HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BEACCEPTED ). 3
Date:.. �° ��'Q' Permit Number: 7
AV E D
® JAN .31 2020
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Building Permit Applica �°Itmittirlg Departmen
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Planning ondDevelopmentServices St. LUCie CO
t FL
Buildingand Code Regulation Division y�
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9 -
.2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 -Fax: (772)462-1578 Commercial Residential
PERMITTYPE: Uuo�: e��.Y• i .
PROPOSED IMPROVE MENT.LOCATION
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Address-:,-:. cl SIA Q l v=
Property Tax ID#: ��^ �(1����n �� C)00 - Lot No.
Site Plan Name: Block No.
Project Name:
DE AILED DESCRIPTION OF WORK ;
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CO;NSTRUCTI ONz I N FORMATION
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: Utilities: =Sewer —Septic Building Height:
OWNER/LESSEE CONTRALTO
Name i Name: %f�icu
Address: � L
C� f
1�-e�� Com an C_
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Ci
Stat
- e: L Address i l.•c:
Zip Code: / / FaY I City:
Phone No. 77oz ` ,7^�� Zip Code-, t: Fax
E-Mail:. Snu ��... - f'I Phone
Fill in fee simple Title Holder on next page(if different E-Mail Y1LU/1-1 ' SC Q-)VS Cv'
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. �nj °
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,
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 willjn.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 TAIN FINANCING, CONSULT
WITH YOUIR YOULEND OR AN ATTORNEY BEFORE RECORDING YOU ICE MMENCEMENT."- -
Sig ture of Ow erf_Lessee/Contractor as Agent for Owner Signatur of Contractor/License Holder
STATEKOF
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ID ST E OF ORIDA `
COLIN UNTY OF
The forgoing instrument was acknowledged before me T forgoi` sty' grit was acknowledged before'me
this day of 2� by , = , thi day of ��_ 2Q&by
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Name o person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR.Produced Identification
Type of Iden . t. ' Type of Identi atiro
Produced Produced
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(Signature of to Public-State-of..Florida) (Signature of Notary Public--State of Florida)
3 ., AUDREYB
CommissionN ._=EXPUU
ISSION� Commis ,, AUDREYB.HlNr4PHREY eES:(March 6,2023 17 t ;.L #Gti 300817
•,,;�...o EXPIRES:Alardi 6.2023
BMW am I WNY FUM
REVIEWS FRONT ZONING SUPERVISOR` PLANS EGETATON SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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