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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO �I.JZST BE COMPLETED FOR APPLICATION TO BE ACCEPTED w ��Q � , 1 Date: O31 O Permit Number: a CDP-!..{ 9Uo.ILLCE RECEIVED a v MAR 10 2022 Building Permit Applicat on Planning and Development Services ST. Lucie County, Perrnitting Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: �J���ow �IGre�- PRPOSED ?PROI�/EMENT LOCATION` d., a' .''1. ..io.. �f ,..s. n.,k s,7 °Jtt' d �.r f�,�m-'h��P;�wxt Ff3 �min, t}.r :''.+�. SrRt�. Address: 2g06 12iyer HcAwmnL1& Lr1 i D% I- Z`lqgl Property Tax ID #: -�LiQq - 3 %-1- (DO i 1 - O b0 - 19 Lot No. L/ Site Plan Name: Mye-r Mc-rnmins14 S j6d%viSicOr\ Block No. Project Name: Crass Windows, i Doocs to . 13 2 cx-J w v AA-% W a rtiJ OW s t l7v©i�S . New Electrical Meter Second Electrical Meter (Affidavit required) ,i,n r y"��,uir'£Y = CONSTR;UC�'IO�V (NFORMATIOV u '+ dW 4 w v N• ±s} � �� 1i, �: � . i �., +., s'�,A V....;y�.._v �a � � �. � „ t:: i,� d...�r x i.. .e...k . , x,�.. ,i �ri'•� Additional work to be performed under this permit- check all that apply: _Mechanical Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of. Construction: $ I S, O 00 _ Gas Piping _ Sprinklers _ Shutters _ Windows/Doors _ Pond _ Generator _Roof Pitch Sq. R. of First Floor: Utilities:, ., _Sewer _Septic Building Height: OINNCR/LESSEE, , , ryP ��� M� �ya�, . y..'/`t$ d 1 '� _ .,.N.k, :.&... 3:f t., CONTRACTOi� Qih Name' I fi bee GROSS Name i OSC My n Address: ?-LIO Z` ve(' nnoc v' cv, Company: ,H +h CU sAO" Address: (o 21 4wsor-e_ City: F+, ; 2r,Uc State: FL Zip Code: '3 y 0491 Fax: City: ?o'r+ Si, L v C." e- State: r L Phone No. G2S- S�j�^ �'t 02 E- Zip Code: `3r-1CJI�'3 Fax: Phone No GZS - 322 -')00 I Mail: Tor•CroSS 6? �l I Sdv4l, [ ow. Fill in fee simple Title Holder on next page (if different E-Mail 6Qn jGm:n V)n Lash-ovA6v i Icy r. c.oM State or County License C (,-C. O S ­7 ? 2 from the Owner listed above) 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. *SUPP,LEMENTAt_ CONSTRUCTION Y M1 Y i LIEN LAW INFORMATION .r.,..FF ,.w.JIR .'�..�, ,tom \.{i -: •. `°s P >.: i ]T 1S`Y' k'� h`. -.*� 2�Y�': ,,n..�-Ab• i.:>f+,.V�t:.�'e-dtH_.:_nt�.,,.��.�:+�..):�.i`1..., ram, 3.�1.4Eriih� �3e .:5`T -�n. .-. Fu� l.. f.vA �z{+f! DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: f,&,WsoV-% `nclys}neS 1rc_ Name: _ Address: &I. CIO - Sk- Address: City: le, State: _j-L City: State: Zip: 331 Wo Phone 'Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDIAT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 lender or an attornev before commencing; work or recording vour Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) ed) and subscribed before me of Physical Presence or Online Notarization this day of 20BD_ by \_:� 0_�,Ya \—\ Uu Name of pers n making statement. Personally Known OR Produced Identification e of Identification Produced (Signature of Notary Public- State of Floti gARgRp A. RAYMOND •• � Commission # HH 182146 Commission NoWN `6� ��� (Seal) eoa�� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED . Kev lU(1L(Ll