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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED Date: Permit Number: Vr Lum - _ a >J Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential _L.L0 2300 Virginia Avenue, Fort Pierce rL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATI — Address: S F `E ylir Ada Aye- . Property Tax ID #: 3,419 5a - - -- -- Lot No. Site Plan Name: Project Name:... DETAILED DESCRIPTION OF WORK: have ©cl + '3+6 n y See r . 7. New Electrical Meter _ Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: },Mechanical Electric Gas Tank — Plumbing Total Sq. Ft of Construction- Cost of Construction: $ M)-;L — Gas Piping — Sprinklers Block No. Shutters _ Windows/Doors Pond Generator Roof Pitch Sq. Ft. of First Floor: Utilities: .__. Sewer — Septic Building Height: OWNERAESSEE: CONTRACTOR: Name MQ =r-i rx t Ir,4 116 Czi Address: S tAve- • Name: -z Company: u a City: C' State: `FL Zip Code: _3t145;;L Fax: Phone No. ? 1 .�_ - 5 iq 90 4 Address: l,r; ,CoibnS AVe. _ City: 4ckmc State:-' Zip Code: 3 lIld Fax: Phone No 06� 1531 y 10 __. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MaiIALIOL11tNI rx` r it Co." State or County License •• �. •.�•..a.vwrw.w LJVV VI 11.w1a, a nZ%_wnur_u imuLke orLammencement is required. If value of HANC is $7,500 or more, a RECORDED Notice of Commencement is required. _ _ _ - __. _ , ..,-... - — _V a a� w a a , MPPI cation is nerevy made to obtain a permit to do the work and installation as indicated. 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 Nome 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 morns and accessory uses to another non-residential use WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must recorded in the public records of St. LucWen ty and posted on the jobsite before the first inspectio yo intend to obtain financing, consult witr r an attorneybefore commencingwork or recordi ur otce of Commencement. of Owner/ Lessee/Contactor as ent for �wner I Signature STATE OF FLORIDA f STATE OF FLORiDA COUNTY OF F-W I COUNTY OF Swo to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Phyysical Presence or Online Notarization this _6 day of -_Rl l �2020 by this ZO day of i1 2020 by e -ar'l z4ru 4,cqL r\c S Z Name of person making statement. Name of person making sta ement. ivn OR Produced Identification Personally cation Type of Ide Commisfsion No. STEVEN LEVY Notary Pubic - State of --' " MylComm. Expfres Sep 5, Bonded through National Notary REVIEWS I FRONT BONING COUNTER I REVIEW DATE RECEIVED DATE COMPLETED ev. SUPERVISOR I PLANS VEGETATION REVIEW RI EVIEW REVIEW OR Produced identification X_ BEN LEVY Public - State of "'MComm. Expires Sep 5, Bonded through National Notary SEA TURTLE I MANGROVE REVIEW REVIEW