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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE CO METED FOR APPLICATION TO BE ACCEPTED Date:�pr-i 12,Z01`r Permit Number: �EC EIVED Building Permit Application APR 1.t I Planning and Development Services PERMITTlNG St.L FL ucie County, Building and Code Regulation Division 2300 Virginia Avenue;Fort-Pierce FL 34982- - Phone: (772)462-1553 Fax: (772)462-1578 Commercial Reside i tial I PERMIT APPLICATION FOR: eo•ria Legal Description: CJrzac� ��ut3 Co�oh�i-�'errror� Dn� N2ow� S+� Co2 L�z'3$ ��ry N O'� i7�4 �/� rnirl Z:S 60C C -�-2 t F7-,V /Zun! S&Gy ON IMF Curti COrK T D/ 6Z.'nm 8 E S r b T //S o� �i.9� 2 s�y Ta Ro Property Tax ID#: lf'-S�O© � D' `�-OD© Lo I Lot No. Site Plan Name: I Block No. Project Name: Setbacks Front Back: Right Side: Left Side: iV7'F2�'o2 `� 1JOAJ )—OaO /3,/42/iVG w6zl-L gggiil in I 1 ow be pertormed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors Electric _Plumbing _Sprinklers _Generator �Roof Pitch Total Sq. Ft of Construction: d Sq. Ft.of First Floor: Cost of Construction: $ o'�'_-5'` 0 Utilities: _Sewer I'Septic Building Height: s: $ Name D06EP14 Name: Address: 91 IV, ,EL M19PE D2 Company: City: U"!4 Sen gea cA State: fL Add'ress: Zip Code: 3q'?S'7 Fax: City: State: Phone No. '�� - of�S- ��d Zip Code: Fax: i E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail �! from the Owner listed above) State or CountyI;License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. JJI G 'J 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: 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 jobsite before the first inspection f you intend to obtain financing, consult with lender or an attorney before commencing work or reCorling your Notice of Commencement. oj ure 1W 0wher/Lessee/ConfAt&as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ZA -, COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this IV day of Q ik ,200 by this day of - ,20 by (Na of p rson acknowle ing) (Name of person acknowledging) S at0e of Notary Public- to of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally n wn OR Produced Identification Type of Identification en Ication Produced LpSNA'NPrl �7���4 ^a f.,. Publi -State o �� (Q �3•��' �, �� Notary Dec20,2018� Commission No. (S'11�° My Comm.E 'irt+ yat N (Seal) '•' commissi n lhroug Assn. National Notary onded REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW'. REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.