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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 91r.[LUCE RECEIVED , NOV 0.3 2020 Building Permit Application Permitting pQpertment Planning and Development Services 5t.Lucie County Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: 9�r;.,..a„• wfi ,...�f .s,�.�.:rid,.,�ln 'a',..,,.,✓...n«r_�, 3, ,.,-,...,, r. �.,r��J ,v?+.rr.:..y r;,±,t�(r.S?.•t...t ,lrfn��1.',�r� ,r}a,�,,:4 rin.gin'�, ;.r+.,F�uh.,r:�t,x lu��a /,{T,s. :3 Nttu✓2�.,ptti}lr:r: Address: 3 51 5 8 -T12 A-iN 4 V L LA< A V S p s L, E L . Property Tax ID#: 3 -Sad r,C9 7Y- C900 - Lot No. �2 7 Site Plan Name: Block No. Project Name: i-t .,:,i,:>=F,�. <,t�,-.i..sw�., a.w•.� r,...a,..,�.�4c z��lyxml��..� �,,c..v.s� -�'.i,C.�^iC�`t,:� 'Zs A.1 h}Y 7 4_rte` p-Cs "`¢}..',5 a ai4t-vm5 �1�,..��� *`.� .,;.,,fit q. ,.T-.,r, � � rh �.c�$, ,k'•�.'�h�� ,4`1���^144z�V_,S \Y14+.. ,�,AF i�.1,. t1'i�y3Fx 'A�y' �t5`,F� F+u !�Q'''�3 �'\�F��', J Ll rJ New Electrical Meter Second Electrical Meter Js v.7,. a .,-a-- .�::,� ,r •`t r r r r�,t��t �' r r� r� }.�r � q ` c� u� 'P�r�.a�. i ,�. �.r v frrt r i±� a t'< �� .cwt ,.k.'..�:.. :rk r;d[� ,�r�..--.X47, vet 4_-a��,.6A: •[do. 8 Z �7f5 �i�`� l�abrv>it.�^ro.i'��.-.h�fl...���x"�Si�, r�,�7 o-.. rYo`'id j�'m��I-aR��. �is�da4l�k ���r4tH��2S��rS�d�h�'°sY''S.�. �� Additional work to be performed under this permit-check all that apply: X-Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: © r� Cost of Construction: Utilities: —Sewer _Septic Building Height: Or.. �,ss F�f��+ 9, �^�. OWNER/LESSEE t r RCONTRA R , r ,}Y ;, ryr # , .�.c _ t...?sr c..-_ ��.5r� .G-�.�' .1. 2� �' -'!...�t2,} `� h ,Yr e �s�,a t ,,.;r �h�'sr �G.�•_�;� .,�v�'"s v2+� va:,���'..��t'��Y�nt�,�., Name 7-V' 5QCIr#EAS7' r/ZAYQ IQ(-0 LLC Name: /V AT NANA91- M EY-iH Address: �2$/G -2--2n47 5T Company: M e c1/,4 A/e, E &6711 i inP6, L(.G City: -V E:9CD /a C-,0+CFf State: Address: 23 V Sl .sW 5 A VO,,JA 8z')& . Zip Code: 32 9 6 0 Fax: City: P---z- State: F L- Phone No.917-4100 Z D 9 V Zip Code: 3 y 9-5�3 Fax: E-Mail: , Phone No 7 - 3 G 1 3-'22 O Fill in fee simple Title Holder on next page(if different E-Mail dvl C7,,/9 s A 9ANl-� & ( A4/7 from the Owner listed above) State or County License R9130,167,57 9 If value of construction is 2500 or more,a RECORDED Notice of Commencement Is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. � 9.!_��,3?�!�'a 1 .�v� 1k..a?�sx4v x.�C.f ijay�,,�u... aiasV,{N.:�+,r,n}�r��'� #er,'�,a�G:� ti�11t��':S _,s}7$''"r,�'k -��`�1:...�1N.,,�-:�rn, �'" �="��'r��t�t �J}�y�.i�.a '�ry �r.,,��J,-4i`k• S§ tl�.�. k�� DESIGNER/ENGINEER: _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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with tender or an attorney before commencing work or recording our Notice of Commencement. g a ure of Owner/L see/Contractor as Agent for Owner g hare o ontract License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 57 • COUNTY OF .5 T .4 al r l f Sw rn to(or affirmed)and subscribed before me of Sw to(or affirmed)and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization is _day of QV,, 2020 by thisA a day of f/• 2020 by d62224A1A,5'1_ J i 1 X�%,q ill e L c=�1A Name of person making statement. Name of person making statement. Personally Known �</ OR Produced Identification Personally Known OR Produced Identification Type of(dent' cation Type of Identification Produced Produced (Signatur ) (SignOW Lds ROSA E.GONZALEZ 'gomaROSA E.GONZALEZ Com ss0 #GG3495P ) Com issio MY COMMISSION4GG349505 eal) 't EXPIRES:July 01,2023 t+�' EXPIRES:July 01,2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Re-v—.576120