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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: • �� Permit Number: f V� - 10 l 1 - Building Permit Application permittn9'e. d�outment Planning and Development Services St. Luctv Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_ PERMIT TYPE: ��s AkoM Address: 34 So 3Z l 4 �340L�DL9 Ft- ©+: �S ` �2J IJoq' 1 M lil 3� Property Tax ID#: a134^pal'4 oco `--000 -S QD0_3�- Lot No. Site Plan Name: Block No. Project Name: 6 �� Additional work to be performed under this permit —check all that apply: L—Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _i�' Electric Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construct: 0Sq. Ft. of First Floor: Cost of Construction: Utilities: ,Sewer Septic Building Height: Pitch OlNNERf I ESSEE: ECQNTRAGT®R: Name VIC& ISS e ' e:. v4 `r Gam`" °P'� Address: Ak& Company :.Y1 GG moo--- !/I1� 6� �� A",) City:-�.,`State: �, M Zip Code: 3N � Fax: J3Agl60&[g 0 Phone'No. M:2 14((d qq5 R Address:- ��t c�^" C' City: � � i ��� State: I �` Zip Code: - Fax: Phone No 619^ 1��4' E-Mail: 'r i �r t.�J a©� -'Cayo Fill in -fee simple Title older 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. tL PP' L -6 OM.I. DESIGNER/ENGINE R: Not Applicable Name: 00&- MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State:'- Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: 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 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-.E.NDA OR AN ATTORNEY' BEFORE RECORDING YOU"OTJJCE 1JF COMMENMMENT." i of Owner/ Lessee/Contractor as Agent for Owner I 151 fiature of ContragXr/Cicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF — Li(%�-K-- COUNTY OF The forgoing instrument was acknowledged before me this '_ day off L14 , 20-L(by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced 7) L (signature of Notary Publicz3"tate of Florida ), Commission No. (Seal REVIEWS FRONT ZONING COUNTER REVIEW RECEIVED DATE COMPLETED The forgoing instrument was acknowledged before me this day of TvVA4JAN 20Z by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced / V 11 (Signature of Notary Public- State of Florida ) Commission No. (Seal) F_2��,3 PLANS VEGETATION SEA TURTLE MAREVIEW Cr REVIEW REVIEW RE m3o_1 rr < y Z3 Q PE 0)O G)Z N _ +n 2t ;�5 x T N1."0 v