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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: . � 2• Permit Number: 71© RECEIVED o Building Permit Application MAR 0 2 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: ale, 'T�-CLACCZ I%n17 PROPOSED IMPROVEMENT LOCATION Address: (09,6'1 S ('20,r--A,0 ak lc>i 93 Property Tax ID#:q,to 1 610 CE290 GOC "5— Lot No. Site Plan Name: (AA10 fel4 Wk(Mt IY :i!L S" Block No. Project Name: -DETAILED DESCRIPTION OF WORK: - lkeCACI ``ok SOME �2a Q TQA1NEf�7— py.5 CONSTRUCTION INFORMATION: Additio al work to be performed under this permit-check all that apply: Yi 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:$ 39(1, Utilities: —Sewer _Septic Building Height: .OWNER/LESSEE: CONTRACTOR: Name__S/8N.IA,Rh /,. 14affnjd6? Name: `8(04000 c' o o4k_ '?� - Address: 100,51 S. OCeAyJ7R Lo5- Company: CSC-� �'rlZay &/L 00- City: CCity: �'"E1j5g.A1 `s-m CI-I State:E, Address: a33 NZ /4yZ1 ZL/-) 1;4/ Zip Code: n't q TJ1 Fax: City: �o,�r$s Lara L State:, Phone No. n2a z! Zip Code:,3=f of 83 Fax: _X r�—F: E-Mail: Phone No IPA 992 S1 Fill in fee simple Title Holder on next page(if different E-Mail !1�I/at&C f--) .2c,1,3 Q Q eA 14. from the Owner listed above) State or County License CU q l:12-tr q S 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 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,1 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 W OUR LEND R OR AN ATTORNEY BEFORE RECORDING R NOTICE OF COMMENCEMENT:' Signat a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF N5�. LU o'I COUNTY OF ,!] 1. LI=In It The rgoing instrument was acknowledged before me The f going instr en was acknowledWby efore me this day of 2020 by this m day of 2 P'062A \16 L o � Name of person making statement. - / Name of person making statement. Personally Known OR Produced Identification V Personally Known OR Produced Identification Type of identifies Type of Identification Produced 1-1-1 Produced b ✓� (Sig (Signature of Notary P blit-State of Florida) KAREN S. NIELSEN .Q.�. iPAY VUBi Com State of Florida-Notary Public �`���Y�p„ KAR ^ G 2074✓§ ) Commission No. .`��' ieal)NIELSEN My Commission Expires _ :State of lorida-Notar Public June 12 202^ v �- Commission #GG 207484 Jun ion xpires un REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED T_ DATE COMPLETED Rev.2/7/19