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HomeMy WebLinkAboutBuilding Permit Application Ali All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: F - 2-02-0 Permit Number: • Building Permit Application 'p mw Planning and Development Services Qerm%ttL 9�e r0��ty Building and Code Regulation Division St. 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 4,�<! PERMIT APPLICATION FOR: J. i PRQP©SED INlFROVIMM,ENINLOCATIQ Address: 2-10 IV 3 Legal Description: W 'VI YeZ, Lc/ b ci,-o,1 S /S" /.f7- 7 CGr23dc, a r !l 9$ =2/2a : ao96 -/2S_ Property Tax ID#: 2-x}0$ 03 - OHO 72- 000, 3 ' Lot No. 6 Site Plan Name: Block No. ! - Project Name: Llo Sr194rn Setbacks Front Back: Right Side: Left Side: i DETAI ED DESGR412011 N of 1"16A,Cr "61.1,fW c.1!S/ r CO'NSTRUCTI4i7>' INFORMATION: -Ad.0itional work to be pertormed under this permit-check all that appy: Mechanical Gas Tank Gas Piping _Shutters _Windows/Doors -Electric _Plumbing _Sprinklers :._-: Generator .< `" ' ' pf 3 /Z Pitch Tot I Sq. Ft of Construction: //7� Sq Ft.of Fi'r'st Floor` //77 ' Cost of Construction:$ S200 Od Utilities: ~ Sewer Septic Building Height:. /LESSEE" �-rCaNTRACT+(+�'R; Name Ra10 6/',y ,}-rV7 Name: Cas? CCPPs7�lQ�ol��, 1 ����I� Address: soy Company: City: 77c(,+ 'r_,.. tyr 4_/i State: IL"z- Address: 5K, 70 Zip Code: 399s? Fax: City:&/-,2, [', State:41 Phone No. -77z Zip Code:3,3�/Sc Fax: E-Mail: Phone No 772 - Z6a5/1 c1 7 Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License l C Oo'39a,-71 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S ��'PLEMENT C�NSTRt1CT1®N I.I � LAU1/ INiF� fi,MATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone_ Zip: Phone: FEE SIMPLE TITLE HOLDER: r _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFID.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 jobsite before the first inspection. If yo Intend to obtain financing, consult with lender or an attorney before commencjpgyy6rk or recordi0vour Notice of Commencement. igatur Owner/Lessee/Contractor as Agent for Owner Signa f Contracto /License Holder STA E OF FLORIDA STATE OF FLORID N H. Z 0 mN COUNTY OF COUNTY OF 2 O o U y nZ O¢ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged be f �OrAq� this f�dayof �Rr�-tic��� 20711 by this�dayof ' ye�� 20Z� b ¢.�o'% %W �i he d C E t C.G' /G' o /O �i — o 3 Name of person making statement. Name of person making statemen . z Personally Known Personally Known Produced Identi at' «•�•" RICKY CARL COCHRAN ` `P Type of Identification Type of Identification :s "o: v `��: Nolary Produced Public,-Stale of Florida Produced mmission#GG 172136 My Comm.Expires Apr 26,2022 G i � •�„ a)Uad 111ruu911 Nalioruil NolaryAssn. (Signature of Notary Public-State of Florida) (Sign ure of Notary Public-State of Florida) Commission No.(b,(_'� /7 Z 31o(Seal) Commission No.GG 172-/ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17