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HomeMy WebLinkAbout7500 belleair permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: q J2 V21 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 j/ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X Address: 7. (Q n Le (1 L ct k ( q,,c I Legal Description: Property Tax ID#:1 $o f t 07- 0z �Z—Doa—' Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: jc-? rulce_ cha/,c (( 1\Ae-+ .CJ 5e(, e i,ec-+c cail a elf cUcl hcfw(K°e(5, CONSTRUCTION INFORMATION: Additional work to (e Der orme under this permit —check a apply: nHVAC L J Gas Tank F]Gas Piping _ Shutters a Windows/Doors FlElectric F]Plumbing Sprinklers 1:1 Generator Roof i i Roof pitch Total Sq. Ft of Construction: S�Ft.( of First Floor: Cost of Construction: $ _ 3 � Utilities: Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name � Nacincl e, EeAc iy Name: t =iC P -kk/CneC'(U Address: 7On RC ll e ai r Nt/ e Company: W ! Et n o + c ; I (, City: F E., P cce, State: FL- Zip Code: 36/151 Fax: Phone No. 732-21�5-261`'1' Address: S'50g fO n-}-,9_A p,6ia PAC, City: Ff I igcp State: -FL Zip Code: 311g7 Fax:77Z q66 QW0 Phone No. 772--g66-0r)00 ' E-Mail: M(AC J©r i 2'%n Gi o 6) g,MGit I,(_©M Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ' i Ce n r n L n N o1. CoM _Vfc State or County License: F_ C 1 2� on 55 17 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: r Not Applicable Name: Address: City: BONDING COMPANY: Not Applicable Name: Address: 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. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA St LV STATE OF FLORIDA COUNTY OF S }- Luc l e, COUNTY OF G i e' The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this27l,dayof SeOPn,bEi ,202! by thisJZNayof Sew ICM 2(, 2021 by Ghri5 C"k r;S Woolf Name of person making statement Name of perso making statement Personally Known V_ OR Produced identification Personally Known *V"' OR Produced identification Type of Identification Type of Identification Produced Produced (Signature of No ary Public- State of Florida) (Signature of Notafy Public- Stat Commission No. 6 6(SMN Public State of Florida Notary Public state of Fi mission No. IS96SECAlis L Woolley Chris L Woolley -9 My Commission GG 185665 Y 02/26/2022 ,o� My Commission GG 18 Of Expires 02/26/2022 I of Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17