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HomeMy WebLinkAboutBuilding Permit ApplicationAll AP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \�� Permit Number: A " '1 COUNTYRECEIVED ■r ,Building Permit Applicati n AUG 0 2 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 g Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: .PROPOSED INPROVEMENT LOCATION: Address: 909 A Ue Property Tax ID #: �' D S SDI / -� /' /i 0 7 Lot No. Site Plan Name: Block No. Project Name: " 3 1") C 'y e -1 h 1/1 tm b W� CONSTRUCTION' I N FORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping ✓Shutters ✓ Windows/Doors ✓Electric VPlumbing _ Sprinklers _ Generator ✓ Roof Pitch Total Sq. Ft of Construction: 16 92 _5 F Sq. Ft. of First Floor: 912 Cost of Construction: $,. Utilities: ✓Sewer —Septic Building Height: �© OWNER/LESSEE: QNTRACTOR: Name i° E 1 e• Com ny: Address: A Ir Address: . City: State:JL Zip Code: SID Fax: Phone No. L26_ City: C State: Zip C o c�7 E-Mail a or County License E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. % 1 If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. 1 'SUPPLEMENTAL CONSTRUCTION -LIEN LAW INFORMATION'. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not 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. 0. 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. see/C actor as Agent for Owner Signature of Own7DA Signature of Contractor/License Holder STATE OF FLO STATE OF FLORIDA COUNTY OF COUNTY OF The f r 'ng in t was acknowledged efore me The forgoing instrument was acknowledged before me thi day of 20�b this _ day of . 20_ by Na a of pers n in state ent. Name of person making statement. �OR Personally Known Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Si nature off o ry Public- State of Florida) (Signature of Notary Public- State of Florida ) i'll Commiss' n lic state of F1g@41) Commission No. (Seal) + Audrey, Renee Nicnois M Comtnission GG 08 i0h8 ? o Expires 04115120111 REVIE PERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev.9/26/18