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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLY. �J FOR APPLICATION TO BE ACCEPTED ( Date: • 15•g-0' Permit Number: a� / LF Building Permit Application JUL 15 2020 Planning and Development Services Building and Code Regulation Division erm,ittIiIC� L;r_IJG,rtfient 2300 Virginia Avenue, Fort Pierce FL 34982 St L,.1 CIE' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓-ountY, FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED?IMPRQUEIVIENT LOCATI,QN Address: (DID 1 S Zr St 6k n R Vt v Dlr'Je Fl• fierce. , FL 31A a Legal Description: DI M S+C& A AICe SI D Ca}- I -Less film tn4 D F S C1 e1C• Property Tax ID #: Iq l A- 50A- 0U 01- GUO -2 Lot No. i Site Plan Name: Block No. Project Name: -T6 Act Rocco Setbacks Front Back: Right Side: Left Side: DETAILED�DESGRIPTION©FWORK ,':�ka:='r` .Vti' t , ...ter , . _.. �,�U�J 21-� n^Incs.� MnJ-r�l Ai�/'oSSnrin C.(-vu�-t-,r�o GYICbUv-[. ih 27��5 �►�h " ✓_ Cemtr4' J CONSTRU.CTIONINFORMATION Mona wor to e e orme under tispermit-c ec a apply: ❑HVAC ffGasTank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric El Plumbing ❑Sprinklers ❑Generator ❑Roof ❑ Roof pitch Total Sq. Ft of Construction: gOLI S Ft. of First Floor: D Cost of Construction: $ 1 I' 1W • S Utilities: _ Sewer ❑ Septic Building Height: la OWNER%LESSEE ' CONTRACTOR: Name 6 C 6CC0 Name: IG Pe( 501n5:un Address: 0001 S. l✓ el'iar\ RiVer NVC Company: C61,✓01y\A 126a'POiis City: t--T• ?urea State: PL. Zip Code: %-7- Fax: Phone No. 011 U -'2.1¢ l- 1311- Address: (4S7 CA✓cl;ncl Rid 1✓, City: D460r\ State: N•C Zip Code: X101-1 Fax: Phone No. 33to - 'ISb- '81 `0 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail:jus i Y%- Sri CCG T- 1'+ 0.. 6� Z State or County License: (,P-<, 125XIk7,2 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUFPLEM; NTAL CONSTRUCTI • IEN LAW INFORMATION: ' e DESIGNfjt/ENGINEER: _Not Applicable Name: e6%'tV1 i_h } /tee-( MORTGAGE COMPANY: Name: _/Not Applicable Address: 05 e5 NeW UVAi Address: City: q2. F4%d, State: L. Zip: -nl10 Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _ of Applicable 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. 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of nnttrrracqc�tor/License Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORI A / STATE OF FE6RfHit' COUNTY OF `V GOUNTYOF 1)eCG4u( The forgoing instru nt was acknowledged before me The forgoing instryme�tt was acknowledged before me this day of , 20� by this _ day of JtA � 20_W by t •t . ey-00cb W%d%Ae'l JohhSon Name of person making statement Name of perso making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Ide tification Type of Identification Produced %- 1 i))P_L "Ce-irse Produce (Signature of Notary Publ'-Stat�,of FW!fPlbiic state of Flonda (S not of Notary Public- Stat f Florida I ° Wanda Soto Commission No Mva9aionGGta4727 p ExyP es 1112a22 Com sion No.. ,III tl' VAN/ V /�rY Sp �:; 1�, a 1 e , REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SCq_J I (6�jppNa(SVE COUNTER REVIEW REVIEW REVIEW REVIEW JEVJE1�ap6, O:RE11 1f DATE •� ••a p ���e 1 RECEIVED 'at�T �` CDOMPLETED Rev. 8/2/17