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HomeMy WebLinkAboutBuilding Permit Application4 _t LP25I AII APPLICABLE INFO MUST BE COMPLETED FOR APP, LICATION. TO BE ACCEPTED _Q Date: Permit Number: r'��°� f; RECEIVED Building Permit Application APR 2 9 2019 Planning and Development5ervices ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: a Ol ?_ i UAT� ,-4 Fo1>,T P>_6ecE rz.. s9 ? 9 9 Property Tax ID #: sod) O©& / OCR O 6 Lot No. 6 7 Site Plan Name: W .4`O iz -5 D/Y Ciz, ,,�4- T D/v Block No. Project Name: WIC' 717- 2 SO/Y 4e, TW �\' L O >2, Je)E�S1 ;EIV e_� DETAILED DESCRIPTION OF WORK: Air 0/2:D0/?X . .2� ;/Z T, � O�G 2 �LQ0o eS 0Vt=% A /A/®/V--/_/.g1317-,4)3LI >rLaa.ye CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: // _Mechanical _ Gas Tank —Gas Piping _ Shutters VIVindows/Doors 1 E ectric /Numbing Sprinklers _ Generator °Roof ? ° 2 Pitch Total Sq. Ft of Construction: -476 :3 Sq. Ft. of First Floor: 0:!;:, 1 -7 Cost of Construction: $ / . -2— 113 , 00 U Utilities: ewer _ Septic Building Height: Y19 OWNER/LESSEE: CONTRACTOR: . Name `TfYZ- C1e Name: � /22,A A%0- —A P— 0 Z/0- (2-1 Company: C_a/+:ai74L <:2(7 _577ZVe_77hoY q-1OA5> Address: Yi001 Al, 0e-JEAN 320 --A City: )300 R)4 TD1tP State: FZ- Address: '950 Nzy F,jO)FA091_ H WY '*`:W Zip Code: -3 3) �J 3 J Fax: City: 6 r VJ4A T_ State: rL Phone No. Y Yd -79 G - 72- o l Zip Code: 3 !!J? I V Fax: Phone No 7_Z'6Pl7 7-% L} E-Mail: C-rAYLi9P_ ggO'77 Q &In AIL, COM Fill in fee simple Title Holder on next page ( if different E-Mail 112 4P, k31YCC '®/n N from the Owner listed above) State or County License 01 Rd () 3 :53 17 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 MORTGAGE COMPANY: _ Not Applicable Name: JAM e� ByS) vivs6 Pl�F Name: Address: P.OF ' "12. Address: - City: ARO—ADJA State: rZ+ City: State: Zip:3 92 Phone -961 q--5& Zip. Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable Name: Address: city: Zip: Phone; Name: Address: 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 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 ma result in our paying twice for improvements t ur pro erty. A Notice of Commencement must be rec ed an posted on the jobsite before the fiLWrlction If you intend to obtain financing, consult wit der o an attorney before rnmmanrir rPc rding vour Notice of Commencement.Zf Signatufe of Owner/ Lessee/Contractor as Agent for Owner Signaturdtof Contractor/Lice se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The fo oing instr ment w s acknowledge before me this day of 20 by The for ing instr e t w s acknowledg efore me thisday of 20Lgby Name of person making. tatement. Name of person making Statement. ✓/ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced o AA Produced %, (Signature of Notary Public- State•o F NIELSEN (Sign* atuNeof Notary Pub ic- P 1, KAREN S. NIELSEN KAREN S. Commission No. SFPY° B�'- State(Se5l�rida-Notary Public Commission No. o;01 �;� `¢sStCa�t�¢ � iorida Notary Pub GG - tr= Commission # GG 207484 _. Cornmission Expires _ 6sion # 2074II %q F My Commission Expires ?oxF�a\. My F O REVIEWS ffll FRON 1\ O ING SUPERVISOR PLANS VEGETATION -- SEA TURTLE ✓ MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 9/26/18