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HomeMy WebLinkAboutPermit Package All APPLIC/A'BLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: w 1 e6 Permit Number-a� �.J �`1�o dUUC�GL RECEIVED o - - Building Permit Applicatio i . JUN 10 2020 Planning and Development Services ST. Lucie County, PgYmitting Building and Code Regulation Division Commercial Resl entla 2300 Virginia Avenue,Fort Pierce FL 3498.2 Phone:(772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: p . O Address:Property Tax ID#: 5 — ) on©G,' 1 coo Lot No. Site Plan Name: Block No. Project Name: BETA 00MVIRM • F M=D New Electrical Meter Second Electrical Meter GflN�TRUCTIO I 't•RMATI© Additional work to be performed .under this permit.—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing. _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ � _" Utilities: —Sewer _Septic, Building Height: •WN R LESSEE; CONTRAC OR• Name " ! Name: ���yh u.c...: Address: Q A IO K� CifyJ~. '�r5� G� ,. state:�l Addressc:3�.g� Sf� Zip.-Code':�J 5 Fax: ;City: . 7S P1�-1r1 State: �I Phone.. 'Zip.Code 7 �� 7a �—g E=1VIaiL : : ;. . Phone No Fill in fee simple Title Holder on next page(if different E-Mail a p S from the Owner listed above) State or County License if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. F PLEMENT L CONST ' N LI N LA INGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _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 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. Inconsideration 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 paying twice for. improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and poste on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an_attd—rhey before com.mencing work or recording ou r-NoKce of Commencement. Signature of Ow' see/Contractor i as Agent for Owner Signat e o n for/License Holder STATE ' FLORIDA / STATE OF FLORIDA COU OF �L` /E COUNTY OF C C Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 2020 by this day of 2020-by Name of erson making statement. Name of pers n making statement. Personally Known OR Produ ed Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 4� (Signature of Notary ublic�$ta a of Florida) (Signature of No ary Pu lic-State of Florida) Commission No. I KAR-R@ . NIELSEN Commission No. State of Florida-Notary Public KAREN S. NIELSEN += mmission,# GG 207484 3r° ;State of Florida-Notary Fiorida-Notary Public Commi Sion Expi Uornmission # GG 207484 oFf REVIEWS FIRN """`" une PLANS VEGETATI °'% ;, A TITntQ i i > ' vt CO EVIEW REVIEW REVIEW n 1 DATE RECEIVED DATE COMPLETED Rev. 5/6/20 � 28' 40" centers or less 5 0 Aqua Ra Dr Jensen; Fl. 34957 24„ 8' In F c o z C)C �r 7 3 c 9' or less RE l"EIVED ,+ JUN 10 2020 ST. Lucie County, Permitting 45, „{Via, - 3 iFl t T"P s 4+tr3v "-k. _.��.�.s..,.�.''+=;}::may-�r r � x rUT ALL LACE It�VE FABRtd s �g�yyppl� A��[�pE;..;, WAR At I RECEIVED J U N 10 2020 ST. Lucie County,,Permitting *s k>� �„ _ ' r r. � �,,,.`:. .�4 d l f�*�{.:i£A �',• � � • s zs�,n £ � rd 1'!.,;� a as �e },� <+ . szz �'r a K,, 'k Ez,',,d t'� � �. _ a 4',€_ 'j�? � pie r 5 C9a. r �.,.�-: +ar';"�, a f�ti'.,•� i^ a d. >v , , ... 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(Check `a"or"b") ❑ (a) The articles described at the bottom of this Certificate have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of Florida and the Rules and Regulations of the State Fire Marshal. Name of chemical used Chem.Reg.No. Method of application (b) The articles described at the bottom hereof are made from a flame-resistant fabric or material registered and approved by Title 19,NFPA 701 TM 2,MVSS 302 Trade name of flame-resistant fabric or material used Web.lon Reg.No. F-8257247 The Flame Retardant Process Used Will Not LMummert, oved By Washing (will or will not) Donald E. Kauffmann By Stephani Q.C. Manager Name of Production Superintendent We herebycertify this to be a true c " " fy a copy of the original CERTIFICATE OF FLAME RESISTANCE issued to us,"original copy" of which has been meet Title 19, NFPA 701 TM2, MVSS302 TRI VANTAGE, LLC BY as . Control/lot# Quantity 50 yards Customer order# Mike Description Weblon CP 2796 Terracotta Tri Vantage, LLC Invoice# 70409635 Product Code 857247 - RECEIVED C&C Canvas&Awning Co. . 3181 S.E.Slater Street J U N 1 0 Z020 i Stuart, FL. 34997-5713 F___ o. Lucie Cunty, it 'l,