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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'�� "Z�� �V Permit Number: RECEIVED Building Permit Application MU 2 6 2020 Planning and Development Services Building and Code Regulation Division Pnrmittlnq Department 2300 Virginia Avenue,Fort Pierce FL 34982 st, l,uple 0t)"11ty Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: 9 ° ROPO- � MPROVE� NT LOCATION: ,,�� u Address: Property Tax ID#: 4//02. ;I— —��� `j Lot No. Site Plan Name: Block No. Project Name: DETAGI_ED DE�SCR(PTION OI'WORK: 7 -111 SCJA//t`l�'/`Gt '✓/✓e S/f fr � s2f c.Cf OBJ �G� -V�O�! •�( 6� e CONSTRUCTION I�NFORMATION: Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric =Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: �� Sq. Ft. of First Floor: '7 �- Cost of Construction:$ Utilities: —Sewer _Septic Building Height: ODUNER/LESSEE: CONTRACTOR: Name t!c Name:�r�g� �Ve��/se /A Address: l©79 y �i� d-e Company: ,�j�r`4v, Ol/Sz At ars City: / � i°/' E' /�� . State: 6L Address: �y//�// �i:�--•�1".'r Zip Code: 3 �/�/`%� Fax: City,i��/, State: Phone No. Zip Code: 3 / Fax- E-Mail: - - Phone No / 77,;7- r30 8 Fill in fee simple Title Holder on next page(if different E-Mail h e h e ,14 from the Owner listed above) State or County Licensee 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. SUPPLE MA ENT L ©NST UCTlON LIEN W I =TI@N:: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMP NY: _Not Applicable Name: Name: Address Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE OLDER: Not Applicable BONDING COMPANY: Not Applicable Name: /f/ Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFI DVIT:-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 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." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA S N � ' ' � STATE OF FLORIDA COUNTY OF CAQ COUNTY OF The forgo ng instrument was acknowledged before me The forgoing instrument was acknowledged before me this Zgday of d 20_ by this day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification G —Personally Known OR Produced Identification Type of Identificatio Type of.Identification Produced �( y Produced (Signature of N - LL G H N (Signature of Notary Public-State of Florida) ♦gkY PUB ;State of Florida-Notary Public Commission No -* *= ission(5EA 270079 Commission No. (Seal) .aF`ROQ?c' My Commission Expires October 22, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.