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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONRECEIVED 01/23/2020 1:26 RECEIVED 01/23/2020 D:23AM All APP IC B E Ff FAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: © Permit Nui Building Permit Kooning and Developrnenr services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL .i4082 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Address: Property Tax ID #: Site Plan Name' Project Name: 0012 '.Ti.Ti� Anal work to be performed under this permit— check all that apply: ddlMechanical _ Gas Tank _ Gas Piping _ Shutters _Electric _Plumbing _Sprinklers TGenerator Total Sq. Ft of Construct CICF Cost of Construction: $ k& Na Sq. Ft_ of First Floor T Utilities: Sewer ,_,_Septic city;Vnytv � ! it:1f (G State:�L Zip Cade Fax: Phone No.� E-Mall: Fill in fee simple Title Holder on next page ( If different from the Owner listed abovo) Nam ZIP State or County If value of construction is $2500 or more, a RECOADEU Notice of Commencement is me If value of HVAC Is $7,500 or more, a RECORDED Notice; of Commencement Is required. X Lot No. Block No. windows/Daors Roof Pitch Building Height: RECEIVED 01/23/2020 1:26 RECEIVED 01/23/2020 0:23AM AN DESIGNER ENGINEER: Not Applicab e? Name: MORTGAGE COMP Not Applicable Address: Name: City: Address; State: City: Zip: Phone Zlp: Ph n State: FEE SIMPLE TITLE HOLDER.Not Applicable BONGING COMPAN Name: Not Applicable Address: Nome: Address: Zipcit: CRY. Zip: Phone Zip- Pho OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to I certify that obtain a permit to work or installationhascommenced prior too the issuance of a permit. he work and installation as indicirted. nnnoo struct is ncuonhicmt with an appt%ableHome Owneir 20 a erminrlill authorize thep rmit yy as, bylaws pr and cove structure, Please consult with your Home owners Aswciativn ic n that mey restrictt orr prohibt such and review your deed for any In consideration of the granting of this requested permit, I do herea Actions which ma a 1 V• V a in accordance with the approved Plana, the Florida suildin Cn Y ere° that I will,inArne f[ des and st. Lucie County Ame d leis, perform the work work The following building permit applications art exempt from undergoing a 1W mr currency r accessory structures, swimming pools, fences, walls, signs, screen rooms lots. : room additions, and accessoryuses `WARNING TO OWNER: YOUR FAILURE TO RECORD 0 hother non-rosidentiel use A NOTICE OF COMMENCEM TWICE FOR IMPROVEMENTS To YOUR PROPERTY- A NOTICE OF COMME MAY RESULT IN YOUR PAYING O'N THE JOB SITE BEFORE THE FIRST INSPEC OU INTEN E ENT MUST BE RECORDED AND ._R LEND TTQRNEY BEFO RE RECO YOU None T OBTAIN flNANCINq, CONSULT Na/riure w,r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The Ding tnstrumantwas acknawied ed before me g The 4o oiT inakr ment a acknowledged before m® 2 pY this of 2�)by Icy f�1. . I a,rrQ • � { Name of person mak(ngstatement, Ntme of ptrton makings at mem. Personally Known, OR Produced identification Personally Known produced IdentificationT PS P of identification . ,....� TYPa of Identification e A 11 A, / 1 \ 1 . T__� _ L.11 - Notary Public- State of Florida) - — - r {Signatur `o4 Notary Pub c- tate of Forida l Commission No_ 70RRE' - - ..__ icia REVIEWS REVIEW