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HomeMy WebLinkAboutBuilding Permit Application L All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l �'�c�'t�' Permit Number: —Oco V D Pk Wkc; LIM ~ NN 6 2020 Building Permit AppPlanning and Development ServicesBuilding and Code Regulation•Division lg L)epartment 23.00 Virginia Avenue,Fort Pierce FL 34982 ie 0 ntyFL Phone:(772)462-1553 Fax:(772)462-1578 Commerciala PERMITTYPE: 11-02 � PR@P@SED 1MR01/EMENT LO ATI@ . Address: 5� SZ — �17T ' _ PropertyTax lD#: It-`�,� — a�J�J~ ObCz--O_ Off— a, Lot No. '�W Site Plan Name:S� � l} �pU-2_ (y1b�fJl)-P [�M� Block No. Project Name: D T LEQ DES NRI�PTIO O• WORK. 719 , e- ,off 1 CONSTRUCTI@ t FORMA ION: 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: . D Sq. Ft. of First Floor: Cost of Construction:$ Utilities: —Sewer —Septic Building Height: F&M NER/LESSEE: .� CONTRA�CT�rQ�r: Name CbuYI-�TL'I (IOlJ12'. moe> e- Name: 1�1 �� Address: L-UkS Q, us1 Company: ` rN City: E��tDl I GC State:)n Address: J n- T6 max-edo Zip Code: 3-"28to Fax: City: "Pog—S' - Luc-l'-f- State:' Phone No. CLL09-5 Zip Code: 3LR%-3 - Fax: E-Mail: Phone No 34Lo -13 L,(�e Fill in fee simple Title Holder on next page(if.different E-Mail from the Owner listed above) State or County License CGA (5) 3$9D 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 I SUPPLEMENTAL CONSTRUCTI© � L N LAW I NORMAT + N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: Aot 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. 1 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,1 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 IMPROYEMENTS 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:' Signature o wner/Lessee/Contracto ent for Owner Signature of ntractor/License Holder STATE OF FLORIDA - STATE OF FLORID COUNTY OF COUNTY OF The forping insti: ent was acknowledged before me The for ping instr nt was acknowledged before me / this _ [0 day of_ 20OVhy this day of 3 2(t'by Nam of person making statement. am of person making statement. V Personally Knowr,____� OR Produced Identification Personally Known✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of N - o ' (Signature of Not Public-State of Florida) so. AUDREYB.HUMPHREY Commission No114 . = MMISSIC4����300817 Commis or2}SIYf AUDREYB.HUMPHRE1Sea EXPIRES:March 6,2023 .; t- MY COMMISSION#GG 300817 Bonded Thru Iota Public Unde 'foto REVIEWS FRONT ZONING SUPERVISOR PLANS A4- `•`EG1?fi T ANGROVE COUNTER REVIEW REVIEW- REVIEW REVIEW REVIEW REVIEW DATE RECEIVED - DATE COMPLETED ev.