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HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETE FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �.� ,� RECEI'.' D JP�N 13 N17 Building PermitApplicati on 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: PRQP®SED I'NP OUEMENT LOCATIO Address: 10/ -73 S, oc cav) 66-,A/-R- 0— Legal Description: !f 50�— g� 7"-0600 — Property Tax ID#: (F0 7- COOF X0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: F A tED DE�SC P ION O WORK I V C�NSTRUCTIQN INF©RMATION: Additionalwork to be performed under this permit-check all that app y: _Mechanical _Gas Tank KGas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ r�OC)p Utilities: —Sewer _Septic Building Height: Q NM N VR/ EE. CO TRACTO Name SSiCGi Name:" Address:— Company: City: ewMf J. State:L Address:`' S. �nd?.P✓ Zip Code: '�b03�- ; Fax: City: State: Phone No. 317 5b-7 5/6 Zip Code: I Yqq V Fax: E-Mail: Phone No /- -�7 Fill in fee simple Title Holder on next page(if different E-Mail am ° 61-1 a-S from the Owner listed above) State or C my Licensed �J i, If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 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'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 y"-in tend to obtain financing, consult with lender or an attorney before commencing work or rerdk6g your Notice of Commencement. Signature of wner/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License.Holder STATE OF LORIDA ST E OF FLORIDA COUNTY OF S-' •Ly c�� CO NTY OF 5� • 1��c\� The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this _day of \ , 20\1 by this 13 day of 7, .4 ,20AI by 'S'a tee, S & : S`e, (Name of person acknowledging) (Name of person acknowledging), (Signature of Notary blic-State of Florida) (Signature of Notary blic-State of Florida) Personally Known OR Produced Identification Personally Kno Type of Identification Type of Identifi 16N" )EANNA MARIE GIVENS Produced L MyCOMMISS16N#GG022023 Np,MARIEGIVENS Produced RE �16,2020 MY COMMISSION#G 0 U Thar Nntary Pub Und lei Commission No. E,plWEa]�mber 2ricors 1 Commission N "° 0. Thm Notary public Und ere I',i.OF�,�UP� Bonded ' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rev—.