HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE
EI/INFO/
MUUS2STaaBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:i'Z� Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: 4 %6N al
Address: Z 'tf) ;ft (( /�N t'i h
Property Tax ID #: L 9 "%01 "0t
Site Plan Name: , (Cz J r—/ Al i
Project Name: sc=z Mfg
Building Permit Applic tion APR 20 2020
Permitting fie �Irtment
St.
4Llcie unty, FL
Commercial � Lsiden-tlai_
HIM
IL DeW,
Additional workto be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 'Ri Utilities: _Sewer _Septic
s toNt 0 7
Block Ni
i
r.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
GONTRA Oil
Name
Name:
Address: (5S2 QCA5 Cti( (LC LE
C[ty(��/ ( ✓Z!� .,.. _. State:
Zi ClI $ Fax •. '
l i
Company: Di6^ . r,
GG I> '
Ad�r
City ' C1) ( (
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Zip Code �Q�� Fax:
State: ��-
nIII0vsi vv ,. n
Phone, No `�,i5..
E Mafl:
g15
e!
,Fdfir fee s4i%pfe rite°Hal er rt' ext pa (if dill-rentw
from the Owner listed above)
tE=Mail
State or County License C CrC
6�
o S 7l
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.
effdf l L—
UCTION 1—N LAW I
DESIGNER/ENGINEER: Not Applicable
Name:
ORMATION:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip:
Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:.
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip:
Phone:
Zip: Phone:
t5_111PAPPIis
EMi ENITIA"LGIEINSITIR,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, l 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH OUR R OR A ATTORNEY BEFO E RECORDING YOUR NO CE O COMMENCEMENT."'
ev.
Si ature of 0 r/ Lesse �Co a or a g nt for Owner
re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID q
COUNTY OF ST L U C 1 1F—
COUNTY OF Sr,L.rcGl 2-
The forgoing instrument was acknowledged before me
day by
The for oing instrument was acknowledged before me
day (� 2! 4y
this � of✓L� 20�
this of IQpT , 20
Name of person making statement.
Name of person making statement.
v'�'
I_Z
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
igna ure of No/�ry'Public- ate of Florida)
(Signature of Notary Public -State of Florida )
Commission No, G
W
,. ;'p• EVCRLY D. MARSMA
o fission No.�
L B -D. MARSHALL
Notary Puolic -State of F
oritla; Notary Public -State of Florida
-
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•��
mmissio
•e commission
N 057931
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DATE ,
RECEIVED
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DATE
COMPLETED