HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLr,. J FOR APPLICATION TO BE ACCEPTED `'1/�/�
Date: a2- % %• -2f . Permit Numbe `y�ry-o % q _
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Building Permit Applic tion FEB 19 2020
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: io�.a)��,,-7;%✓�( te�nC�
I PROPOSED IMPROVEMENT LOCATION: v I
Address:
Property Tax ID#:_I32-(�8O(v-OOd4-OO,0' q Lot No. LA
Site Plan Name: Block No.
Project Name: Vz5ftucc- (-iz mp- S mg& SJJuv,,_(s
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit- check all that apply:
Mechanical �C Gas Tank 12� Gas Piping Shutters Windows/Doors
Electric Plumbing _Sprinklers Generator Roof 5/� Z -Pitch
Total Sq. Ft of Construction: .ram 5 j Sq. Ft. of First Floor: 5S9 -3
Cost of Construction: $ 1?3 If 335. Utilities: _ Sewer X Septic Building Height: 20. Ft
OWNER/LESSEE:
CONTRACTOR:
Nam e
F1nJI Gx_
Name:
Address: Z-2(a'% NU ParOZxJ A -51
Company:
ER O LO
SBA
City: 1��i .�� Lc-tc( c State:t�L
Zip Code: F
Phone No. 1722-V lo
Address
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City:
Zip Code:
Phone No
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'33452)
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State:_L
c�Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 1 t ry l M a_L.<A L
OP 9 maI (. Lo M
State or County License G
G C o S 8 06(f,
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.
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 representfdtion 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
W u vnl In l cunCO no AM Ar noMOV RFFnup oornwniiur. YnUR NOTICE OF COMMENCEMENT."
ign tur wner/ Lessee/Contractor as Agent for Owner
Signet e o tractor/License Holder
STATE OF FLORIgq
STATE OF FLO DA
COUNTY OF Y.ALevt- �A,=a
COUNTY OF Ai.a-c 1 �4
The forgo! ng. instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this &Q day of F i� .20gQ by
this Q5,Q day of Ferri 2Qg_Q by
JoS._v;--c
G�P7W -
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ame of Njc+person making statement.
Name of person making statement.
Personally Known AC" OR Produc fi tion
Personally Known _%�_ OR Produced Identi ation
Type of Identification i
Type of Identification
Produced _
Produced
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REVIEWS
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REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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