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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Ci 1 �-2_0 Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential PERMIT TYPE: A G C-Iia+uq c ©u 'r LI Y-e- -Fv r U V-,-- PROPOSED IMPROVEMENT LOCATION: J Address: a� L&Lf t-.7� Rr I AptL 2--* Property Tax ID #: 3 1 ZZ- - GDO ~0375 00t; —9 Lot No. Site Plan Name: Project Name: Block No. DETAILED DESCRIPTION OF WORK: --1-T A-L t5'5e_4n CONSTRUCTION INFORMATION: AddZechanical .nal work to be performed under this permit -check all that apply: _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 41 4' ® }h` V, Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: NameRtirf a Name : M.i' Company.;. M d _ll �' l q" UrVl Oe'r Address: 23 L&V Vt c�Tr ( 6V-f 2 Qq City: o - I- 5t, 5tate:_ Zip Code: ?J' '49 `J�®Z Fax: Phone No. Tlo2- L-{ k 0 -- 3 l Address: 63-7 51E. City: Po(--y �t L.c.)"e_ State: FC_. Zip Code: q,,? � Fax: Phone E-Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) E-Mail 1 YX 1th '+1fIcolur W_C-101°1 State or County License C&C• 3 1 7-7 00 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. w`-JivimcrvCNwnittli: Not Applicable Name: Address: City: State.• Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City. Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: — Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 Counttyy 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 th e 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. f Lucie County and posted on th jobsite before the first inspection. If you intend to obtain financing, of wittyllenCller or an attorney bee commencing work or recordini�.vrn,r Ivrirc of f �,w,«,tisw...,,.,._, as Agent for Owner STATE OF FLORIDA COUNTY OF �ay L3C_.,t c� Swo n to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of --V 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced w � - t5ignature of Notary P-- - man 10h.�.� :_• ia�-d ne cote Commission No. '$ Notar b State of Florida Cop GG 961089 ...oFrt°4' My Comm. Expires Mar 14, 2024 REVIEWS FRONT ,. ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE DATE STATE OF FLORIDA COUNTY OF �'. f L11 CA Sworn to (or affirmed) and subscribed before me of P sical Presence or Online Notarization this ay off 2020 by Name of person making statement. Personally Known V-1, OR Produced Identification Type of identification 1Signature of Notary public- State of DUNE COL Notary Public - Stat o lorida Commission No. =,� j Commission # GG 69 .. MY Comm. Expires r , 2024 Bonded though National at y Assn. PLANS I VEGETATION SEA TURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW