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HomeMy WebLinkAboutApplication_HouseAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J I J/ Q Permit Number: .;d� `3 L Building Permit Application Planning and Development Services ' ' Commercial Residential Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR':'k_ PROPOSED IMPROVEMENT LOCATION: Address: '52/3 A )mrniaczhir-d /,doGj 3iA fliff7e� EL 39'551 Property Tax ID #: J 50/ -bOo? -(xjC% �"� — d / 0 - / 'Lot No. �8 Site Plan Name: Block No. /02 Project Name: /lo 05C Root DETAILED DESCRIPTION OF1lORK:' + A �E�GI( urt Sh��Q (� 1fLSlu� ftG'wShi,Z�� �,✓ .Q�nS �rrnna 51-,1 ��,C.�� _ UU 4L j izu UYV -1-)r , I V, , 4rcJ,-) rL 7 u u (v I�i� �► �-'L is Z i t� 1'� S� New Electrical Meter L�4 Second Electrical Meter tJ CONSTRUCTION INFORMATION: 4)" T Additional work to be performed under this permit — check all that apply: _Mechanical Tank, _ Gas Piping _ Shutters _ Windows/Doors _ Pond _wGAs _ Electric _Plumbing _ Sprinklers _ Generator _ Roof (o 1a Pitch Total Sq. Ft/of Construction: ,?GI.070 Sq. Ft. of First Floor: Cost of Construction: $ /(�, 18 3 35- Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Larry %us _ Address: ,5 3 HID mr»112,6'-d- WC4 Company: R.vSSC- (Lc4e1-J Soiu� City: �FbY4 Fier-ce State: -FL Address: _�501 SVJ EedeeLd f} N;►J S�_,k 9WC. Zip Code: 3`1`151 Fax: City: 5_-hzW+ State:FL Phone No. .? -?a 35r7 - L49 L06 Zip Code: '3�- cKlq Fax: E-Mail:MhaAe_y1CaPm:e-u n Phone No Lo -(90)(o-;;1Y1(o Fill in fee simple Title Holder on ne,gpage ( if different E-MaiI (1r (+SO VUs5ervai✓t4. C.tarYf i State or County License CCC 133 i ,gl of from the Owner listed above) ti ' , �� If value of construction is 2500 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. SUPPLEMENTAL CON! DESIGNER/ENGINEER: Name: Address:. City:. Zip: Phone_ Not Applicable MORTGAGY,COMPANY: 4ot Applicable Name: Address: City; _- State: Zip: -- Phone: FEE SIMPLE TITLE HOLDER: iNot'Appllcable BONDING COMPANY: Nat Applicable Name, Norne: ,Address,: a _ Address: _ City:- —� Clay: Zip; _ --- _ Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permll to do thtr wend Installation its indlcatr�d, i certify that no work o; installation has commenced prior to the issuance of a permlt, '` 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-residentiol•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. LL ie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencine work or recordinp- vour Notice of Commencement. �gnature of Owner/,Lessee/Contractor as Agent for Owner is STATE OF FLORID�- COUNTY OF Y,t.t�� (,�lQ_ Svyorn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization this J,Q day of AbVPymIoPY , 2020 by ame of person making statement, Personally Known Type of'Identification Produced .(Signature of Not Commission No. REVIEWS DATE RECEIVED DATE COMPLETED ev. OR Produced Identification ontractor/License Holder j6TATE OF FLORIDA ,. COUNTY OF SCctrA-(A.(ae Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this JQ_ day of, AA[��n►k1.b mbee , , 2020 by Name of person making statement Personally Known `� OR Produced Identlflcatlgn Type of Identification Produced • ar�Pylt�lic 5t3ti luf,t•4;i )i�NICLLi. MAI, i Gf fJ6j�,�iA (/ Y r I f, ,,a Notary PuUhc-Stor1.1 c I IcrP I ror''miselon N HIA t,,t� 8"15 )My Commiar�ion I:xt,Rll?n�i FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW /of No, _ Lib � � St, e� "a� ANIELLE MARIE GONE oil No.1ofp�,y r'L,bric.5tste of I 1 HFhmiss�on p HH 6 E My Conimission Exp r "OvOO'bMr 01,-20214 VEGETATION SEA W11 fLl MANGROVE REVIEW REVIEW REVIEW