HomeMy WebLinkAboutBuilding Permit Applicationf
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All APPLICABLE INFO MUST BE COMPLETEb FOR APPLICATION TO BE ACCEPTED
Date: �' 7 6�tv Permit Nui
Building Permit
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
PERMIT TYPE:
o11�7l%e
Address: ?20cP S. 4i-A .Sllee7 Fvr?' f�iG�Gt
FEB 6 2020
Wonting Depal•tment
St. Lucie County, FL
Residential
Property Tax ID#: 21 L}- 60/- 00e,O, 06v/0 Lot No. 3Y_
Site Plan Name: •Z.liirCSa+vc Block No.
Project Name:
Additional work to be performed under this permit -check all that apply:
ci Mechanical _ Gas Tank _ Gas Piping _Shutters -Windows/Doors
b/ Electric Plumbing —Sprinklers _Generator _Roof
Total Sq. Ft of Construction: 13 S 0 Sq. Ft. of First Floor:
Cost of Construction: $ / S-O o Utilities: _ Sewer _ Septic Building Height:
Address: T26 S. '}t-A SEiee �,
City: 0ece r-/ rice- State:
Zip Code: 3V 982. Fax: 77,? 5/011- /3 7
Phone No. '"2) ye9-Y?7-e
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Pitch
Name:
Companv:_z ' (, A. /,. A..Y-�_ riI
Address: !SuG/ /,;,4 c./
City: —Fny?z PYiCG Stater
Zip Code: 3"/!Z la L Fax
Phone
State or County License ,TU /i! P ? 1 3 4
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.
OWNER/ CONTRACTOR AFFIDVIT: Applicationis 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 1 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
Signature f ner/ see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY
OF�_l
The forgoing instrum nt was acknowledged before me
this _�L_ day of ate,}, 20,':�V by
044
Name of person making state nt.
Personally Known OR Produced Identification
Type of Identification
Produced������_ �-
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The for oing instrum was acknowledged before me
this: dayof 20_.�jby
kEh t' -;z". Jaen l
Name of person making stateFneryt. -
Personally Known OR Produced Identification
Type of Identification
(Signature of Ndta
(Signature of
1/ _ prny�+
Commission No.
A DIREYB.H PHREY
COMMp"9GG$00817
e�vAUNDnREwYB.HUMPHREY
Commission N tf: ,N� `n' t6SI0N$ Q6617
IRES:
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EXPIRES. March 6; 2023 :.
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Marcie 6, 2023
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