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HomeMy WebLinkAboutBuilding Permit Application - 1 I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ,.WYx t } J �' RECEIVED Building Permit;Application "JAN ®7 2020 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. Luei aunty Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential PERMITTYPE: PRQPOSED IMPROVE'IVIENT LOCATION: Address: �. -& l- i✓�- f P P/ct G Property Tax ID#: O d L4 0 ©0'C) Lot No. _ Site Plan Name: p' I Block No. "Project Name: '1 g®3 J649 t�ove/ EDDESOF WORKK Od .wydcpm lot& Z,7 A-CO SS Jfimno,�� � ! CONSTRUCTION INFORMATION• ! 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: �� f,-P)cw- Sq. Ft.of First Floor: Cost of Construction:$ Utilities: ®Sewer _Septic Building Height: 01NNER/LESSEE " e r � 'CONTRACTOR Name 14ovkr Ad-Klh% Name: Win3 Address: L(Q t),3 g�4le, 19r,jt, Company: W% Gof ,6 w ljf,-.5 City: ro/-j- A(rC'G State: FY, Address: /Jj// /V U S1 LE4Ct 6*6 Zip Code: 34 45;1 Fax: City: Po r' - State: / 'L Phone No. Zip Code: 34 ff Fax: E-Mail: Phone No 242—;),20A Fill in fee simple Title Holder on next page(if different E-Mail W-j( /Df-bvjJcjs 0rti , c v from the Owner listed above) State or County License 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. I ! SUPPLEMENTAL CONSTR,UCTI'ON LIEN LAIN INFORMATION 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 COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' ignature of Owner Lessee/Contractor as Agent for Owner (ighlture of Contractor/License Holder STATE OF FLORIDA5� STATE OF FLORID � COUNTY OF �/"" COUNTY OF The for oing instru nt w s acknowledged before me The ongoing instr nt was acknowledge fore me this day of 20by this day of �c � 2 y � � kM rh�E5IDA ) � ' Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica 'on Type of Identificatio Produced Produced �GEV P:I-LPN VAUGHN L� l� ida-Notary Pu is P (Signature of Notary - ffIafjBiQqq (Signature of Not ® Fl�� otary Pubiic 11 N -+ *: Coi�missl # GG 270079 _, *= Commission # GG 270079 Poly C mmissfon Expires =� Commission No. %�F°� `� Cda 22, 2022 Commission No. %;°F��O:�'� My Commis expires October 2, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19