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HomeMy WebLinkAboutBuilding Permit ApplicationJ i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED:' Date: //•- 2 ? >/ g Permit Numbe IV z 7- Y E D Building Permit Appli 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 PERMIT TYPE: pr) L 7L1 Jon NOV 2 6 2019 Permitting DeP rtment St. Lucie Cty, FL Residential Address: ;? d2 © r' .!57o ] -r T -- /- - r'> e PropertyTax lD #: it 6o i- to (3 6c> - d Lot No._ Site Plan Name: 14,11 �So �� Block No. Project Name: Additional work to be performed under this permit- check all that apply: 4,9echanical L"'E'lectric Gas Tank -1lumbing Total Sq. Ft of Construction: Cost of Construction: $ Gas Piping —Sprinklers Name xy LV4vOSiooc, VIA'06V V110 Shutters Generator x 66 " Windows/Doors Roof Pitch Sq. Ft. of First Floor: . f y ' Utilities: —Sewer _Septic Building Height: Address: �2 0 0 S '11't S} �7tD city:�-ovA P;eft%p i::Iw State:_ Zip Code: �`f �2- Fax: 4 0 q Phone No. E-Mail: 15�1�,,PY IS'1� 6 Cowtall, CDC Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: J2.��r 2t G� yo Company: J' /41-0 41e Z' Address:x 1g:// zx�"Zv4,1 City: �` �i��'�.-c,�, State:/C-4. Zip Code: '3yg8 L� Fax: Phone No � ��" 6 2 ;2- / �fSl E-Mail /�'P_,- �r 62� ,•.- g011 eW 6n,r+��1 State or County Licensee / 1 Z 2 4 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required., DESIGNER/ENGINEER: _ Not Applicable Name�S�� cue, ZL10610 Address- _La City: .7-1Stater'/ MORTGAGE COMPANY: _ Not Applicable Name: Address: 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' " atf`e o -` for/Liven___s Holder e ne essee% ntrdct`'"` as A t for O.wn'er STATE OF FLORI STATE OF FLORID COUNTY OF COUNTY OF The fg{�oing instrument yeas acknowledged before me The f¢o ng instrumgn w s acknowledged efore me �/ I this.•CZS day of � T"U , 20 ) by this oLJ day of 20 •by Name of person making,st tement. Name of person riiakd std a ent. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identif }tion Produced (f' f' Type of Iden '"!cation Produced J � o (Signature of No - (Signature ofriPublic- State of F rida ) ��•' "Q?"'; No. MYCOMMI��"Commission .;�PµY PU ••., AUDREY B. 7de AUDREYB.HUCommission N �'dl �Y EXPIRES: M MISSION #GG 300897 edThruNotary =.."TG! `Q` EXPIRES: March 6 20 P. ' - " .• on ^� ed Tbru Notary Public Un envriters REVIEWS FRONT ZONING SUPERVISOR PLANS _ VEGE ATI �1 ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW . REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/ 19