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HomeMy WebLinkAboutBuilding Permit Applicationt ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED IzTED s Permit Number: - LCL—m - RECEIVED s Building permit Application FEB Planning and Development Services 2 4 202o Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 S�• Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR,: To Select from dropbox click� PROPOSED IMPROVEMENT LOCAarrow at the ed afi line Address: C. / Legal Description: 0�,..�� Property Tax ID #: 4 ; it 00 Site Plan Name: Lot No, Project Name; Block No_ Setbacks Front�� Back: Right Side: ` Left Side: DETAILED DESCRIPTION OF WORK: ,I CONSTRUCTION INFORMATION: A itiona II K to OT11 I IOrme un ert !sperm!t—e ec a L app Yo HVAC Gas Tank � a5 Pi Eng _ n p Shutters Windows/'Doors Electric � Plumbing Sprinklers Generator 01 Roof Roof pita Total Sq. Ft of Construction: SFt. of First �'Floor: Cost of Construction: $ G� SUe D Utilities:'nSewer 0Septic BuildingHeight:_ OWNER/LESSEE: CONTRACTOR: Name Cv � & li Rddress: I �j`3 Name:c li �1 111 f '.t til— i, 1 t� (-CSN. U, lJn7 y,�V Company: City: r l5 ! LC j Zi Code: V State: IL Address: I C I I G) � 1�f — p a Fax: 1 i7 �ti t 1 l �%L i-�;1!" Phone No. 1 -- City:l-� N.i State: �� � �-t �S�' p Code: Zi�l Ste' E -Mail: f02. -7 Fax:���'(7� Phone No. Fill in fee simple Title Holder on next page ( if different E-Mail:.,r 4-]_ from the Owner listed above} c 1` - State or County License:r 1 I I it value of construction is $2500 or more, a RECORDED Notice of Commencement is required. "UIJFLEMMTAL CON TE DESIGNER/ENGINEER. Name: Address: City: Zip' Phone: _LIEN LAti V INS _.N Apli b ~f State: FEE SIMPLE TIT11_ FIOI.nco. Name: Not Applicable Address: City: Zip'Phone: OKMATION: MORTGAGE COMPANY: Name: Not Applicable Address: City: Zip:State: Phone: BONDING COMPANY: Name: Address: City:_ Zip: Phone: of Applicable I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to b which is in conAct with any applicable Home ©wners Assocration rules, bylaws or and eoven structure. Please consult with your Home Owners Association and review your deed for any restrictions w build the subject structure In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects ants Y may restrict or prohibit such in accordance with thea which may apply, approved plans, the Florida Building Codes and St. Lucie CountyAmendme respects, perform the work The following building permit applications are exempt from undergoing a full concurrency review: room accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory use to another non-residential Improvements iVIIVG TO OWNER: Your failure to Recon# a Notice of CorrTrrTence ent may resin additions, improvements to yo r pro twice use perty. A Notice of Comm encement must be re �rded and Posted o�n�the jobsite before the first ins coon. If you intend to obtain financing, consult wi lender or a commenein vrtDf�C or recor 'n our Notice of Commencement. e n attorney before Lure of ctor as Agent forwner STATE OF FLORID COUNTY OFl r N The forgoing instru ent was acknowledged before me this 25C day of Il 20 Eby (Name Loff person acknowledging ) (Siure of Notary ublic- State of Florida) Personally Known OR produced Identification Type of Identification Produced :ommission No � 3'Y? Q ,1 NA�.F ,�PµY P[r��f ` Co1n # GG 328719 * " Expires April 29, 2023 o -....,. — MAkAry serricos Revised 07/15/2014 s of " -_ ` — --.,.icacLWFJj_icense Holder ��— STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _23day of :9;.7,, ,- 20 ZA0 by (Name of person aeknow[edging ) {Sig ture of No Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission Noj�-&2, {S pL.FRANCO ' ` Commission # GG 328779 k Expires Apr[129„ 2023 Bonded Thru Budget o REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW ATE OMPLETE IITIALS VEGETATION J SEA TURTLE f MANGROVE REVIEW REVIEW f REVIEW