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HomeMy WebLinkAboutBuilding Permit Application r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //�� Date: 111-6 laoa0 Permit Number:� 0 in o Building Permit Applicatio RECEIVED Planning and Development Services JAN 13 2019 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie C nty, Permitting Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERM IT TYPE: PROPOSED IIIlIP.ROvEMENT LQ:CA f10N. .._ Address: H52 D A v:v o i ©�5 , C'-T' 2r-3(,4 5a C-jc�y '�� 2'19 74- Property Tax ID#: 6D'57 00 Z 1 0 00 Lot No. Site Plan Name: Block No. A Project Name: DETAILED DESCRIPTION t?F WORK . _ WB ���A�G� �raI r�c�s s u9`•� �I o r r i cw-�u e ���� u9 n��-�al?� � i'+'l Pla-�-I- J CONSTRUCTION„IN'FORIUTATION 3 _ 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: I Sq. Ft. of First Floor: Cost of Construction:$ � Q 00 Utilities: —Sewer _Septic Building Height: o OWNER/LESSEE: CONTRACTOR: ��u v Name �tC,-L Name: A I Citn�v���•�ij Address: ') 1`yam() CTI Company: 6-'D�ryv -41 ei'hi- W iAjdf)uj,s City:PD4 _54 Luck-, State: Address: SQf ,5qj 1n2+h HryiE. Zip Code:�14 C1 Q7 Fax: Cityrr-�,ICA h State: Phone No. -7'�a- a`r I- 3�1q(� Zip Code: 33Lf q (3-- Fax: (-2a7--7891 E-Mail: M'a S'-I Ce,@ a Nob Go(vk- Phone No 6-4p 1 - yaP} - O cs? j Fill in fee simple Title Holder-on next page(if different E-Mail 5--o c IYu 1)GK+ W,OJ b(65 RDul-bo It.,fn from the Owner listed above) State or County License e-1P-C Q q� 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. SUPPL EMENTAL"CONSTRUCTION LIEN LAW II T98MATtON 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sign4ure of Owner/Lessee/Contract r as Agent for,Owner Signature of Contractor/License Hol er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF A CA4 COUNTY OF , , (AA The fr oing instru ent was acknowledged before me The fo oing instr ent was acknowledged before me this day of 20�Q by this day of rPV�/ 207 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification`� Personally Known X OR Produced Identification Type of Identification Type of Identification Produced 0L ►, Nick Nettles Produced t Nick N®ttles NOTARY PUBUC NOTARY PUBUC OL _STATE OF FLORIDA P _STATE OF FLORIDA Comm#GG228408 e C«nm GG22&08 (Signature of Notary Public-State ofrTorida) (Signature of Notary Public-State of Florida) Commission No. (Seal) Commission No. (Seal) -REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 217119