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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �Ia31 a.z� Permit Number: - 7.' ij Building Permit Applic tion Planning and Development Services J Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ST. Luci Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resl en PERMIT TYPE: �1 s ti S�t3c.US � -4�oo�,S �P c:A cr�ti T PROPOSED fMPRMASMIENT LOCATION• Address: -96OS �PZUCC N . c 1pilgacyz Property Tax ID#: � �� ` �a d 131' da C, Lot No. Site Plan Name: Block No. Project Name: DETrArD7LED DESCRIPTION OF s9m. 1C r CG 'r--7 Y, i d'R w 1 N.0O 1.LJ .Do c3 2S -p--Irz-S 1�o o cz (ni DO Lv r AW-D C)a 2 S , &-- Cots D t:it 'Oct S bU IN DOW. CONSTRUCTION I INFORMATION: Additional work to be performed under this permit-check al.l that apply: _Mechanical —Gas Tank _Gas Piping _Shutters ✓Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 90 O • 00 Utilities: —Sewer _Septic Building Height: OWN ER/LIPSUNEE: CONTRACTOR: Name12e)PnL.(:=-0 V'r--c k. Name: 2tayt_ Address: 610& Oscr--oLP, Dom. Company: &-)loot Ari F-Acz d� L-L-C . City: F:50 r-?-r- P1 S rz Ce=. State:-F�_L Address:?_G PL SW 11rk PoriT Dr;-- . Zip.Code: 34-q62- Fax: City: o r< ST L uccC State: F:,L- Phone No. r77 Z "- 24 0 3 G 4 A Zip Code: --J*-46(PYr7 Fax: E-Mail: Cb.rM ern rlIF6� 1o Aua hao-Cd Y Phone No -�'-6 ppl G 8� Fill in fee simple Title Holder on next page(if different E-Mail �/'Ah acs_Cd from the Owner listed above) State or County Licen e C6C ) 8 Cl 7 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. SUPPLEMEN AL CO -TRUCTIDN LIEN LAW INWRMATI©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: 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." Sign ture of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder "STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S..r- L pc COUNTY OF The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledge before me thisa'> day of ave 20 4 by thisa� day of :Sb•r� 20 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary blit-State of Florida) (Signature of Nota ubli�c®�Sta /l �A p NAMARIEGIVENS Commission N ��''da'3 (Seal) m sio ""� § ON#GG 07.20 NS 4 e �(pIRES:December 16.20 022023 Undetwrit"M i #G -o; oty Public uz 'r �,�p S:Decertb aets REVIEWS FRONT .—I o � WM �V� ON SEA TURTLE MANGROVE COUNTER VIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.