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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED, Date: �' Permit Number: f'ZECEIVED �!zS--?TJ - . COUNTYMAR 16 2020 Building Permit Applicatir nn "ST. Lucie County, Permitting Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROP05ED 'MPROUEMBNT OC tON: Address: Property Tax ID#: Y—Ock _ 6 U o2 -O 03.3 " 60 6 Lot Noj-3,f 3 11 Site Plan Name: Block No. Project Name: DETAI�.ED ©E�5C«RIPTIQN OF W©R�.. . �E!(JCG' A-LOrIJG So�Tf/��Z�, G��S�"G'�Zti /�`�/Q /j/ORTf'!Lf/2i✓y'�/�o,�G J2T�i z 11VES' , /VS T//« ®�/2 c�� Va l or &/aoZ rt NGS 6 ��iG`/ a,u 2GTI-J21J� C�ONSTRURRISNO NUORM,ANIUMN, Additional work to be.performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters' _Wi'r1d6ws/Doors _Electric Plumbing _Sprinklers _Generator .. =:Rnof `Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: o`, Cost of Construction:$ s2/00 Utilities: —sewer _Septic Building Height: OWNER/IE��SEE: CONACTOR: Name &2C&z-- Name: - Address: -LR- -12) Aa(!'2l A)Ab/?, Company: City:6!T r�/�%2 GC State: FL Address: Zip Code:�?q9 9�^ Fax: City: State: Phone No. 772, 777 05515 Zip Code: Fax E-Mail: "Phone-No., 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. O P.011 RMENNA:L CO NSTRUCTIG I N W N O ATtfJN• 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 an 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." i,'<da A rip 0 Ho M g A Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA 4 . ��1� STATE OF FLORIDA COUNTY OF , COUNTY OF The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me this day of MAO 21by this day of 20_ by .M 0 IAP t le Cnay,1� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pub ic-State of Florida) (Signature of Notary Public-State of Florida) Commission No. KAREN MIELSEN Commission No. (Seal) DIU, E1_1__ ate of Florida-Notary PublicMy Commissio Expires REVIEWS ZONMG12, 090PERVI R PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19