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HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date 4" J • Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fon Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Permit Number Building Permit Application Commercial Residential / _ . PROPOSED IMPROVEMENT LOCATION: -- - I Address: �y f' f 3 4952- PropertyTaxiD11: 4I"I-51© DIQ3-DOU`3 Lot No Site Plan Name: t+ L. Block No. 1^ Project Name: 9 DETAILED DESCRIPTION OF WORK: CDn Lr^r-%C ( E71 e%4 "nAl 1 a CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical T Gas Tank _ Gas Piping _ Electric _ Plumbing _ Sprinklers Total 5q. Ft of Construction: 4nL,0 Cost of Construction: S OWNER/LESSEE: Shutters Windows/Doors 1 _ Generator f Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: AddressAa l t Ls)l lIGIk7I& IAVf_ City: k s +, wo-le- Stater -L Zip Code; 34957 Fax: Phone No.1`1 2-353-099 -1 E -Mail: Fill In fee simple Title Holder on next page ( If different from the Owner listed above) CONTRACTOR: Name: C11' y ie 5 k. F144ra.ttrA Company:,3ty_ I Timm Co(,artact,c ri AddressAaE i ;Lk�l�� l S L M__ _ City:AApilitY State: FL Tpcode:3314-1-1 Fax: PhoneNo_3Q•_6yo i ng E -Mail State or County License 0 -0 -Cl -3 3 2 34f 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. r PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:E5IGNER/ENGINEER' Nol ANplu,able MORTGAGE COMPANY: ` Not Appli(abfe fName:— - - Name: — -_ Address_ Address: Lily state: _ City: State: l tial Phone 21p; , Phone: FEE SIMPLE TITLE HOLDER: _i Not Applicable BONDING COMPANY: —Not Applicable Name- Name Address Address' -- -- lity. City: _ Zip- Phone: Yip: Phone: OWNER/ CONTRACTOR AFFIDVIT• Application is hereby made to obtain a permit to do the work and mstailation as indicated I certify that no work or installation has commenced prior to the issuance of a permit St Lupe County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which ism cunni" with an applicable Home Owners ASSOC odors ruies, bylaws Orand tovenanrs 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 SL Lucie County Arnendmenu The following budding 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 ORANATTORNEY BEFORE RECORDING YO UR NOOTIICE OF CCOMMENCEMENT." •, Signature of Owner/ Lessee/Contractor as Agent for L7wwner Signature of Contractor/License Holder STATE OFFLORIDA�Im Qenn STATE OF FLORIDA I C(ICh COUNTY OF _ ULAI .�- COUNTY OF Thefor p�ing instrument was acknowledged before me The for omg instrument was acknowledged before me th s day of v s i , 202-0 try thiss day of 2020try (`hnrl�s k. �t�rnc,1 Chayles Ic. }71 c&r1 Name of person making statement Name of person making statement. lOR Produced identification Terson( Idelly Known ntification OR Produced identification Personally itnawn ✓ Type of Identification Produced 1:1311 asi 1LA00 uHill �Iommis��Ionlbllc • S ala OI . f/ mGG Bonded Commission My "Mm ES, flondidlhfough REVIEWS 9 COUNTER T I REVIEW SUPERVISOR REVIEW REVIEW VEGETATION ISE EVIEW E MREVIEWVE------------- TE LA00 Florida 51463 30.2020 aanr ASID jeagleview- hbWAO@ Fr M P. CIA - SaH LuSw COuM Prop" AVWN wl -'M'" "n nwM'b ap",a.wnrw,,* L r>�w wi weY, wL Lu �. tdw ■a♦ h V ri moo Mm t. -.S ee — iL�w4 a1n,� Lrie L av,e w, i�w aw w�L.�w M LLwI M, Lr Ria l Va L R.i U 61"f "mw V am Fo Lulu" CMIM[ 1<IIaNrI IrL ayLLy • w. FLM Je a�� May TR.eLT tre*eery taw ra I w tlaew�e tgiil, SMn�r M swLYPel,tf. L. PwL,rLw Lw.,rls �.'.r..aLr..re TLLe,V�.,� L'6LaYrwl.VLw,U t,—.Ww l IPI V M Iwk o.rr 1879 I„rr, W Lr+Irdrs,.ac , wrw+r uwa Lw f)pr aw>. l7L.rw M�Lwen�y1 low Awew F-0"tY %. aul IAW Uwe%L.LIW.M,yV'Y IM L.W I-- • M M wWaLLw, w la♦.N � a aLww. � � et ILL w LLiL�e �LI,e,Y L,f • /+aa+i L.`L nq Lwrl S Y}tLya bltfr LYs (y�.I„�I Mneme N � wYwti