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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COM:I'ca'' ED FOR APPLICATION TO BE ACCEPTED•` Date: ) S, ML44,) a a a o Permit Number: d00 S—©YQ.- -��- Building Permit Applicatio MAY 2 0 ?p Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _X_ PERMITTYPE: R PROPOSED IMPROVEMENT LOCATION: Address: f `FI`I N w i),jTrom Rnsucje,Fnr .rn e>IT'y� 3e4170 PropertyTax ID #: ice/ ���/aC�—b'35—� 1I—coo' i Lot No., l ) Site Plan Name: 14 AYe- zoo . PlBOG,E Block No. 8 Project Name: 1 �4 G� O ELLFNOAti L DETAILED DESCRIPTION OF, WORK: r�, CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters k Windows/Doors V- Electric `X Plumbing I —Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Constructio • 0 Cost of Construction: $ O oi� d0 c0. Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:,, CONTRACTOR: ' Name 505ti3Ne ,�.CANzLOTrC 0ELLEN0AV1- A'ddtdgs„' Y-4 15 Ojyir :RL'rAnr Rl^SIJ �t" " "Co'mpan'y:^ ,4GA,1, J�C%aT S GGC = City.: -• aLrvr= C iTV State: FC iw_... Zip Code: 3'19�i© Fax: �— �_ Phone No. '7-?d- 9/y 76,V Addressx1_�1 �ilJC�E •l:JoyO Gl2, _ ecs.ra 12 •Cifyi'7i7fOlTF�cra�-�_. r:; State: YC- Zip Code: 331/6 % Fax: Phone No S 6/— �'�s�- 3C�a E-Mail: k.A. JC-LL"()A(4LC>a6MAIL.Com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 41VDf-f @ Aj5m AwAAssoc. iATgs. CoAi State or County License c �e rsa Soak 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 LIEN LAW INFORMATION: L Name: SufylNl.ii lvc Address:�'4aSS SE PoeT 5 ,Luc/e i3h60, City: h`oe.T , wState: FG Zip: Lit Phon —a85—n od FEE SIMPLE TITLE HOLDER: V Not Applicable Address: City: Zip: Phone: MORTGAGE COMPANY: Applicable Name: Address: City: State: . Zip: Phone: BONDING COMPANY: V—Not Applicable Address: 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 Ll ��G STATE OF FLORIDA2 i,, COUNTY OF COUNTY OF YY ij The forgoing instrument was acknowledged before me this � dda�y M� of 202P by The forgoing instrument/yyas acknowledged before me thisA� day of _Aeyrk/ 2010 by , /7AIZd' Name of person making statement. Name of person making statement. Personally Known 1"_� OR Produced Identification Personally Known OR Produced Identification ✓ Type of Identification Type of Identification VL Produced Produced MZNd—OUS-6/— 1214-0 )Vl l4 , ti✓ SEBASTIAN LOAIZA (Signature of Notary Public- = qq a a38 State a) Explres June IQ,2022 ofnmission My Commission Expir C 36 •.,,,� �?ovn.^x' gonad n.ueuptwteryBxNeN �,,,.•• Commission No. (Sea�ecember 03, 2023 mission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rcev. y r/ i7