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HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:. o — �— (Q Building Permit Application Planning and Development Services Building and Code Regulation Division . 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE: Address: ?S t Le l c,f,--,g_tz_5 U(Loc_GLvb Property Tax ID#: 1311`700- U I Z_ DES Lot No. D Site Plan Name - _24TE 257Df7 e ,Oi'L�rp, Block No. Project Name:G , FYI.("A-L[/2C , `.v^� o. ,.� Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters VN/indows/Doors --1 _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$. 7q+ 7((2-_!> Utilities: —Sewer —Septic Building Height: aim� - Name Ml0A-W VIE r41-0P t-LT -YLC-2Pff YIOQ Name:JAMES D.DAVIS Address:_$Sl(p Uj f} 5'b� >�LU D Company:J&G CARPENTRY, INC. City: F-1 069CE State:l Address:13461 79TH CT. N. Zip Code: Fax: City: WEST PALM BEACH State:FL Phone No. "27Z97/ ,75 r;:�&_�2 Zip Code: 33412 Fax: 561-855-4054 E-Mail:Su CG 4 a. �7'",a Phone No 561-855-4052 Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License CGCO22831 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. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEB OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.- ;We � ©a:,_ . Signature of 0 ner Lessee Contractor.as Agent for Owner Sign— aGt of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSA&� 12,`y- COUNTY OF--BEACH The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of �+_.,.,lxc 20�-0by this23 dayof54��*.13,er 20a0by GJbL'\ V4--J' n JAMES D.DAVIS Name of person making statement. e Name of person making statement. Personally Known OR Produced Identification 110 Personally Known x OR Produced Identification Type of Ide tification Type of Identification Produced-Ae,_3)r*q6 -tr_c.'S+ f r-4_T-DC.-1-J Produced ip�►;':POevc COURTNEY RPRICKETIE * * Commission#GG 94808 e (Signature f Notary Public-State M Ida I)oodednweodgetriotwse (Signat a of Notary Public-Xate of Flc i�i� ANGELAYOU _ c Commission#GG 6 64 Commission No. (Seal) Commission No. N r' (. s o) Expires April 12, 0 9TFOFFI Bonded Thru Budget Note IS ices REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. i