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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO PAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: E5@tr Building Permit Application 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: ...;�� 4i __. i' _a @ i awe eSn _ 1.::="I v_ "°°5®:,,:-::>`m!°� " 5 c®`�� Address[.: p C , e : _ger _ __ _ Property Tax ID #:O - ©O - Lot No.� Site Plan Name: Z� Ym`leec,'1 Block No. Project Name: 11 .r a - vn ��afill All e Bila 2� i��I i 11111,11 H 11 �1-333n ° n5 v E.:;n66�,3 � i @ .v', .ea m mn �', : � • _.eP:�PI I�d 5®� �! a a�@3..ii Additional work to be performed under this permit - check all that apply: _Mechanical /*GasTank ""Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction11: Sq. Ft. of First Floor: Cost of Construction: $ I� p bZj Utilities: -Sewer _Septic Building Height: 5�mES''9aS,;.°: :I;•rPv,.,5:::;'5.�R':"ee,ov4ee�! se°ae,3.3�" i}ss�ii8 inm=,za36 'iEi:!nria5s..e�.. n3-'i:n3.ieTi. EwNe�3a3°'!"e �',.�e33'P" d.i..€ ,5E@33 3@'e= .:. :..Y:_rk._ - __e .. eaxnti,t : €dG5.,'4�3�F8e em=�3iFe Flip Name Name: Larry Licastri Add re.s�s:��` Company: AmeriGas r,-� a-- City: FF)r-+ Peed, State: Address: 3301 Oleander Avenue Zip Coder Fax: City: Fort Pierce State: FL Phone No. Zip Code: 34982 Fax: 772-465-8448 E -Mail: Phone No -1-1@- yIP5-"F-5&0 Fill in fee simple Title Holder on next page ( if different E -Mail', �ir� Si2Yl • iv llAn @(�m2n�pS• CaM from the Owner listed above) State or County License 02707/28579 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. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: STATE OF FLORIDA Name: Address: COUNTY OF Address: City: State:_ City: State: Zip: Phone � N / Zip: Phone: Name of pe son making statement FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Produced '+�" Notary Public State of Florida !:_ Name: Address: r My Commission GO 190809 or car Expires 0212712022 Address: City: (Signature of Notary Public- State of Florida) City: Zip: Phone: Commission N�^G�VwXCf- (Seal) Zip: Phone: FRONT ZONING OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work ana Installation as Inalcatea. 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 the permit 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 ay result in your paying twice for improvement your property. A Notice of Commencement"must-b record d and posted on the jobsite bef re the,first ins ection. If you intend to obtain financinconsult Ith lend r or an attorney before Rev. 8/2/17 Si ature o caner/ Lessee/Contractor as Agent for Owner ture of tactor/License Holder STATE OF FLORIDA STAT F LORIDA COUNTY OF —�,V sr COUNTY OF The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me this t?,day ofT2Q::�Dby this aLday ofAac�2Q_CA0by arc- � N / Name of person making statement Name of pe son making statement Personally Known X OR Produced Identification _ Personally Known 1 entificatlon Type of Identification ' - "'" Type of Identification Cyt Notary Public State of Florida Produced '+�" Notary Public State of Florida !:_ prod ag_Ifl M Boor_ M Boore i My Commission GG 19060? .,� r My Commission GO 190809 or car Expires 0212712022 �fl zpires 0287/2022 (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission NcC-- ydOE��I (Seal) Commission N�^G�VwXCf- (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17