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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLE'IL., FOR APPLICATION TO BE ACCEPTED Date: 5` a\, Permit Number: ���SJd Sao O ,s~�vieavrkAl! 4(f RECEIVED Building Permit Appli ati(YhY 2-1 2018 Planning and Development Services ST. Lucie County, MfMItting Building and Code Regulation Division- 2300 Virginia Avenue, Fort Pierce FL 34982 J Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial . Residential VV PERMIT APPLICATION FOR: res ;Z 3 L7 0 1 9, f�-V o c. Legal Description: Pr erty Tax 23 �0 L� 072 . V ' 10 Lot No: Site Plan Name: Block No. Project Name: _. k _Mechanical _ Gas Tank _ Gas Piping _ Shutters. _ Windows/Doors _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction': Pogo Cost of Construction: $ U O ©©- utiliti( _ Generator _ Roof Sq. Ft. of First Floor: s: _Sewer _ Septic Building Height: Pitch OWNER/LE=-S&EE: CQ TRACTOR: Named 'sic-Ic atA VcL(d ia.Y- 5 o h Name: dd�ess 340 S.�ocksrn�L1 d( Company: Y f *P- .ey G e fate L Address: City: State: jip mode �Q K Fes' x s orie;IVo' 7 '1 `� z 3 % Zip Code: Fax: Phone No - ai:�'r ,ar'favtVgAc1,w%cLY sor%0gwvcai Fill in fee simple Title Holder on next page ( if different E-Mail State or County License from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I DESIGNER ENGINEER: Not Applicable / —MORTGAGE _ pp le COMPANY: Not Applicable Name: - Name: - Address: Address: City: to State: City: State: Zip: fr Phone IR 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 strpcture which is in conflict with any applicable Home Owners Association rules, bylaws'or and covenants that may restrict or prohtbif'such"'1`r 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 fromundergoing a full concurrency review: room additionsp,. 1-,. 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 financirig,tonsult with lender or an attorney before commencing work or recording our Notice of Commencement. dig tur,fi70wne�Les'see/.ContractorasrA�ent for -.Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF '53r. COUNTY OF The forgoing instrument was acknowledgelbefore me The forgoing instrument was acknowledged before me this la_�_ day of 0.V 20_ by this day of 20_ by Nameldf person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced T-t- fl L ProducedA: 41 (Signature of Notary IOU YP NAMARIEGIVENS `~ (Signature of Notary Public- State of Florida ) ' • MY coMI,4I W SIbN # GG D22023 Commission No. December • Notary Public Undenwdte5 1, Commission No. (Seal) ;;e o Bonded Thru I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE,, COUNTER REVIEW REVIEW REVIEW/ REVIEW REVIEW REVIEW DATE % �c2�` RECEIVED r• DATE COMPLETED Rev.8/2/17