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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO,BE ACCEPTED Date: A I _2020 Permit Number: �2 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 Residential PERMIT TYPE: RO' S RO ENT L© ATIQN: ` Address: 7q 03 - Deer Par k Eve , Fnr+ Pe toe , FL 3� 951 Property Tax ID#:101 - (OOS - 0_1 19 - 00 0-1 Lot No. a_ .Site Plan Name: Block No. Project Name: DETA LEAD DE�SCRiPTION ©fi WMRK: CL II � T_ C�ONSTRUCTIVN tNFORMATIMN: 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: 2Bn 28nSq. Ft. of First Floor: Cost of Construction:$ 2 l V O Utilities: Sewer Septic Building Height: ©�A/NER/A0V55 R WRTI OR: Name M a r 'I a T r e l o Name: Address: 7903 Deer Park Ave Company: City: Ear + Pl e r c e State:_ Address: Zip Code: M 9 S Fax: City: State: Phone No. (112 ) S2; 9_1 –I'J Zip Code,.--- Fax: E-Mail: Trenrn Phone No Fill in fee simple Title Holder on next age(if different E-Mail from the Owner listed above) State or County License 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. SUPPL- ENTAL CONSTR+UCTION �N W IN '(JRMATI •N; 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: Not Applicable Name: 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 INSPECTU)N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR NOTICE OF COMMENCEMENT." Signature of Owner/LessWColtacir as Agent for Owner - ---- - - i"A TE O FLORID nature of Contractor/License Holder a �C ATE OF FLORIDA )LINTY OF The fo6rgaoing instrument was acknowledged before me - this,&day of a .2�by �forgoing instrument was acknowledged before me s day of 20_ by th�ngci a -Tae ""0 - Name of person maldng statement ne of person making statement. Personally.Known OR Produced Identification Type of Identific—ation sonally Known OR Produced Identification Produced r 1 , ie of Identification duced Am {Signature of. S0V!1�li4�d�+aioNn�i�1 ;nature of Notary Public-State of Florida) .,o. A3A o8 io'•., commission N emission No. (Seal) .���l�i,�dln�a fl"� V�91Z1lidZ.4' '�•s''lnd il8''�1�. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE COUNTER REVIEW REVIEW . REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. _40; .