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HomeMy WebLinkAboutBuilding Permit Application � z All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` 02)0 Permit Number: 01005- O;,(t 6 P 'CEWED COUNTY • 1 4 2020 Building Permit ApplicaLion'"' Planning and Development Services Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 v Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: i_ o© � -- ��•`� 6 6 r PROPOSED IMPROVEMENT LOCATION: Address: JO.© SC071-S? F-i 6T 1"e i� /!6- ?I 1 9F2- Property Tax ID#: 3902- 0 2- 5 000 - Lot No. g Site Plan Name: Block No. %2. 18 Project Name: DETAILED DESCRIPTION OF WORK: R e, -12 0'2E 0 6,-c e'4K I S f l^c 3T�� SL 41 A-c l-e 5 �v i 4- Ct 30"c.w CONSTRUCTI0N INFORMATION: 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 /Z Pitch Total Sq. Ft of Construction: )5-130 Sq. Ft.of First Floor: 00 � Cost of Construction:$ �150 ✓ Utilities: —Sewer _Septic Building Height: /5710-1 OWNER/LESSEE: CONTRACTOR: Name Otlfiam einfa4s07 aNn<, &5 Name: Address: �'j GO S C07T 57-,et-,67- Company: City: 404-r '0 1''2G E State:�L Address: Zip Code: �r Z Fax: City: State: Phone No. Zip Code: Fax: E-Mail: 4J7'/noj7Pirhw/1 f00 e 6,Wa/l Phone No Fill in fee simple Title Holder on next page(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. SUPPLEMENTAL CONSTRUCTI N 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: _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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sig re of Ow essee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sk. COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisl'6\ day of W%% .20 1-Oby this day of 120 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced P4 A-lrc4Y _73-16 �3D—l74- Produced (Signature of No Publ ....... (Signature of Notary Public-State of Florida) "kA'k DEANNA MARIE GtYEN3 Commission No. �G02. ;. ISSION#GG 022023 Commission No. Seal • :gc �5:December 16,2020 Bonded Thru Notary Public Undervalters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2 9