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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: O r� Permit Number RECEIVE® Building Permit Applicati n FEB 19 2020 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division - 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: PROPOS IID bMPROUEMB.NT LOCA 1 N: Address: J1^�do`I- �J/-►LSf►-i''� �D�. 22rr /0) E2L� FL ?qq Property Tax ID#:�S•- 2 Lo�i�• ® J©�'Q©® � Lot No. Site Plan Name: Block No. Project Name: A2 I 10 1 DI D,IIESCRIPTION OF WORK: CONSTRUCTION I INFORMATION: 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:$ ) d d . &V Utilities: —Sewer _Septic Building Height: 0W U-NiLESSEE: " NCONACTO TRR: Name !4L ls� Cot Uya Name: Address: 57'kO°L 13 1-*CS-4" 0/L Company: City: rT /0/02(-I State: XI Address: Zip Code: 31--1111d47- Fax: City: State: Phone No. 7)2 - 20 - &5-7/ Zip Code::' Fax: E-Mail: f2C6,21W YA-/, hfz) C-0m Phone No n Fill in fee simple Title Holder on next 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.. UPPLE IRNTAL CONSTRUCatT LIE LA 'It NF19 JIM fON: 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`ristallation 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 WIT YO R tENIAR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sig ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �6� COUNTY OF The fo in instru w s acknowledge ^before me The forgoing instrument was acknowledged before me this day of 2y this day of 20_ by �-,3iRLW 0_,InR�J WO Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identitcation Type of Identification Produced �—_ L, Produced (Sig tune of Notaryublic-State of Florida) (Signature of Notary Public-State of Florida) Commissio Q�pRYPV�� KAREN S. NI�W Commission No. (Seal) a e o orida-Notary Nblic Commission ti GG 207484 June 12, 2022 REVIEWS RVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19