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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� �. z�_ 11� Permit Number: r ----- ___--_ Building PermitAPPlicatio MAR 16 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie unty, Pern 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: Address: Hss2 Property Tax ID #: 3 `NZ- eO © Gq7'- DDD- Lot No. 5, (o Site Plan Name: Block No. 70 Project Name: D&" Additional work to be performed under this permit -check all that apply: _Mechanical —Gas Tank'-- _Gas Piping _Shutters Electric _Plumbing •.-c'.,% _Sprinklers _ Generator' ` Total Sq. Ft of Construction: I ZOD Sq. Ft. of First Floor:_ Cost of Construction: $ Utilities: -Sewer _Septic Windows/Doors `. •Roof Y 'Pitch r Building Height: OWNER/LESSEE: CONTRACTOR: Name V t-ifA Name: mlyl), 0. Address: 3-4 vf Company:/ -Sr Vo'" -- w✓g-= - City: rW4- .�Igu • State. Zip Code: 3�t-rrlIci.(6 (, Fax: Phone No. 7 -- Address: 6v ) << City: r ILAV -L Statei�(- Zip Code: 7 4C4 2 Fax: Phone No 7 � E-Mail: in C@ (1 K.UuLc o— Fill in fee simple Title Hol er on next page (if different from the Owner listed above) E-Mail V1 . rA . VAh fA E C)i Lu- State or County License ) 2 (93b1 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. S PP -MENTAL CONSTRU DESIGNER/ENGINEER:k .. _ _ Name: O L Not Applicable IN M ION; MORTGAGE COMPANY: _ Not.Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: _Not Applicable 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 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 RESULT IN YOUR PAYING TWICE FOR IMPROY ENTS TO YOUR PROPERTY. A NOTICE nty�F COMMENCEME MUST BE RECORDED AND POSTE ON THE JO rrE BEFORE THE FIRST INSPECTION. IF, O,U.INTENND/%/.��0 AIN FINANCING, CONSULT WITH' UR LENDER RAN ATTORNEY BEFORE RECORDING YZ NOTICEIOZO NCEMENT." 16 full S' [u a of Owner/ Lessee/Contractor as Agent for Owner S n ture of Contractor/License Holder STATE OF FLORIDA 1 STATE OF FLORIDA . - COUNTY OF ��• L1J�j(F, COUNTYOF . Q tE_ The forgoing instrument w s acknowledged before me The forgoing instr ent as acknowledged before me thisUdayoffiR�20r& by this LV_day c 20M by 'IQ61AS 01tic cAN4 i..,liCLi4AA KLa6LJ Name of person making statement. Name of person making statement. / �OR Personally Known OR Produced Identification Personally Known Produced Identification ✓ Type of Identi tion Type of Identificn Produced L L Produced L (Signatt e$IMq)aryPlQjeflgagOSPHOrSFafU — ;sa°"�•`� '-State of Florida -Notary Public (Signal r �,�M`;'6r'•,,, KAREN S. NIELSEN Commissi o ��` State of Florida-Notagp;?ltblic __44 Commis •= Commission # GG 207r&R9�I1 = ''22 n # GG 07 84 %oo„a My Commission Expires 55''ae� 1 ;,�2op ,>�,. si 2022 "n n"` June 12, REVIEWS SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE FRONT ZONING COUNTER/_I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 2/ // 19