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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED in Date: Permit Number:._ RECEIVED Buflding-P.ermit Appl1CaVon AUG 0 9 2021 Planning and Development Services St,Lucie County, Building and Code Regulation Division Commercial N Residential PeFfniltin9 2300 Virginia Avenue, Fort Pierce.FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: _:,.._..._ _ t_ ff Address: t7 c °ri `C' 14vv V r4, fc-C Property Tax ID#: o 1p F, (p . 000• � Lot No. Site Plan Name: Block No. Project Name` C Ps, Nil©tz) Dc. k<,, ,rele J - DEMO K)oaP z9ae- .eeA4 ple"N rC e bed. k csIIJ 4- Zee-dr°ons New Electrical Meter Second Electrical Meter (Affidavit required) }t Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _.Gas Piping _Shutters _Windows/Doors _Pond Electric _Plumbing —Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: Utilities: _Sewer _Septic Building Height: Elf , s Name ^:_.f r��a.�= f� - - - -Name:J G4:d t4M n .d - - Address: Q G. o r `� Company: !'F 1 i4A i C- 6 ei%Jr-Le-h^% a gtC City: R/- f erg P State:_ Address: q 9 e_s/Fley Zip Code: S 1-1 Fax: City: rcf_. State: L. Phone No. 7-10 - C(c q.51_1;�o Zip Code: Sq 9 S—f Fax: E-Mail: Phone No Fill in fee simple Title Holder on-next page ( if different E-Mail a to A e s r 1, Co ,.A_ from the Owner listed above) State or L�ounty License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. if value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGlNEE�t filet Appl ca€tCe IViER�ffA�iE +DItPgN Nct Appllcabl Name tvar>rez Address' - address City Staite. it}t. Zip E'kiaf^te Zt 001 .. �h. SC ;,,� ., I: iG_S MPL ' TC .HOER _Plat Applftable 6Ctt t3(I0G,G liV[PANYAppticabt . lacr ._ Address:: Ac�clrss� Crty I� . Fftone. ZtP Phone - W ERE-CtS1%TR-',A'RrA 1tJt�tT, ppi�cat� r�Is E eref�y rnzd to trt�Eain a peanut t>.dd.**he 4v"afk anti(l sta#fa un as end catecf 1 cerl�fy#hat rro yvarf�ornst 3iiatriti 4�as.cn�rtrn prior to fn�rssga�ice pl a pprmt St Lgct :Cot3n�y r at�esnatepresent�tion: 5a is gtantlrg a oe5 rnf wElt attthQitte the;pernilt fti Eiier tci build theaub�e t stract'to . urhtch is rrt>onffrdfwtthany'agpl,chle ftarne G�vnersAssoctattan rules bglaws orand ca�rerar►fstfiat'rttay resrct orptohtbtC surli strtctuxe Please`cansatk:wrth:rur Home;t3wnr Asd�i �3R and ieutewyaetr dedfilSran� rest�Ecion5 whrcFr:,magaply Cn can$tderattot�:1{the granlfrlg ctfithts requested perrrltt,Ie Itereb�t a�reethattii t�rti),to III aspects,�erioi•n:tt�e warp in accordance�NiX4t ht�aprQYed puns,kite Flurtc#a:8tii�ding;Cod�s 55t tune CaunyAme�drt��rttts the failoutng bull Ping p cmtt appf:cattorts are exerii fat frorp,#nclergoinp a fuit cnn4utr�ncy revtetiu roam aadtttans, accessoy st>uctlres,aurltntng cionls,fences wa[is,s��ns,: creecl.rootlis and- ccesstaty uses€QactotFse�rein resrdQttttai'ta"se 1iitARNI IG 7Q,Q1tV�fl R Yaurfadcsre to Record a Siattce of CommeficerttepjvinoyresUif In paI/tng twice far txrtprovemert� ro you pct�petty.A N�ri<ce ofarnmet�ement ixttrst he recrcfec{it the publl retard at SI Luce County aid pastec{on the oas�te before the fcts�mspectton fyotrintend ta;obtalrtinancng,ctrlsltlt wit 1enbe'rot.an before earl menEtri Tort or,recordin our tVattce of Cot�Ttneitcerrient;. _. l*.> 121 Sign...e of ONiterFLe5see(C+.�r{aractar as Agen�;i�r 04vne�' Stt�1E t34LLZRIDA CfyU4TY fly' 5worn�ta(or af€rmed�arld nu�s�rr62d ixefare m�;af �Ptys cal~?"�esertce.or _;Onitit�Nnt}r�zatarr this:L da�r•of' ZED by ;: i�iame°ti�persort:rnawng<stater�ent. . C Personally t4n4vJt i5R FroduCeci identifiat ion . Type vl'Idenui. atton Pioduc �.. �S�gnRure gfNQtaryD`.' rc Sta.te of F! ot.PYo�©� AUDREYB.HUMPHREY Commission Na; _ fSealj _ �.cx_ MY COMMISSION#GO 300817 , EXPIRES:March 6,2023 ?,F; Bonded Thru Notary Public Underwriters , REVIEWS FRQ111T ZOfa!`�lG. SUP �c}tIS o4.taiVS: V�.CETA�1(lfV SEATl3R7LE UTANGRO.VE DIINTEr"t RcV(E;AJ RM.EW REVIEW REVII=W' Ft8VIErVJ €tEViEW DATE . REirEI:VED DATE CUIIf1P1 ETEO.. - - i