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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST MUS�T,BBE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: �0�� aV/i"- vW Permit Numb'I A a 0 s�ie �/f Building Permit Applic%4 n�® Planningand Development Services �,y� P ��hR Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: PR•OP©SED IM�PROUEM 7NlTJLOCATION.� Address: � � C e GS n� Property Tax ID#: L( Z2"t "' SO ( 4 6 a Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: � ` verba 140vrLwr 1�� -� � ;�,�� set—/) X44 ou-per" yv"� r-� ) Pee-! 54 i cin FL. I K 317 - f2- (13 CONSTRUCT1@ INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters indows/Doors Electric !Plumbing _Sprinklers _Generator /Roof Pitch Total Sq. Ft of Construction: (ado Sq. Ft. of First Floor: Cost of Construction:$ l '600) Utilities: _Sewer _Septic Building Height: v1 cU dD P O NER/LESSEE: CONTRACTOR: Name ame: %661 Ad ss: I •0. mit u I pany-1 City: State:: A ress:_ Ia3Sl eCIS ACL Zip Code: Fax: 'I 0-336-h-08 City: _PSL _VA_ `,f State: FL_ Phone No. q1.2- 3 3t 3F9-0 Zip Code: _ _ 'rax: E-Mail: s4-e_,{_ - Fywie_ - (Q a+t-a nc Phone No 4� Fill in fee simple Title Holder on next page(if different E-Mail r from the Owner listed above) j 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. 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 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 R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE AY RESULT IN YOUR PAYING T1rICE IMP OYEMEN OUR PROPERTY: A`;NOTICE OF ,C UST BE RECORDED AND POS DON T SITE BEFORE FIRST'INSPECTION. IF INTEND TO OBTAI ANCING, CONSULT W1 H YOU NDER AN ATTORNEY B RDIN R NO E OF COMMENCEMEN :' SkaarLessee/Cont—racro—ras—Agent for Owne ignature of Co tr r License Hol STATE ORIDA STATEF IDA COUNTY OF ("Win COUNTY OF M A r';n The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a?'J day oofl F_9('u� 20aPo by thiso2'1 day of F��u I_ _ 20� by FTvn Name of person makings tement. Name of person making atement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced L4X,&- U (Signature of Notary Public-State of Florida ) (Signature Notary Public-State of Florida) Commission No. FF "1'751 P,3 (Seal) Commission No.FF TTS oI R3 (Seal) REVIEW_ S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED i2V A ,��1V R� ogt' �q, fJo:ar7 public Stale of Florid a .� Notary Public Sia4a of Fiarida Canne:a F;antantoni £a ' Caffrela Frantantoni IU:y Commissicn FF 975783 f' r''` r iv: Commk5ti �-�`�"c.�-�§v°`.�,.'1w'ar'^a+'`1s+`"tv�r^a+' "b'�r� '�'M"�na,'a�,'i�t't,"ub.•;m:'�xa,,.�a� •