HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COV_ -�TED FOR APPLICATION'TO BE ACCEPTED I(;�
Date: 1?-10 l 9 PermitNumber: l-laypu
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RECEIVED
00 Building Permit Application Xf es 2019
Planning and Development Services aermitting oepartment
Building and Code Regulation Division st. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxu
PERMIT TYPE: vC.i~ dyy,.n,lcl reQs-hG�IL_
Address: g549 SC—ASPRAi D2ive. Fa
Property Tax ID#:
111-1/0
- 5O-2--
0015-000- 7 Lot No. 73
Site Plan Name:
PA'-rn
/.3 e E6 Z 6
G'/y b Block No.
Project Name:
M b z A.i , nJ G S cC.e__
214-n sE. / / A
3 cL ra n r1 a_ 11 .
Additional work to be performed under this permit— check all that apply:
*' Mechanical _ Gas Tank _ Gas Piping ✓ Shutters Windows/Doors
Electric ✓Plumbing _Sprinklers _Generator ✓ Roof 6//Z Pitch
Total Sq. Ft of Construction: 2,990 Sq. Ft. of First Floor: /4� 74
Cost of Construction: $ � 1 ()[") . Utilities: ✓Sewer _ eptic Building Height: /3 /
_01NNER/(
IESSEE a
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Name Re"c_r Wnt nos hoeni aei
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Name:
�{/�2y�
1�ArliC
Address:Jf
�mpany�: r,<s—
�;jJcqerrs LL.,C�
City: -W�.C_4 A k State: Ft-
Zip Code: �-54 3 % Fax:- '/
Phone No. 17,') . I�el d - '7ff d/)
Address:Z72.9 S
AS-f Q6 n ` IVA, ;u � to
City: -414 h L-
Zip Code:- 4
Phone N/oJ_`/707 -4e)r.
State:�L
Fax: 77.a-- /.9 _q .9/s
7S,4-D
E-Mail: 1qrro,-16A(LoW& 0- �rp�i r.5,�rm1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail K!-in !D A 26zJ£ (2 /J ti �, hjAp1 a S
State or County License 213 C.
!! VUIUC V! WIMFULLIMI !S yGOVV Or more, a newnueu Nance or Lammencemenr is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required,
DESIGNER ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 perm@ will authorize the ermlt hold%{ to build the subject structure
which is in conflict with an yi applicable Home Owners Association rules, bylaws or anScovenants that may restrict or prohibit such
structure. Please consult w th 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
—WIN YOUR LENDER OR AN ATTORNEY BEFORE RECORDiNG.YOUR NOTICE OF COMMENCEMENT--"
Signature of O ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OFF RIDA
STATE OF FLORIDA
COUNTY S T l_y Ca k—
COUNTY OF 51w o'e,
The forggoing instrument was acknowledged before me
this R4 day of 201 R by
The forgoing instrum nt was acknowledgGdp%fore me
this �-'/ day of -- (7 by
L,Soi rn. FI-fok-
GIea,, A� AkAs 1
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known L-�' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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' Commission p 0610486a
� Oal RHONOASROWE
Signature of Notary Pub l( �f Fllo��41NLe�aca ��ry s
ISignat �ry Public- $t Flor�i8 N�" B FO �s
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11 o Expires May 19, 2021
Commission No. (Seal)
Commission No. "FOFF 9orA751fudgotNotary SorWAs
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MANGROVE
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