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HomeMy WebLinkAboutBuilding Permit ApplicationReRoofAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number: lL��L C L , L, L C 1, C D -~ 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 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID#: i3ol-Co(-3 "03(© •-O o-0 Lot No. IS Site Plan Name: Block No. 15_Q,, Project Name: DETAILED DESCRIPTION OF WORK: it rOo..),e_ALu rwc bop - J,,ktL_ b n A- e - i -4. A-o C o New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit - check all that apply: (Affidavit required) _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond Electric _ Plumbing _ Sprinklers _ Generator F�oof Pitch Total Sq. Ft of Construction: ,lc). ®1-( �G Cost of Construction: $ r3U,C7 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: u �5 OW N E RAESSE E: CONTRACTOR: Name )t,nC; , ►WG� m Address: _S(,1 15 Sh(1 ,eon on Ian" Name: •5 Company: � ,/IZ" Cz P'-3 C� City: r4-pd e-rL f, State: F-L Zip Code: 3L1 1571 Fax: Phone No. 2 2 - -3 -/Q� ED E- Address: S r-% f►75_5 r-k_v.j City: 4-Pie -�p State: Zip Code:. ���5 Fax: Phone No 77,4 %/S), Mail:3T It2.` 3rnL),5;C 1d ehc, � � + Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MailZ; Pia,/Oeeopg; L-A, ICJ`°►1,1 State or County License C' 12 2V val UC VI %.VIML1 UVl1U11 lb ZJVV Uf FTIUFU, d mtLunutu rvoiice oT:Ammencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _/; IIC�ot Applicabl Name: Name: Address: Address: City: State: City: State: Zip: Phone ���' Zip: Phone: FEE SIMPLE TITLtDER: Not Applicable Name: BONDING COMPANY - Name: Address: City: Zip Phone: Address: City: zip- Phone: NFR/ rf)NTR,&(70R nrrinvtT• n nl,,.,+, , L of Applicable - - -rr----- _ •- ••-• -^�� �•�•�. •� ..vwi�� u Na.i i 11- w uv lllc Wvl n all IIIJId Ild IIUH d5 IFIUICd LeU. 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 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 IPnrlar nr an attnrnav hafnrn rr%mmonr;n X. riz .,r Ji....,... K1. :__ _t _.-____ _- -- IIIGIII. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF Sworn to (or affirmed and subscribed before me this day of Physical Presence or Online Notarization of 20;1Dby Qp"�� Name of person making statement. Personally Known OR Produced Identification Type of Id ification Produced (Signs ure of Notary Public- State of Florida) Commission No. 1t/V02_3;'7-7(Seal) ,,,�ss++ Notary Public State of Florida +1: Carmen M Quinones < My Commission HH 093277 E+^i a$ o211512025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED