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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUSTSECOMPLETED'FOR APPLICATION Td BE ACCEPTED Date: 54ati .a Permit`Number: �'a a 5-_C)ss, �. I•r.or \IE® aulilding Permit .pplwaJo < MAY 2 7 2020 Planning and-DevelopmeritServices Budding andCode ReguloVon'Division ST. Lucie County, Permitting j -2300 Virgmra Avenue,Fort Pierce FL 34982 " Phone; (772)462-1553 Fax:(772)462-1578 Commercial Residential .. PERMIT TYPE PRUPSED:1N(PR,t �JEM:EN 'LtC�TlN 4r 7''d d}'�, •� �... ,, $'or•5.,.�:da e €�xu. arc g _rp3 -r,ia.. ,c `� ...r�.• Address: � �`>- GLC h (CL it e G G :PropertyTax;ID#. -b�, 000 -7— 00 Z Lot No. Site Plar Name: B o I ck',No. Project Nam77777 e: y�} �x6j.,i RK­-'i,,-­p � - ti IJL i Mi . i��f�I i11 V 9M R t t :vim ^ 1 d "n,i '�,k�'nf'' ' '"ya{',g d Vy"E ?s«,5`c�v 'gym m t p .} �WIN !. .r ,i r µre° +b`t+.�' a .tt' � i � gra.,,,� .. :4 fi a }.�•, w ,, Vw 4 o ,`'',.,�. _.. � ,H`�1dr�h. .f ,.�a.r _ .�.e. m Id�ar { c©� Turlc�y c� t � r3 1 !. a Additional work to be performed under this permit check all.`that apply: IUlechanical Gas`Tank Gas Piping, -'Shutters -- Windows/Doors Electric. Plumbing _Spnnklers Generator Roof Pitch Total SgsFt of;Construction'.. ''S Ft,of First Floor Cost of Construction $; Utilities ,_5ewer Septic Building Height: - — �.. h, x a � s ,� �5� s � w i'�, ,� ar+ I�VVIVEl3�LWS� y? r as ^ �I�y r € tc �'r tt v j L— z G r ��a �'`�rC, r. Name ` VI c� C]'1 o i' .. Name �,. Address. CcC�t Cci C ,l'..0/ =h Company: . . l� C�ty. e!'Ce State / ress d�Cr�d.� ] y Zip Code: Fax:' City State. Phone'No. 7`7 Z1 - c!i5g Zip;Code77.5 E Mail: =Phone No" �! _ 11111 in fee simple 1tle Milder on next-page(If.different E-Mail from the Owrer listed above) State or Cqunty icense �f if value of;construct!on k$2500.or more,a"RECORDED Notice of"Commencereient is required: If'value'of HVACU$7,500 or more,-a',RECORDED Ndtice'of,Commencementls:required:, 71 - 5� PP.IM�NT jlONSTRUON ) 1 LA�IVt ;t0 , T • ri v� 4� ��� 'E�;���',z �` ,.s,�,. � i..��..��ie,2�;a.<s�� _- s�'y, �C�'`��''.' .•,+3,:�5p.`s-:u"".".«.:r' 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:' Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA t I STATE OF FLORIDA COUNTY OF S+ G I COUNTY OF S ��G (�_ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this LM of 20_ by this�day of ,[_J 2Q1®by U� w i _S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known/'vOR Produced Identification Type of Identification Type of Identification Produced Produced (Signature o imov (Signature blic- ��YP�'s LUANN O'CONNOR �_: Notary Public-State of Florida ' Commission �= Commission M GG 27 Sdal of Notary Public-State 45FMI)da Commission o?a o Q ) '•.!� ommission a GG 270518 yComm.Expires Oct 23,2022 ,.• My Comm.Expires Oct 23,2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19