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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLE i ed FOR APPLICATION TO BE ACCEPTED Date: 1. h1i Permit Number: 1�d "►' �`� d Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 . Phone: (772) 462-1553 Fax: (772) 462-1578 RECEIVED Building Permit Applicati n APR 0 6 2019 ST. Lucie county, Permitting PERMIT TYPE: PROPOSED IMPROVEMEN LOCATt©N: Commercial Residential _ Address: 5002 1_U)A j"E,R.SISN I GSM' '. HUiCH1iJS0.Q ISLAhip . frf Property Tax ID #.': 2.53 Z -- Sbb ^ W M - wo -q Lot No. (Ab Site Plan Name: EU® (PQ 9z34) L_0 Wa (LM -99 —03) Block No. 2VILK Project Name: Additional work to be performed under -this permit - check all -that apply: Mechanical Gas Tank Gas Piping [ShutterstVl/indows/Doors . j Electric ,[Plumbing ✓ Sprinklers Generator Roof Z Pitch �: Total Sq. Ft of Construction: Sq. Ft. of First Floor:00 ()�L� Cost of Construction: $ gad, ACC � Utilities: v/Sewer = Septic Building Height: 12-'/' OW'rNERI LESSEE: CONTRACTgR: Name j1 eLnan be-Z Name: ..r. , 4 Add r,� s :�1.2.�a,:.4y1211�j`IC='-rl��:' ::Company .I Genes-�. City :.a • . t� P.k State: Address ,��iQQ> tSc:� '.. (1 r q y i Zip Code:'.r'� fax iG j .9P. 1 1Y a 1 1 ,Clay (�r�rA,�. rl,�f - Y �9 t c► Stater P1 `6,ne No:.K p�=.. .2s q h7. ,: .2, 1p Cod Phone No %% 2 928. ID6 E-Mail:_ZQrDe-R-b, 600LY @ ()4:60k i W! Fill in fee simple Title Holder on next page ( if different E-Mail 6rNIS fA State or County License f` �( 4 8Z� Y from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. N. UPPLEMENTAL CONST ION LIEN W INF's ATIOWIN - __ 0. . . -, - 1D.ESIGNER/ENGINE1511:Not Applicable MORTGAGE COMPANY: NotApplicable me: @ �ti ARCHiTF-C1'U� Name: Adress:ZT2$ 10*Ave kg,), Suj',f�C Address: City: State: City: LAke mrzrili State: l71 Zip:.33Jy1 Phone SUI WX UA9 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 5m< As DteadV Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wort' and' installation as indicated. I certify that no work or installation has commenced prior to the issuance of36 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..QF COMMENCEMENT." Sig atu a 'o ner Lessee/Contractor as Agent for Owner Sign a of o ract /License Holder STATE OF FLORIDA COUNTY OF �C�44n STATE OF FLORIDA COUNTY OF P�III The for oing instru ent was acknowledged before me this day of 20 by Caw eIx', "W�/, S" The for oing instrum nt w,s cknowl edged before me this for of i 1 20 f ? by Name of per n ma ing statement. Name of p son making statement. Personally Known OR Produced Identification Type of Identification Personally Known_ OR Produced Identification Type of Ide tification Produced Produce (Signatur of No ary Public- State of Florida ) — Commission No. --WO GREGORY LOUIS C A No ?a�.��s MY COMMISSION ELEM =+ ;*: #GG165476 :' .o�: EXPIRES y4�f OQ.•� : De.Member 11, 202t .,,..,.,• Bonded rnru Notajy Public ftembm (Signatu a of Notary Pu ` u+�►! ,, GRE LOUIS CELENTANO Commission No. =*� = MY ION6GO165476 -, 1. EX. Deoember11,2D21 9onded nw Nwn Pu * wilmmodo R REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO 5EEAiTU,RTLE ,MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19