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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICAlBLE INFO MUST BE COMPL,_.'LD FOR APPLICATION TO BE ACCEPTED : . Date: �1-4��-J-6 Permit Number: I 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 Residentia Address: 1/06 k_ CLQ Y A, Legal Description: 2�63���bod30yD3 AUG 2 6 2020 ST. Lucie County, Permittin Property Tax ID #: ��_ — ©U �-- �/ 0 V• �{ Lot No. Site Plan Name: (� * Block No. Project Name: 1P Y T NY Y -7 -GI �2 _ Setbacks Front Back: Right Side: Left Side: wo Mechanical rm Gas Tank Gas Piping Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: V Cost of Construction: $ a v ail tnat apply: Shutters Generator Sq. Ft. of First Floor: _ Windows/Doors oaf Pitch Utilities: —Sewer —Septic Building Height: O �RjLE�S�SEE: • COf�I'RACTQR,: Name A44 �./ L' : %cCT/f-.22 cy Address: 2[ GZ: L: G /�i Name:�lo�if/ Company:(,o�L��hC¢550�%G�C� Address':'.O City: r ���L`ri' S'' = State Zip Code: ' Fax: Phone No. 7% `Z., ,� � E-Mail: City:=0r(%Ae k IC67 State: Zip Code: _3a % Fax: Phone No 17Z 20 - (,1,2 C-Z 711,?fg-7/01 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License eac 157 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. S't1PPL �'ME i tiN�TR� C?�i LIEN +UV IN DESIGNER/ENGINEER: ' _ Name:, 1) Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: c_,v Zc,1i/yE L bq- Address: City: aid State: City: State: Zip: 3 Z 9%P 3 Phone 2,"-13 z/ 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 obtaih 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, c sult with lender or an attorney before commefi9ing,work or recording your Notice of Commence ent rTure of Owner/ Lesa/Contractor as Agent forOwner Sit reof Contra r/License Holder E OF FLORIDA" - COUNTY OF' L.U��e: ESTATE OF FLORIDA COUNTY OF St' Lycit, The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me this � day of J&hVGtf�.� 20 by this L day of �'ci►tOr.ry , 20a0 by Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known 1� OR Produced Identification Type of Identification Type of Identification Produced Produced i (Signature of Notary Public- State of Florida ) (Signature of No ary Public- State of Florida) Commission No. �f°� NotoryPN.7 OWNS Commission No. mmy pcblic �lde My Com � a Hamses 3 ?aa NoresoSl3N m REVIEWS F NT ZONING SUPERVISOR PLANS VEGE OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17