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HomeMy WebLinkAboutOstrander Permit AppAll APPLICABLE INFO MUST BE COMPLETEi] FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1573 PERMITTYPE: IIPRO;P0SE0)1MPR`OUFM!FZT iT l(0'P,' T1'61N&� Address: 52.1 Permit Number: Building Permit Application Commercial Residential X CIr. Property Tax ID #: - � Z. �t t7 5 —000—) Lot No.-352— Site o.352— Site Plan Name: (Z i &W N k (\eJ SJ b — p hcAg 11 6 '' 1-0 3 61 Block No, Project Name: Os� o r) Aar © TA tMel pESCRWTIONLOF,MORKi. Additional work to be performed under this permit-- check all that apply: _Mechanical Gas Tank _. Gas Piping Shutters V• Windows/Doors — Electric Plumbing Sprinklers _ Generator —Roof Pitch Total Sq. Ft of Construction: / p Sq. Ft, of First Floor: Cost of Construction: $ !'� (�i t') , t Utilities: —Sewer _Septic Building Height: OWNER - ESSEE. Na me &,%CG 'n e, r\ l e Address: -152-15 P i e V panes e- i/ City: i, ey_ ( L State: /='L zip Code: W05), Fax: Phone No, 3 E -Mail: 0S�Sl-,c, I I (A ha � mi,,, I ( r) vv1 Fill In fee simple Title Holder on next page ( if different from the Owner listed above) Name: Ray Reinhard Company:HBS, Inc. Address: 722 3rd Place City: Vero beach State: FL Zip Code: 32962 Fax: 772-778-3514 Phone No772-567-7461 E -Mail tammyc@hbsgiass•com State or County LicenseSM31151281 11 vdiuc V1 WIN)LI ucuun IN Q4Duu ur more, a Krt UKueu woiice OT commencement is required. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION: Ll EM LAW I>VFfJRMATiON' :.:. pp..: DESIGNER ENGINEER: Not Applicable Name: MORTGAGE COMPANY:. Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _,Not Applicable Name: Address: Address: City: Zip: Phone: City: 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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN D TD OBTAIN �OB�, TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNIlQp���"�"T"ENCEMEi11T.» Ore of Owner/ as Agent for Owner STATE OF FLORIDA f/ ,,//11 COUNTY OF, .a4n JCAd1_J /�iLv4" The fo ing instrum W* acknowledge4 before me this tiay of 20,y Name of person ma�statet. Personally Knownduced Identification Type of Identification Produced t n+t,•mmv Notary Public Sfete of F14da Commi I&i,,N* + TaC Paglish Deal) f..,% ia My Cornmissiai GG 906887 Expires 01/23/2022 rise Holder STATE OF FLORIDA COUNTY OFInalanRlver The fQQr ing instru this /,,av of Name of nersgft m Personally Known _/ OR Produced Identification Type of Identification Produced / (Signature of Notary Pu State o9y6fida J Commissi- N , ry Public State of 115ewl) a°s Tarrtmy C English 4 MV cornmission GG 906967 e,scs`.+t�iu0 REVIEWS FRONT ZONING SUPERVISOR PLANS s °F ops Expire ftGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED V. Z/1/19