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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE c Date: I' aye_ APLETED FOR APPLICATION TO BE ACCEr i dD Permit Number: Building Permit Applica ion 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 I - RECEIVED•.; JAN 2 4 2020 ST. Lucie County, Permitting Residential Property Tax ID#: 3L& ' 42" ad-5/3 —""4 LotNo.2 4 1- Site Plan Name: Block No. -- Project Name: 7,0,01zleoe Z Setbacks Front 30 Back: � 5 Right Side: 2, 0 Left Side: SS _Mechanical _ Gas Tank , _ Gas Piping ,eElectric •: :Plumbing _Sprinklers Total Sq. Ft of Construction: 3 9 2. _Shutters _Windows/Doors Generator Roof Sq. Ft. of First Floor: _ Cost of Construction: $ 2Y, , f-/75-, Utilities: _Sewer _Septic Building.Height: ice.--'-�;r ..f.^— _ qIS(1 ICIY�' �525+T�} ,rSS f.SST lyif l4J°ril lI r'ri�'�T F 11 1 , 1-..1 . Al S1TT .::::iiN.L'��.uu "Li.. if f ✓� - — �i. . �i �i ® ©..1i..., 4.Y.. i�'t,?I.441 ' Y r -v dFiSl i(f f r _�.�.,-.-"-�z 1 F II IL 1 fT� lir+� Y a�31 ':i Lt'=,..u.;mx ras .S �f`.., Ivh ��i,5 rip • ••- V Phone No­� •• HolderAV Fill in fee simple Title from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNE /ENGINEER' _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: / A dAC,el _ Name: Address:/, / lUY Address - City: Qjoliexze. Slate: f�/ City: State: Zip: JTVy 2— Phone�o / TCL Zip: Phone: I FEE SIMPLE TITLEHOLDER: _ 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 is in Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such which conflict with aVy applicable structure. Please corisult viith your Hbme 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':,rdom 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 r'esulf in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work recording your Notice of Commencement./�/�/% /\oarr 101 Signature of Owner/ Agent/ Lessee/Cobntraetdr Signature of Contrac or/License Holder STATE OF FLORIJJ��AA // -- �• STATE OF FLORID / - `• COUNTY OF JTGLI�i COUNTY OF'�"LC� The for oing instru ent was acknowledged before me The fo�going instrument was acknowledged before me thisirdayof,TA-,- 202oby this f5 day of %.l#4ti 2020by �,,*Ml�dJ ., .Qy✓ �Di�iGt�f z. /L/2 /� r�i2T �� Y c/ �/ �✓ (Name of p rs n acknowledging) (Name of p on ackn xitittedging ) ture of Notary Pu ic- ate of Florida) ture of Note ;Pu 'c- Stat of Florida ) Personally Known Y_ OR Produced Identification Personally Known • � ,.OR Produced Identification Type of Identification Type of Identification Produced AyFue,. SHERRIFEHLMAN - Commission # GG 187160 Produced �rR .°Le SHERRI FEHLMAN .moo.;. .�6� Commission.No. '�Sea*plresMarch14,2022 N'�ro .- ` Commission No.' �gpigl�ion#GG187160 4oa° a OWTan SLINMNotary S&T;= Expires March 14,2022 OFFo`rQ swoop"&.dgd Wary$w s S REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE -- 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW ` .-REVIEW F