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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:��t�/'�/ SM. ILU(r :: 6ulgluLed _ Aunoo elonj 3S Building Permit Application �ZOZ 9 Nnr Planning and Development Services C13AI3038 Building and Code Regulation Division Commercial `/ Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Char)rW 1 51gn Or', 12�cew�f PROPOSED;IMPROVEWNT LOCATION Address: 50146 7UfWl1ti Fe--OC7L RD. F-T' 1?1EI6E PL. 34T5) Property Tax ID #: 1301- la 15 - O ZZ I - 0 D 0 - O Lot No. Site Plan Name: Block No. Project Name: ZDYAL CArZe { H1-,2NkCJq DETAILED'DESCRI.PTION OF WORK I r.1S >-Ds t,L GH l� t-1o�1 LCTI aX- 51 C1 r'J Or., R- oce vV'p-' ' per L%16i1 Q•l L J DP-?�u) r ,i S , LD f-1 hl•ELT1 �i Cal TD EXa S I� fJ� EI.E(iT%2-IG IT� . New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION 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: I)gc� !f! Sq. Ft. of First Floor: Cost of Construction: $ 3490• Utilities: _Sewer _Septic Building Height: 1(�o OWNER/,L' ESSEE. t .- CONTRACTOR Name Name: MPcF-4DQ 13P-1570Z Address: Company: E521STIEYL. t!5161K15 Address: 1©51 OlC> 0))c4 E HW q. City: \(E" PJEPc f State: Zip Code: 329 (v3 Fax: Phone NoU5(p1— (o7%'Sz/I City:yer-0 r-�ekW State: Ft< Zip Code: a2-900 Fax: 772-- 5&2- 9 0 Phone No -772-51P2--92ca3--- E-Mailer D_1')rjrdoae--6 MSi1.CD►'YI Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Dris+e(-5gn51, a0(, G0n-) State or County License ES 1200808 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. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to oo LIM wuM ci iu �, - -�• 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 strucctturenPlease consult any your Home Owners Owners Association and reviebylaws y ur deed for any restrithat t ons which may aprohibit such 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 paying twice for improvements to your property: A Notice of Commencement must be recorded in the public records of St. Lucie County 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 your Notice of Commencement. of Owner/ Lessee/Contractor s Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA -KA'( COUNTY OF IlnA x V-, `DW, COUNTY OF 7ndi"C&yl Sw9rn to (or affirmed) and sub cribed before me of Physical Presence or Online Notarization this Mday of ` 202t by Y.I�I16 A NV,, 'i."' _ Name of person makinX statement. Personally Known OR Produced Identification Type of Identificat n (Signature Notary Public -State of Florida ) �ommiss' n No. (Seal) DATE RECEIVED DATE COMPLETED Sworn to (or affirmed) and subscribed before me of Ph sical Presence or Online Notarization this day of JRA, A 2020 by 1 r taxi rrn il�S nl Name of person making statement. Personally Known V OR Produced Identifi Type of Identification C� Produced �� of NotaryPublic- State Commission No. A.1A Ko�:r (Seal) <ao EX r FRONT ZONING PLANSCOUNTER I REVIEW I S REVIEWOR I REVIEW I IVREVIEWON S REVEWLE