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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO fMMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ✓✓JJ pp�� Date: \ • \'Y• 7�) RECEIVED Permit Number: LUO © 2,24 JAN 14 2020 ST. Lucie County, Permitting 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 PERMIT TYPE: l�r`tE S�E1� Site Plan Name: Project Name: RECEIVED Applicatio 1 JAN 14 ST. Lucie County, Permitting Residential Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters' _ Windows/Doors _Electric Plumbing _Sprinkler _Generator _Roof i 'Pitch •Total-Sq. Ft.of Construction &I Sq. Ft. of First Floor: 'Cost.of Construction:.$3 rbM f� Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name �ilc�Or.J (2� Name: 'Address 'ia Company: City: P1'`fkCkE State: Zip Code:!&l%'a Fax: Phone No. g(a ` C1 g 13 Address: " City: State:_ Zip Code: Fax: Phone No ELMail:Or—eCk%fec 29 k Q Aillin fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 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. OHM. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made obtain a permit to do the work and installation as indicated. 'to 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, bylawsorand covenants that {nay restrict,or prohibit such structure. Please consult with your Home Owners Association and review your deed for anylrestrictions 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 ATT EY BEFORE RECORDING YOUR'NOTICE OF..COMMENCEMENT.'- ev. LEME T+AL CONSTRUCTIO L EN LAW INFO DESIGNER/ENGINEER: '• "' _ Not A licable PP Name: TON: " 'MORTGAGE COMPANY:: Name: Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phoney State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: _Not Applicable " Address: Address: City: City: Zip: Phone:' Zip: Phone: Sigpatature�' wne[(�Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this f � day of � 200 by this _day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification � Personally Known OR Produced Identification Type of Identi tion Type of Identification -- Produce Produced� Produced (Signatur - (Signature of Notary Public State of Florida ) KAREN S. NIELSEN , , Commi55i , R �.s Slate of Florida-Nota($'e���lic Co mission No. (Seal) r Commission & GG 207484 < . oPc N1Y Commission Expires REVIE SUPERVISOR PLANS ...VEGETATION.: SEATURTL'E. MANGROVE O N COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED Ci DATE COMPLETED