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HomeMy WebLinkAboutBuilding Permit Application1 7_ _ All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: Z ' l Zn z Permit Number: AW-039cr Building Permit Application 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: Address: 300 6 A/ � Property Tax ID #: I7028• 70a •©941.O,0Qy Site Plan Name: Project Name: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters ' . —Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: . x Cost of Construction: $ 2'' .'/ &W Generator Sq. Ft. of First Floor: Residential ✓� Lot No._ Block No. W i n-d ows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: '���..r� Tr».t�..,ecr.�h,",..•..":s.+s�..=S".�w�e4�r:'(,".5.. �:e�i�a��s'.,.,,s.� 3 vv L ,:.r^.,,M...,.K+a�a,r.,_.,«�F�.+.sr,,..sn-....s.�3.x�•,."�m�,'ay>�-_.,sh,is�,� Name�p� ( (��iu-� �O— Name: Address: 3 o C a z< Company: - City: State: Zip Code: Fax: Phone No. % — 3 ° Address: City: State: Zip Code: Fax: Phone No E-Mail: •C—n Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License 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. ,. ti .� •� d�..- ..w a.. �,. S�I��Y�....e�i..4� .' +�✓�.� ...'mod �� .. .ram ��;� � -� �- �, � .�,� � -�`• F . alb �M1YI. � �_. MORTGAGE COMPANY: Name: r "� ¢ k :, * _ ��� :'_ L .�'vu,� P.. .0...,. ,iP a�4 ^� _Not Applicable DESIGNER%ENGINEER: • _Not Applicable Name: - Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE Name: TITLE HOLDER: _ Not Applicable BONDING COMPANY: Name: Not Applicable 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. 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 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 ­2­ ^M ..° .rrnoury nrrnDr RECORDING YnuR NOTICE OF COMMENCEMENT." n1 i n i Uurc I-r Mir -Ex f1n t I n v•���•- • — -- — --- --- S gnat a of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA 1 COUNTY OF SL-.htar._o i COUNTY OF The forgoing instment was acknowledged jiefore me The forgoing instrument was acknowledged before me this � day of! .• , .-= by this _ day of 20_ by Name o person making statement. Name of person making statement. Personally Known OR Produced Identification~ Personally Known OR Produced Identification Type of Identification Type of Identification 1 Produced A-Xl Produced ign ture of Notary Publ State of Florida )Q i nature of Notary Public- State of Florida ) r Y, v,P y', H NAINGRAM-RAHMIN Commission No. �` <'°: OC mission No. Seal .J{MISSION#GG2750 °` =° • o: EXPIRES: December20, 202 ?t• P; on ru Notary ZONING SUPERVISOR REVIEWS FRONT PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19