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HomeMy WebLinkAboutBuilding Permit Application Amok Ant ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -7 Date: Permit Number: 171 I L\ 0 all 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 ,PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of IineTO\'►� cz00,F0NJfz- SQ PROPOSED IMPROVEMENT LOCATION: Address: 0 3`6 d.'7 S• �N o�,q ram) �� _ �� "1 3��sr�.� Q r-L 3y`3 s7 Legal Description:h Auk M,q r,1 ofz, PPxn4/, Cf:>bQ p51j:4-r\Vy S.(ns1_ r � g55S-3e�i ! c371 - 1��t� Property Tax ID#: Lot No.�_ Site Plan Name: cJ 1 A• Block No. Project Name: �1 1 fA Setbacks Front Back: - Right Side: Left Side: l..D'ETAILED DESCRIPTION OF WORK: �S.�r/�f•\.� �- , o a,� ���� C2 0��� A iv r",N yrv� cz o o�o.,�-s� ©N '� v 3» ��-o,ram� q.r�� r•'J-�fl�-r�t�rJ CONSTRUCTION INFORMATION-' itiona work to be neffo—rmed under t ispermit-c ec a apply: �HVAC Gas Tank Gas Piping _Shutters Windows Doors ❑ a Electric El Plumbing Sprinklers Generator ®Roof Roof pitch Total Sq.Ft of Construction: Sri-Ft.-Sewer t.of First Floor: Cost of Construction:$ "� C ob, o© Utilities: Sewer Septic Building Height: OWNER/LE5SEE: 'CONTRACTOR: .Name! cy:Ph`: . '°�\Nto Q,r�cZR Y Name: John E.Murray >AddrEi'ss ' CiasS W arc 5-s- �— �'' AMS Inc. . r. Com pa,nW. City 3 o-tC:> , ro;,,J�J State:n� Address; 941:SWi8 Streert, :4,.J Zip Code: a5r!�;-� Fax: City:Pompano Beach State:Ft. Phone No. Zip Code: 33069 Fax: 954-782-0995 E-Mail: Phone No. 800-226-6677 Fill in fee simple Title Holder on next page(if different E-Mail: maryannp@amsoffla•com from the Owner listed above) State or County License: CC C042787 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION.. .. DESIGNER/ENGINEER: _Not Applicable Name: James Bushouse MORTGAGE COMPANY: ')-4 Not Applicable Name: Address:1550 N Andrews Ave Address: City: Pompano Beach State: Fl• City: State: Zip: 33069 Phone: 954-956-2203 Zip: Rhone: FEE SIMPLE TITLE HOLDER: YNot Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 our Notice of Commencement. s Signature o Owner/Lessee/C ctor as Age or wner Signature actor/Licens older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 97-. Lv Lt'P, COUNTY OF 'B w The forgoing instrument was acknowledged before me The forgoing ins ment was acknowledged before me this dayof�A�l.�An-�� ZO by this, _days �::4 IJ tAn,4 20 Eby John E.Murray (Name of person acknowledging) f (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known _OR Produced Identification Personally Known ',A OR Produced Identification Type of Identification Produced Type of Identification Pero—duced_ LAY PD •,.•,MILLER a5�gtY P("eZ/C. ALAN MILLER 1gS�g •••. p Y COMMISSIONS FF 1954 Commission No \`1Sk9 MISSION 1FF195499 Commission No.s-- 9 I EXPIRES:May 5,2019 EXPIRES:May5,2019 +rF ���OT Bonded Thru Budget NotorySery JP OF Bonded Thru Bu e Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS /;��