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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ��t?G. Su3 RECEIVED • MAY 01 2019 Building Permit Application �T, 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 Residential PERMIT TYPE: R-S t(J - ` (At-. WIT i0o. PROPOSED IMPROVEMENT LOCATION: Address: 7. L'i ( kM d (- \ Property Tax ID #: 2,L4 2. ' t9 0 F © Z 2 © Qo Lot No. Site Plan Name: C I ` — NL DSk2� Block No. Project Name: CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: fechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ �'i,d dy - Ob Utilities: _Sewer _Septic /windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name NA Q L L Name: % Address: � �] A-^ o Company: d r D ,CS City: q kJ 1 z-R C - State: I-L Zip Code: 3 9 Fax: Phone No. 1-40-166 Address: )q f'7 lyC -e S T4 bglh City: ._sue_ VJ - State: Zip Code: I Fax: Phone No —3 W _ Q 10 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail a e3 11110 State or County Li ense C -00 y 33 7— 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. SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION: DESIGNff NIP ET: Name: t Wt� _ Not Applicable T �• MORTGAGE COMPANY: _ Not Applicable Name: Address: - Address: City: Ca0.. 11 C. Zip: 0 Phone-77 State: l— 0 —1 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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." STATE OF FLORIDA COUNTY OF The fo going instrument was acknowledged efore me this T day of 20 by Name of person making statement Known OR Produced Identification LI Type of Produce STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged efore in this day of � 20 by it I � P, ( , ), Name of person making statement. Personally Known OR Produced Identification Type m1.11;;a,,, KAREN S. NIELSEN � „ „ KAREN S. Commission NO. 2e°=State of Flo Public - ..moo �jY °Oa(. Commission No. F= State of Florid• - mmi ssiann G 207484 fflissiorl( sqc, My Commission Expires %„? d; My Commis ray°°c or REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE I N SEATURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW MANGROVE REVIEW