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HomeMy WebLinkAboutHuff.WHpermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ! .3 fit..,' Permit Number: fro L C 0 E 9 ® '2'U ` ( E` L c t Building Permit Application Planning and Development Services 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: ;4 PROPOSED IMPROVEMENT LOCATION: rlrlrocc• I V e,4,i u r tc Lv-1 266 r- +- (_lam' i e . L;a, %-4i Property Tax ID #: Lot No. Site Plan Name: ts 11 LCc kCt"�_il Block No. Project Name: DETAILED DESCRIPTION OF WORK: 21a-c_c 2 C { �c�,1 i c a E kc i c. W Ctd" i( New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric VPlumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ I .S00 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: t Name L©f 1'a nn e— tsU Name- :E'hi9,ezi 3 ie- - IL)Ivi bee Address: V l -�� �_ l Y'l Company: Ad i n 0AA-QJ&LV, r" City: cc+ 5: )-oc—tc- State:EL— Zip Code: LR;7Z Fax: Phone No. 433-59g7 E-Mail: Address:itJJ1 1r;�F �'t(1 �ryi i� r tv City: Fb— L- 'C. 'e_ state: FL_ Zip Code: Fax: Phone No-i~%) —3 > 32--2. -- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MaiI LW-C �Caa) iy'j ,XJf1e_D lom,�e' 6 &M State or County LicenseC-FC, 14 21- j 4 it value of construction is Z5UU 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. ••-. S%JeVGn/ CtYviNttK: Not Applicable Name: Address: City: State: Zip:. Phone FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name_ Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. ! certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countiyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in coAct 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 th jobsite before the first inspection. If you inr�tend to obtain financing, consult wit Ien r or an attorne bef a Commencing work or recordingirour Notice of entnn„rp.on+ _Not Applicable of Owner/ Lessee ntractor as Agent for Owner STATE OF FLORIDA COUNTY OF 1 L-k-)C C­ Sworn to (or affirmed) and subscribed before me of t_7� Physical Presence or Online Notarization this � day of 2020 by Name of person making statement. Personally Known iJ OR Produced Identification Type of Identification STATE OF FLORIDA COUNTY OF , _ L CA Sworn to (or affirmed) and subscribed before me o€ Phsnce or Online ysical Fr Notarization thi day o€ 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification 151gnature of Notary Pu ' *" wwe cow Signatures of Notary Public- State of ADtANE CC G Commission No. Ne��ijE State of Florida `= ^= Notary Public - Sta Co fin # GG 961089 aF r My Comm. Expires Mar id, 2024 Commission No, Commission # G My tom. Expires Bonded throe h National N Assn.Bonded through National REVIEWS FRONT COUNTER 'ZONING SUPERVISOR REVIEW REVIEW PLANS VEGETATION SEA TURTLE MANGROVE DATE REVIEW REVIEW REVIEW REVIEW RECEIVED DATE 2024 Assn.