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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n 1 l Date: �✓ �I y Permit Number: 1.11 J - ---Y, h RECEIVED _ DEC 17 2019 Building Permit Application Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: FROPOSE�D IM�PROVEM�ENT LOCATItON: n Address: L�®y ✓ve,VIlps l,�lyd, Property Tax ID#: 4,502--501.05gQ' (300 3 Lot No. Vol-/ Site Plan Name: Jve iAf Block No. Project Name: D�TAILE© DE�SC*RIPTIC+7N O ORK: CO)" e j e ,?!?o ,- G'a� n m d va .07'- y0O Y/ yop&Xe r home- CvAj rooms CONSTRUCTION fIN.FOR,MAT1©N: 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: ��g Sq. Ft. of First Floor:® Cost of Construction:$ ,70044 Utilities: Sewer _Septic Building Height: `)e IZ N 9R/IM55 E: CONTRACTOR: Name- -�ri/ �a��e/Su Name: rnd�! � Address:-tlOq Al Wle� '13b;d/ Company: . al" r ).err/e e• 6 City: Jen, e/; ReeiG,A! State:/C,/d Address: Zip Code: 3q�1'5'! : Fax: City: Zfaz)`fen -,��� � State: % Phone No. 7 1,2r Z� ?�W Zip Code: 3/ 5�� Fax:77Z-,2-5.2-.;21F1 E-Mail: Phone No '7 21 v 2-,d® -3 /5 Fill in fee simple Title Holder on next page if different E-Mail 4el ,L,q: /In) 1Xr4e<P • cow from the Owner listed above) State or County License . C13C 7,2-_�_/yF1 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. SUPPLEMEN AL CONSTRUCTI©N LIEN LAW INFORMATLON: DESIGNER/.ENGINEER': _ Not Applicable MORTGAGE MPANY: _Not Applicable Name: — Name: Address: jA�ddr City: State: State: Zip: Phone p: Phone: FEE SIMPLE TITLE HOLDER: _ Not Appli BONDING COMPANY: Not Applicable Name: me: Address: 7Addre City: y: Zip: Phone: Zip: Phone. OWNER/ CONTRACT VIT: 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 YOUR R OR AN ATTOR ORE RECORDING YOUR NOTICE OF COMMENCEME Signa e of Owner/Le e/Co ractor as Agen or Owner Sign a of ontractor 'cense rolder STATE OF FLORIDA / STATE OF FLORI / COUNTY OF 4n<1 COUNTY OF d i&7-1 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of / C 20� by this�day of L��C 20� by Name of person making statemenW �.f,� Name of person making statement. Personally Known OR Produced Identification,f . Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Ok (Sf ature 6f No c-State of Florida) ��Oimg 'sus re of of ry P is-State of Florida) Y PliB,� DAVID C SHEPHERD �� ue z ;••••, o o ,.,,,�ec, DAVID C SHEPHERD Commission No. * MYCOMMIS� �G052274 ion No. MY COMMISSION#C{b�j?}4 N Q EXPIRES:December 4,2020 q �o s„ EXPIRES:December 4,2020 l' Floe Banded ThN Budget Notary Sery ces �lF ,oQ�o Bonded ThnrBudget REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.