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HomeMy WebLinkAboutMorris permit appl._20200507160755All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: COUNTY Building Permit Application Planning and D�_-velopment Services Building and Cc de Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYDE: PROPOSED -MPROVEMENT LOCATION: Address:_ 560-7 EA&LIE 09-, IPOP�C P%E(-U: , FL 3a,Ct5i Property Tax I D #: 13 i SSD © � Doo -!q Lot No. Site Plan Name Block No. Project Name: e% A4 909_�Zt S �ETAILED D=SCRIPTION OF WORK: 9Z#A0�,a S t 200(: P—GPLAOn AE'�-mL k �� S ���Q`� -S /EA",. CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric Total Sq. Ft of CDnstruction: Plumbing _ Sprinklers 365 Generator Sq. Ft. of First Floor: Windows/Doors Roof 6 Pitch Cost of Construction: $ '23,7 C)o • "", Utilities: —Sewer —Septic Building Height: ) W OWNERAESSEE: Name 'k3a%AtJ MQP_ _%S Address: 560'7 EA&LF_ 09- city: 9City: Fbex Pcc-p_C-5- State: FL Zip Code: 4E,i Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Company: ACA C +09 1hiC.• Address: ISS i AYE (AaNKik_ VVJ City: s'ToA2T Stater Zip Code: 344q u Fax: T72 1-32--geV Phone No 77'2- 232-- Li411 E -Mail ACSCE ,V IADTr(AiL+( Q State or County License CCC OS725!5 If value of constriction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC 6 $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: _XNot Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Ph-Dne: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit tc 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 Hakes no representation that is granting a permit will authorize the perm t holder to build the subject structure which is in conflif~ with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please .onsult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration cf the granting of this requested permit, I do hereby agree that I will, in al respects, perform the work in accordance wit -i the approved plans, the Florida Building Codes and St. Lucie County Arrendments. The following building permit applications are exempt from undergoing a full concurrency -eview: room additions, accessory structu -es, 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 O a3WN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO 10EJQF COMI IENCEMENT." Signature of Ovmferl Lessee/Contractor as Agent for Owner Signature Contracto-/ ns Holder STATE OF FLORIDA STATE OF FLORI� COUNTY OF MAO-riv.i COUNTY OF 11 The forgoing inscrument was acknowledged before me The forgoing instrument was acknowledged before me thisIl day of tA y 20 td by this __7 day of AM—IL- 20_Z by %a Aa MOVAtS Name of person making statement. Name of person makin,; statement. Personally Kno\nn OR Produced Identification Personally Known_ OR Produced Identification Type of Identification Type of Identification Produced Produced i (Signature of Notary Public- State of Florida (Signature of Notar MA Notary Public State �.la'" COmmISSlon .rM Neta Public State Richard P Bgto�PY27 r� Commission No. �j_'GRi Commissi nyCommission chard P Brockway GG 221619 Expires 05123/202 n.. ov1le REVIEWS G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE j RECEIVED ! _ DATE COMPLETED — Rev.