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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ice^C E R Building Permit Application FEB . 4 2696 Planning.and DevelopmentServices Public vVaric:s Building and Code Regulation Division, St. Lucie CoL�n'!y, FL 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 linea PR®'P®SE® hMPR®VEMENT` C©CATI®N: Address: ' Legal Description:{ I'y--(iUS cam►' 'c9��S�.� 3 &L T Cof 5 3js (9'(3 ) Property Tax ID#: oRb' �PO3 • 0004• 000 -D Lot No. Site Plan Name: ' kin Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED`DE-�SC �fPTI®N ®F VI/®R'K: , sO�NSTR'IJC�TI®NIINF�QR�MATI,®N. �` -�` � {, :z, , AC101bonal work to be Dertormed unclerthis permit-check a appy: HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers E]Generator Roof Roof pitch" Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 0— 0-0 Utilities:0Sewer 0Septic Building Height: O ,' NER/LESSEE r CO'NTR'ACTOR Name: . C-<-'% Address: Z Company7�" �c City: I State:--F L Addressss•-1�,2ZW -�-e Zip Code: Fax: City: eJo__ State: - Phone No. Zip Code: `2 7-7 Fax: E-Mail: Phone No. W©l - 2(2^ (0363 Fill in fee simple Title Holder on next page(if different E-Mail:. rL6) PA rity-2-c- , CO)L't from the Owner listed above) State or County License: `�,a©__(,� If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. - €''SUPPLEMENTAL CONSTR�l1CTION'LIEN,LAW INFORM°ATIO:� �4� s _gig.} � ' -:c � m �ei=S.�, .3.».7r1' .b., :•o `:T. ,2La DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City: e: City: State: Zip: Phone: Zi Phone: FEE SIMPLE TITLE HOLDER: _Not AppI' a DING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: P one: Zip: Phone: 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. /�& 0­_� s 15)0re of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder STATE OF FLORIDA, \ STATE OF FLO II�� COUNTY OF�iL COUNTY OF�:'�' "I VV The forgoing inst ent was acknowledged, fore me The fgrgoing instrume was acknowledged before me this X_day of e alcp 20 -by this day of 20 (7 by Ill- (Nr N a of pe on acknowle ing) (Na a of person acknowledging) �_Mt ^ ik LL-AA -_- (Si ature of NoAzy Public-State of Florid#T (Sig ture of N tary Pla 61ic-'State ofrida) Personally Known OR Produced Identification PersonallOK N �J ntification Type of Identification Pro uced Type of I =!FLORIDA STATE )Commission No. GrOF.rrtmelt• eal) Commiss (SealN "I I L An ATE OF FLOMDA Ex0es&2&2020 pomm#FFOOMI Revised 07 2 fires 61Z0M REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1y/1" J COMPLETE Al a, r} INITIALS SCOPE OF WORK INSTALL 4'TALL CHAIN LINK FENCE WITH 2 OUT SWINGING, SELF CLOSING AND SELF LATCHING GATE SURROUNDING ENTIRE POOL. 6' FROM REAR PROPERTY LINE DUE TO DRAINAGE EASEMENT. (POOL PERMIT 1702-0303) ' � �. CONCEAIED FASTENERS OR ATTACHMENTS ARE THE RESPONSI6 UTY OF THE 'OR Of THESE PWS AND Al'L PROPOSED wogia ARE SUBJECT TO ANY CORRECTIONS REQUIRED BY-FIELD INSPECTORS TI I, MAY SE cm-PSOARY-II�lORDER-TO gomPLvWRH ALL AAPLICABLE CobEo, ST.Jjcf-F ria'U',T TV ?QUI?01IN C DIVISION VIEWED Ft�F�C, ���1AivCE . DATE, 3? _ PLANS ANT PERM MUST IIE IaPT ON JOB, OR NO lNSPl':cTlxq NrLL U =