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HomeMy WebLinkAboutBuilding Permit ApplicationGEN All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEw Date: 3 -1 o 'Zb Permit Number�L��-8 q T Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 PERMITTYPE: G6evG2F}T0(Z Address RECEIVED Building Permit Application MAR 18 2020 sT. Lucie County, Permitting Commercial Residential Y IMPROVEMENT LOCATION: SCE 5-/7-E i7LAA) -7zz.3 fn YST)C IA./A"/ PVAZr ST- t vcrC FL 3 y986 Property Tax ID #: Site Plan Name: Project Name: T/ M © TE 0 T!M0rc0 DETAILED DESCRIPTION OF WORK: .ZNv7A!lATJON OF R S7'HN/J-TSY Lot No. J Block No. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters ✓Electric _Plumbing _Sprinklers ✓Generator Total Sq. Ft of Construction: rvltq Cost of Construction: $ /I , 0 -1 q Sq. Ft. of First Floor: Utilities: ✓ Sewer _Septic Windows/Doors Roof Pitch Building Height: 109 OWNER/LESSEE: CONTRACTOR: Name SAn/G i 1 6Y^0 Tc O Name: GUY S. moyt `. Address:-17--L3 rhY S-rtC. WFrY Company: 6. S. M 00Rt. CsLECT21Cr LLC City: ?01Z JT 5 T • LV C I G State: rL Zip Code: 3 `} q S (9 Fax: r-41) Phone No. S6/ - Z(DZ - 0 qO y Address: Z IF Z. 96(4f3D2 TJ2. City: VG2D 0 EAC,9 . State: FL Zip Code: ng60 Fax: Phone No 77Z-360-Z215 E-Mail: Lggd9Q Or(goL,Com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail M/A State or County License C—Cf ' EC/3oo61zz 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. SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 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 V/N In 1!\Invn nn AUI AT MMILllV O!!nn! as Agent for Owner Signature of Contr for/License Holder STATE OF FLORIDA // STATE OF FLORID., COUNTY OF �1 COUNTY OF �T The for '' g instrume t was ac cnowledged before me The forgging instrume was a cnowledge/d� before me this ay of 20sWby this —dayof 20eG9by TR�v�T II, TirvlorGo GOY moottc, Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced 1724vgA_s 1-I6-64v3t, (Signature of Commission No. REVIEWS RECEIVED Personally Known '� OR Produced Identification Type of Identification Produced a (Signature of Notary Pulfc- State of Florida •'�o.+oe'•• WILLIAM SURGEON MY COMMIS GG 136489 ,` "' Commission No i••''0�. WILLIAM SUR GG ''^Eo;rvPe`• ( EXPIRES:Augus 28,2021 YCOMMISSION#Zb BondedThmNOWYPublic Undewltem "`• o' EXPIRES: August 2 o e ru o ry c SEA TURTLE FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW