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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIVED AUG 3 0 2021 St.Lucie County AgricFAUMPExempt 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 Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION:. Address: 16 00 /ye /Cf �;�Lz . �� 31-/9yf Property Tax ID#: © � ;2 1 0 00 i J 000 Lot No. Project Name: 6A4 A DETAILED,DESCRIP.TION OF WORK _ r©P&4 `CONSTR(JCTION-INFORMATION: Utilities: _Sewer _Septic Sq. Ft.of First Floor: /> Cost of Construction:$ 302 , 0C)o Total Sq. Ft of Construction: �.z0 FL'OODPLA'IN-DEVELOPMENT P.ERMITfor'structures'exempt from.BuiIdingCode.thbit'are` i"n the' Jloodplaim, Nonresidential Farm Building: Temp: Bldg./Shed used exclusively for construction Mobile/Modular'for temp. construction office: Bld& involved in distrib of'electricity: Other: Flood Zone: BFE: Floodway?Y/N If Y, NO,Rise Certificate with:supporting data,attached?-Y/N All other applicable state and federal permits shall be obtained prior-to commentemL en't of. =construction: OWNER/LESSEE:: CONTRACTOR: Name ClIetf lee, 17 ;-- c- Name: Address: //16/ Company: City: be-PGC State:)-':/Z Address: Zip Code: 3 V J Fax: City: State: Phone No. 292 3"70 — T6 d 7 Zip Code: Fax: E-Mail: Co/`kd4S Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. N If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement Is required. 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: )GNot 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 BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YQVR LENDER OR AN AT"RNEYBIEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signa ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5*. (..i.IC A e COUNTY OF The forgoing instrgnent was cknowledged before me The forgoing instrument was acknowledged before me this day of 20�) by this day of .20_ by f les asc1-%a-f Name of person making statement. Name of person making statement. Personally Known V/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Iduced Produced SignUture of Notary Public-State of Florida) Cynthia Clark CivaAmnature of Notary Public-State of Florida) Commission No. 2)*'3 ° NOTARY PUB I a STATE OF FL mission No. (Seal) Comm#GG33 046 y Expires 5/61 023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. aoal a 7 fold, Parcel Inf6:2209- 1-0001- )W3 Owner Charles H Paschal II Site Address 21600 ORANGE AVE aurisdictiGn Saint Lucia County zpI/SrII 73.50 lc�14 t dal, I at. 3/30 2018 Last Sale Price 268500 ZOOM tQ [dock Measure Revort +Comarabl a Sales t,