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Ho er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5 k. COUNTY OF The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me this ')i day of d 20AI by this I day of t�b of 20�,'J by g r 61, -0n$ "4, �10rq--J C4-.-�r Vd. Name of person making statement. Name of person making statemen . Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced V I- ,f�L- v (Signature of Notary � 1M N#np'-2C23 i` (Signature G'��t, r 'r'ou Y CO 1SS10 �g 2C2C +* �P�.,, DEANNAMARIE ' M MM Dmf die.R"' ,r•`�" SSION#Gy C22U'L3 t 5 Commission No. 6 � �d 14ota pnblicundetw t � Commissio ._ mbe;�c sN; NO: Bonde N s �o`g 2C8 iter. 1;t '? o BondedThruMt3ryPt:blicUndert+ F odF�. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19