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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �f .s ms's r RECEIVED Building Permit ApplicatioMAR 3 0 220 Planning and Development Services I Building and Code Regulation Division ST. Lucie Cou y, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSE© IMAROt/EMEN LOCATION: �� /3`/f y+ Address: :2-77677 - uta --s� �r,+'1.t c !I Property Tax ID#:��e�� l'��d C�•, r7 Dn �o Lot No. 6 Site Plan Name: h q 6vs-1�3-;o- Block No. -7 Project Name: I� DTAILE© DE�SCRIP ION O WORK: n S 1.( LXR TLf- -PaS`-46 Pti c, RDS N,SET CTI4N INFORMATION: 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: Cost of Construction:$ 1666 . Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR; Name /t Name: oc2$ �- t Address; aP�W Company: key1 °City e .. ... r� St e: Zip Code::3: �r l{7 Fax s; City: [ State: Th6ne.No'`7`2P '2.o^g- j Zip Code: ' ,5 Fax: sE=Mail: Phone'N-o.asq Fill in fee simple Titnext page(if different--- E-Mail from the Owner listed above) State or County License CG-C,�g T16 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. SUPFLEME TAL CONSTRllCTION LIEN LAUi/ 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 thepermit holder to build the subject structure which is in conflict-with any applicable Home Owners.Assocration rules„bylaws of arid covenants that may;r-estrict or prohibit such structure. Please consult With-your Hbme Owners Association-and review your deed for any"restrictions which may apply. In consideration of the granting of this requested permit,"I do h'emby: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:NO ICE OF COMMENCEMENT':" Signature of wner/Lessee/Contrac or as Agen or Owner Sign re of Contractor/License Holder STATE OF FLORInA— • / STATE OF FLORIDA COUNTY OF �� LK-r —\ COUNTY OF The fo�r�oing instrument was a knowledged before me The forgoing instrument was acknowledged before me this_&day of 20_ by this day of 20_ by . e— Name of person mak7OR tement. Name of person making statement. Personally Known Produced Identification Personally Known L/ OR Produced Identification Type of Identification Type of Identification Produced Produced -(Signature of Notary.Public=State of.Flgrida) (Signature bf Notary-Public-State-of Florida.-);', Commission No. mission N `J�,. BE`(L41�.MARSHALL „ - -• �.•a.,, V LY D. MARSHALL ..� tea'•. ;r o; Notary Public State of Florida Notary Public-State of Fla idaGG 057931 •. . •E Commission # GG 057931 ?s• •�c 'MY AComm. xpires Jan 8,2021 REVIEWS FRONT (yy C0 �U��9R�ISR 02p ANS VEGETAT IV'•%P,„ '�Tf e�l�Fieug a1Vld��`J(m4�Q14rs�sn. COUNT E "'R1^VIE&cnded h �r�uREWNatary AsRE IEW REVIEW DATE RECEIVED ` DATE COMPLETED iev. 2/7/19