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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II Date: c;�v Permit Nu ��• L r REM Am REC91 IV • - FEB 5 2020 Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division cJ LUCK County, �L 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE:, 4 a L Fv­ pi> PROPO� ED IMPR©UE ENT LOCATION. .. Address: 0 Property Tax ID#:_a2.V J- /a t2 Q Lot No. Site Plan Name: Block No. Project Name: –bleoLiA ;P4ASCI [L� DETAILED DE�SCR+IT�N OF WORD : Rtv CONSTRUCTION INFORMATION: Additional work to be.performed under this permit–check all that apply:. _Mechanical _Gas Tank. _Gas Piping _Shutte'rs' _Windows/Doors Electric, Plumbing _Sprinklers _Generator V�Rdof 3 l L " Pitch Total Sq. Ft of Construction: 2.�E a Z Sq. Ft. of First Floor: Cost of Construction:$ ( 4 0 10 Utilities: —Sewer —Septi c Building Height: MR2 R@R/LESSEE: CONTRA TOR: Name.. �IrU�-A ("lC,l��� Name:��/i15/ Ellie Address- Company �� CONS/AUG//O�c/6ewoVgi/ONs City: ' ii J sJ,u t State:YL Adress r Zip Code �[� 5j gZ., Fax:' City. �,+!'li�k/""`~' I`? State: r Phone No. T-7 3 �Z 1 T, Fax: 75'!� Syl- L E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail Q 26 fiP14,/mdkt.ew»" from the Owner listed above) State or County License ��'lD� Cc-c /32 9 11PS' 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. Sl1PPLEMEN AL CONSTR�UCTION LI�N LAW INF�R ,ATiC�M: 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 E FORE RECORDING YOUR NOTI MENCEMENV Signature of Owner/Lessee C ntra for as Agent for Owner Signature of ontr ctor/License Hol r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrum t was acknowledged before me this day of 200 by this day of by ame of person making statement. Name of person making statement. c/ Personally Known OR Produced Identification Personally Known OR Produced Identification_ Type of Idenn1o.. n Type of Identi icat. nProducedProduced 61y (Signature of N t ry ublic-State of orida (Signa ure fid( B UMPHREY ,��'•'"`�Q a'., MISSION# 3608AUD 1? Commission No. Y°t?''••. AIJD Ll 41 360817 Commissio �5.� :,: :M6¢>jg9al) =•� 1* IIZES:March 6,2023 a �,y p�bGe UndeW!"s EXP ;;,ro;p;o"•• Bonded REVIEWS FR I G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19