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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' ��' Permit Number: =ais RECEIVED Building Permit Application JAN 2 4 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: E-_ . L PROPOSE7D MPRO E ENTLOC EMM'D, _ Address: 5 f Property Tax ID#: a� non l • U �C)• Lot No. Site Plan Name: Block No. Project Name: © MM Dwff m W WORK: �1 (LA nc ���e( Mme c,ancs� �P r_;Qi rz, CK `STRaUCTI ' INFORMA ON: 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: Sq. Ft. of First Floor: Cost of Construction:$ y� I Utilities: _Sewer _Septic Building Height: OWNER/LEgSgEE: CONTRACTOR: Name e:_ Address: D-� I Company: City: �r 2 State:_ Address: Zip Code: Fax: City: State: Phone No. b5.: `' Zi Code: Fax: E-Mail: r (� one No Fill in fee simple Title Holder on net page(if different E-Mail from the Owner listed above) State or County License 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. �UPPLEMIONS T CONSTRUCTlOV IEINS LAIN/ lNl ©R ATION: 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." gnature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF � (�?�� COUNTY OF The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me thi day of ��� 2C&Oby this day of 20_ by Name of person making statement. / Name of person making statement. Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of IdentificatJ [ Type of Identification Produced � �� Produced � k �-Af( . ' --- (Signature f Nota - einri " rB,, KA RE N(!6grNtl3dot y Public-State of Florida) RECEIVED a '_state of lorida-Notary Public '• *= Commi s�'on Commission No. (S ;•FOF�oP°� My Co MQ �p�f8�4 (Seal) JAN 2 4 202 " Ane-12, 2022 REVIEWS Fes{ cie 0Z0*Ilqgmitting PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19