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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED Date: c.�e-� 1' Permit Number: 'RECEIVED Building MW - - Building Permit Application MAR 17 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 v [PERMIT TYPE: PROPOSED [MP'79 ANT LfJCATION: 2 G�0. _ Address: `3060 �ltme. ZJ g��Rgre-e. F/, M I d Property Tax ID#: y7w 19-1-000a- Od 0�3 Lot No. Site Plan Name: Block No. Project Name: d TAILED ©=SCRIPTlON OF WORK: he.Q w R +6 C-01LIC Refe 5 C70 s �.��° r /INY o rc9 ell Ll ft-�T fs� (o�( � 1 �e �'19SQ�CN7. �at!r!' S6l �e6S 717d"N 756 No Allvc-e- �'�l-v�7��ves ,� �� �S Pr ve a. �a�r CONSTRUCTION t'N�FOR'MATION: Additional work to be performed under this permit-check all that apply: N D W, OT l vjo ) _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:$ mo • 0 d Utilities: _Sewer _Septic Building Height: tJWNER/LESSEE: CONTRAC OR: Name 1,erryL . rz. - Name: Address: -SO 34 L � Company: City: Fa-1Z G��-YG� State: Address: Zip Code:.13m/R'l Fax: City: State: Phone No. 77x-901-13/d Zip Code:-, Faic: E-Mail: Phone No r - 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. SUPPL NTAL CU STRUCTIU MW1ENI LAW 'N �(JRM TION: 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 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 TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO. OBTAIN FINANCING, CONSULT WITH YOUR DER DR ANA ORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT.". Sign ure w er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA _ STATE OF FLORIDA COUNTY OF ,fit., COUNTY OF The.forgoing Inst ment 4s acknowledged before me The forgoing instrument was acknowledged before me this day of Y 20M by this day of 20_ by Name of person aking statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of IdentWcation Type of Identification Produced Produced (Signature o o ryu lic-State of Florida ii ignature of Notary Public-State of Florida) KR N S. NIELSEN Commission No. Y°OSta Irlorida Notary Pub' mmission No. .(Seal) Com Comm ssion E p�es MV J ne 17, REVIEWS FRONT RVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.