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HomeMy WebLinkAboutMECH APP 7576 PINE LAKESAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1.553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential PERMITTYPE: XII/La&k01-1(,0Q aact chana-E otct PROPOSED IMPROVEMENT LOCATION: 1J U Address: -7,-76 Property Tax ID 3 )-a 5�9(0 bDD-1 D DC) Cp Lot No. Site Plan Name: ( / ct ��t 4 Block No. Project Larne: %� S Prrs c i`v p- i DETAILED DESCRIPTION OF WORK: I 1C��fi G cam- -1-Dn Pl Un . C-IoDd ryLa n I LI S-ee(- �5 /� bi CONSTRUCTION INFORMATION: I Additional workto be performed under this permit—check all that apply: Mechanical — Gas Tank T Gas Piping r Shutters — Electric Plumbing Sprinklers F Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor:_ Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWN ERAESSEE: CONTRACTOR: Namei r Name:DPW R�11� Address: 2l1 Compan)r: 1r U jfic— City: State: &A Zip Code:' CG Fax: Phone No. Address: l () &unfrt PIO U City: Zip Code: Phone No 5 E -Mail State: - Fax: 5015 5i c4cl() (DY -1 E -Mail: Fill in fee simple Title Holder an next page (if different from the Owner listed above) State or County License 1T value or consxrucaon is ;)en�uu or more, a KtLUKlltu Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: Address: City: _State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: Address: City: City: Zip: Phone: Zip: Phone: UW NLK/ CUNTRACTOR 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. Pleasexonsult 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 "WARNINC 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 BEFORF RFr'nppimr: yni io 1UnT1rr nr rnum urrur.rr n Signature of Owner/ Lessee/Contractor as Agent for Owner Signaturb of C ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY O F PALM BEACH COUNTY O F PALM BEACH The fgrgoing instrument was acknowledged before me The forgoing instrwimont was acknowledged before me this _(0 day of Zp 2p by this 4L day of- f 200by RORY RAMCHARAN RORY RAMCHARAN Name of person making statement. Name of person making statement. Personally known x OR Pr Ily Known x OR Produced Identification Type of Identification No wy pubkc Stete d e Identification Produced CAMILLE ALI-AM +F" P rod u d � Public Stated Commis ion GG 97 O CAMILLE ALI-AMRAT I VMy Expires ©3130120#4 6�c' _6� 'x MY Conwnmom GG 970869 , YIV V Expires 03/30/2024 Ilk 01; (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission NO. FF 976919 (Seal) Commission No. FF976919 (Seal) REViEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. c/ // ly