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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: czz6 L12-o Permit Number: 0 0. —C) E } RE � ED- ' Building Permit Applic tion FEB 6 2020 Planning and Development Services Building and Code Regulation Division / Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 ✓ C t, L C I U n tY, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial R PERMIT TYPE: PROPOS I:MPIROUEMENT LOCATION Address: 7�5z Se 5/n L 05f2- bly-12 PropertyTaxlD#: bs Lot No. Site Plan Name: Block No. Project Name: ©ETAILED DERSC1I"Al1 NOF N,ORK: NOW-SITI I ON IINFORMA ION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric t/Ga�Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ l Utilities: —Sewer —Septic Building Height: O NER/LESSEE• IONTRACTO.R: Name 4?-4fii 6?v,1�-Q./L'S Name: //7"S Address: 7 .,:= {... f &"v Company i�o7to:•. loo City: �i G _.. Stater Address:` Zip Code: Fax: City: {� l State Phone No. Zip- ode 06 Fax: E-Mail: Phone No f6 -'Y/g- g Fill in fee simple Title Holder on next page(if different E-Mail /V'c4o% from the Owner listed above) State or County License_Sw!�_ 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. SU ' P EMENTAL CONSTRU TION L( �N W N �© ' ATI�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." oc-�" P-1-r\11k -A_V� - Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA C STATE OF FLORIDA �� S� L��•e COUNTY OF COUNTY OF The for oing instrument was acknowledged before me The for oing instrumept was acknowledged before me this e day of % 20 Z-D by this day of /KP/lo 20 70 by Name of person making stateme Name of person make g statement. Personally Known 1-� OR Produced Identification Personally Known c-� OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-S (Signature of Notar P c S Arrf00 Commission No. =o�;�r vue4�=. Notary P Hoc' tate of FloridaY a,,,,4 NICHOLAS MITE 0Iprida < Comm ��I OG92246Z023 Commission N•,. i NotaryP�bl,,.state„ 9 24&eal '+� off` My Comm.Expires Oct 22. Assn, ” �'•' Comm E res Oct 22,2Q23 OF^ tional Notary s ? My Comm- >q� Assr•. blind " BondedlnrCly REVIEWS FR 'rqZONING SUPERVISOR PLANS V SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19