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HomeMy WebLinkAboutWalker Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 PERMITTYPE: ) . PROPOSED IMPROVEMENT L ATION: Address: fi l_. �-1ru5 1��1L4�/c Yd,� Pteac>v Property Tax ID #: ! ��" i l (� d Lot No.� Site Plan Name: Block No. i 5 Project Name: LDETAILEDDESCRIPTION OF WORK: �^ _ -kdo -C- 17ta4- V_Do 'i C'f )(aS���� 1(ok t- JZC)0 1: v,5 4c, pet ea 9 5© 705 k(( Sti� lRe.9 1eY- sA _ P CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping w Shutters _ Windows/Doors — Electric _ Plumbing _ Sprinklers _ Generator V Roof Pitch Total Sq. Ft of Construction: It -A Sq. Ft. of First Floor: Cost of Construction: $ 5 C © Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 4;4,eI -i N1 V\) e, 1C f Name: -PCC ar- Address: 6 i G 'l C 14 ruS paf1L V Company:. 11-0 C_OV\5+f _ac Vic)yt -Tv\C City: Vo -f4- C crGr State:r—L ,N\kS,4 Address: 3"a tow worth AVG City: SJr'tr� Stater Zip Code: 313') _ Fax: Phone No. `J7 ` '-173-- 7'i 3 $ Zip Code: 3-6_15( Fax: E -Mail: Phone No �' `� ` Ica 4 AJ � J!S Fill in fee simple Title Holder on next page ( if different E -Mail mocC�r,5+Teac'F, o,'\ acv\ State or County License C—Ci w 3 a 56'15 from the Owner listed above) 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. -- _ __., ---- ..., ....,.s ,-., K -- 1 , nppiudurin is nereoy 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 Wr th your Nome 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 JOE SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, COhiSUL,T I �1 ffH YOUR LENDER OR 11 N ATTORNEY 13EFORE RECORDING YOUR NOTICE OF CPMMED�CEiVIEi11T." _........., µ..._. Signature of owner/ Lessee/Contractor as Agent for Owner Signature of Contra tor License Holder STATE OF FLORIDA STATE OF FLORIA COUNTY OF `.r �' � �� t` , �� COUNTY OF e5r L -,j The forgoing instrument was acknowledgpd before me this . clay of DATE DATE COMPLETED The forgoing instrument was acknowledged before me this _�_ clay ofi 20 by 15C ,r Name of person making statement. Personally Known _ OR Produced Identifi 14, � Type of identification 0 Produced ; f Ly (Signature of Nataryc- State of Florida } CornM't55ion No.gui( LZ,,,- {Se PLANS VEGETATION I SI ATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW Dame of person making statement. Personally Known _ I- OR Produced identi Type of Identification cz Produced�a lov (sign ure of Notary Public- State of F !da ) Commission No.�� (Seal) REVIEWS FRONT ZONING SUPERVISaR COUNTER REVIEW REVIEW DATE DATE COMPLETED The forgoing instrument was acknowledged before me this _�_ clay ofi 20 by 15C ,r Name of person making statement. Personally Known _ OR Produced Identifi 14, � Type of identification 0 Produced ; f Ly (Signature of Nataryc- State of Florida } CornM't55ion No.gui( LZ,,,- {Se PLANS VEGETATION I SI ATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW