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HomeMy WebLinkAboutBuilding Permit Application i t ALL APPLICABLE INFO MUST BE COMPLETEDTOR APPLICATION TO BE ACCEPTED Date: Permit Number: I o ECEIVED a Building Permit Application Planning and Development Services PERw-rING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �� PRQPOSED IIV1PR01lEMEIT LOCATION " Q z Address: 3 70 f /.-12,44a U" ,Zz if a&k4 Legal Description: -1-A" ' fit?S Qh v'e 4:L S?11¢�N� —�(�� �/ Lr�` 0 A f z - /3e 71 Property Tax ID#: Ply-2- 17D©-3 Lot No. Site Plan Name: 50, VQ/NN& 1'�14 d Block No. Project Name: TOSP n U . /1 flA rr/ Setbacks Front Back: Right Side:_/0 // Left Side: , DETAILED DESCRIPTION t)F WORK Q /74�iA// e 0X/54Ncrc r`O,v e l;Ae etImlOS,'l,, NSTRU N ICTIOMATION CO FF y.,�NFOR 3 r:. Additional work to e nertormed under this permit-check a apply: OHVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors Fl Electric 0 Plumbing Sprinklers 0 Generator El Roof Roof pitch Total Sq. Ft of Construction: Sn of First Floor: Cost of Construction:$ '2W0D Utilities: _Sewer Septic Building Height: E OlUNER/LESSE `S �.r CONTR`ACTOR Name Name: 1,e eA�-ek Address: �,-7o/ NU 4V�.i// C4- Company: (/ C�ez City: A;-t Sa- LP c i-e State: Address: 3 C,9.&n 1-,, i1iQ 6,r, Zip Code: 3!Xq.57:� Fax: City: Pn r-f 54LILC i e State:-6 Phone No. 7 7.� - EZ/- 6 3h -3 - Zip Code: �qg 1 Fax: 77.2- 3Yr2- eW2 E-Mail: Phone No. -7Z) - 3.2-0 2 5 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County Li ense: 0-R C /3 3f0_S� If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 2017-10-03 14:10 Savanna HOA 7723400522 >> P 1/1 r ��� P•ehjee4Cl�*7C)l N,hnl� , ,,.�,11 C 3�.OS�U-C.s�-4/ 1. :5.UI?PLEIVI.EN7AL CO.N51`R.lJ.C71dN:LI: -N:LAW!:iNFbRMA: .ID DESIGNER/,ENG NEER• No Applicable MORTGAGE COMPANY: _Not Applicable Name: J C �e Name: ' Address: f 0 c• 64 Address: I City: State: City: State; Phone__A �_.. . (n qyq' Zip: Phone: FEE SIMPLE TITLEHOLDER: _Nat 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. 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 b corded and posted on the jobsite before the f nspection.If yo 'ntend to obtain financing,consult it lender or an a ney before corrimenci w rk or recordini Our Notice of Commencement Signature f Owner/Lessee/Contr for as Agent for Owner Signature of tractor/License H der STATE OF FLORIDA STATE OF FLORIDA , COUNTY OF 'e'�\\CZ0, COUNTY OF 1i cl- The foxgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me this_day of Ocr�d�,20L�by this �3 day of 0c_kc,�_ __20 I by Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR,Produced Identification Type of Identifi tion Type of Id Ifica Io Produced a"L Produced Ignature y Public- of Florida) (Signature Notary Public-Sfate of11� ,_7MIGUEL, N OLI:S Commission Nd�" UEL , n,� a mission No. 'V � � OMMISS10 G07203g EkPtR MY COMMIS.' • 03g ES FobN 12,2021 REVIEWS FRONT NS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE. /® COMPLETED Rev.8/2/17 v MIGUEL NAPOLES •'c MY COMMISSION t!GG072039