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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cin Date: —�6 Permit Number: Q ar ' r r 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 Residentialy PERMITTYPE: fieM(e- Perr,) q�- Address:_s 590Rexto P •l -rix, 1 Edr121 t/'C e EG 3 9, s Property Tax ID#:- l'7 07-3)) -0615-60V Lot No. Site Plan Name: Block No. Project Name: F1ron Fe-ince. C/11�5 5 0'hJ ue o A >� e — 1 &W u^Q sf - err �.Ulv�1'l �� 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:$ q0,3 Utilities: —Sewer _Septic Building Height: Name !tiG11 oc k Name: SGT e- 01'y h•c r Address:-9596 Ere Td rGA Company: City: ©r ?�^t"Q State:�L Address: Zip Code: 15) Fax: City: State: Phone No.-7-7,?-,216- 6 Z Sf Zip Code: Fax: E-Mail: C /)n f n e. L© _ Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License i 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. 1 of 2 4/2/2020,6:57 PM 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: v Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDAVIT: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 anti 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 STATE OF FLORIDA COUNTY OF 1sC�1�����C� COUNTY OF The forgping instr men t:was acknowledged before me The forgoing instrument was acknowledged before me this�day of 20 a0 by this_day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR e o II Known OR Produced Identification Type of Identification O;PN"I".; MARY f.WpCIK pe o ntification Produced a?. oduce ,? Nolary Public -Slate of Florida .c Commission.eFF 999148 My Comm.Expires J n 6,2020 1` (Sign tur of Notary Public-State of to d of Notary Public-State of Florida} Commission No.FF qR 1 0 (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW I REVIEW DATE RECEIVED DATE COMPLETED ev. 2 of 2 4/2/2020,6:57 PM