HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �131a� Permit Number: aaa3��a5
RECE:20
Building Permit Applicati n MAR ® �
Planning and Development Services
Building and Code Regulation Division ST. Lucie Countmittin
2300 Virginia Avenue,Fort Pierce FL 34982 0
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPq$ED IMPROVEMENT LOCATION.;,, '� `
Address: 06 ��SZt,.�b b r 17,- ?f enc-- E-L 39 Ti-6
Property Tax ID#: -207-901 -06(62-600-& Lot No.
Site Plan Name: ll�� Block No.
Project Name: so,' u.- �ssl
DETAILED DESCRIPTION
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CONSTRUCTIONINFORMTION
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters !S Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 3166 Sq. Ft. of First Floor: 2 640
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
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OWNER%LESSEE f f JCONTRAC- J I
:.t-n' ?,x:=_ .� t, x,?; ,4,, F1 ,: .. C. ....���., -
Name �C,:
a Name: ,)�w�n-a A K000"...0
Address: �,,�jao �c Company: 8�c'n y-"" �exs �cti.
City: State:rC Address: ZIOS-0 s uS its Ak,. .,, i -V6u'�a 30-5
Zip Code: 3`f f6L�, Fax: City: State:-R-
Phone No. 77L-YOF'-7Y1� Zip Code: :Kj?17 7 Fax:
E-Mail: & COYK Phone No 6Y0 -
Fill in fee simple Title Holder on next page(if different E-Mail 4-3�'&Ab"5 (2 sib rnt ,Cmr✓►
from the Owner listed above) State or County License C C-C ),52S-16c7
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, 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 5F NCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN T.
Sa7ture of Own r/Lessee/Contractor as Agent for Owner Sig ure of Contractor/License Holder
S,
LJ
OF FLORID4 STATE OF FLORIDA
COUNTY OF S f C ip COUNTY OF S f- <
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__Z—day of ,20'M by this_'X day of l qct C 2020 by
i r
Name of person making statem nt. Name of person making statement.
Personally Known OR Produced Identification Personally Known K OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signatu of ary Public-State of F f Notary Publi
Notary Public Sta a of Florida Notary Public State of Florida
Commission No. 9525�a Marc Sweeney C�n�rm,� issio No. marq&�ney
My Commission G-8525� Nty C minis ion GG 952570
OF ExpiresOl/28120 4 aa� Expires 01M/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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