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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Pp-- Date: Permit Number:ooOl Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: V. W PAN;. 1§4 PJ DMPROUEMY, ENTd LOCATION. Commercial Residential Address: _�70 Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: Wes&\hp'g6 Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank _ Gas.Piping _ Shutters, _ Electric - Plumbing_ : _ -.... _ Sprinklers _ Generator Total Sq. Ft of Construction: c�I ,Cost of Construction: $��e� Sq. Ft. of First Floor: _ Windows/Doors --Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name �b� Itil�(.S � Address: �A=;-:"iV�i��S �-l2 Name: C- Company: W\✓tL City e QCC ` State: Zi {Code vti Phone No n 3 ,3 :/,, T _ .. Address _ . {� r ,,__ ( _ City:,, ;, r� ��� L ,,. . i't State: �i .., r ! i •' Zip Coder i' Fax: PhoiheNo E-Mail- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail W\n-L L ,5W 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. 1 -. o s - - r t jxS K ! c� S] ! -7OPDf� 0- Y u�E F�VT � ( � t s 4729p E (P 0' t i N �21'40 s, 2p L 2Qp, FNCF ` 2p s, r p T ao 3 cF 04 s S ��FNFp io,, 3 CID °c°T 2 �G A Oz Z N QC//pa. F�o p /r o Nz kx i p �3 CO 1 N ' O 26o 2 %. rn - 1 �� ��3•k . �' �ip�S Rr � �: A% �p Y 2CL 8, 2q�ti Ajp °N F } N6, ab •00,1r3s8;. �1DAY C Z9.. (P) P1N�g C1R0�R T OF26 UA wAY pup 3 atGVA r t / '^Yj { SUPPLEMENTAL ReONSTRUCTION LIEN LAW INF©RMATIMN: 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 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 YOU ENDER OR AN ATTQRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 1/� 11A Si & atu of Owner essee/Contr for as ent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF .� . The tRrgoing instr}�ment was acknowledge before me this _ day of iJAX— 20 by The forgoing instrWent was acknowledged before me this 9L day of 20AR by ' `� Q4 'Maces Name of person making statement.0 Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ign ture of Notary Pub c- State of Florida) Commission No. Er MY COMMISSIO s�:i •• SHAHI & IREub] (Signature of Nota -T LASHAHNAING Commission No. ,' : :+_ WCOMMIS$,L�on�MING ..: o; 5060 s, •:'Fr .•'•o.• � IRES. mber7 2022 REVIEWS opF�°a''` F gpp TiNUNotary PLANS VEGETATION SEA TURTLE MA VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.