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HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INF�O7 MUST BE COMPLETED FOR APPLICATION TO BEACCEI�TED Date: �j ` �lJ ` :mit Numbe I • RECEIVED 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 _ �' Rey PERMIT APPLICATION FOR: To Select from dropbox, clic - at the PROPOSED IMPROVEMENT LOCATION,: Address: C) ' Legal Description: S e S Property Tax ID #: a 4D - Site Plan Name: rJ A Project Name: Cvco Setbacks Front Back: mw.'mam Right Side: Left Side: MAR 15 2018 ST, Lucie County, Porn DETAILED- DESCRIPTION. OF WORK: �eQQ_ ©Ce �Q)UI i� 'S+L n f IJu I J dr -'J CONSTRI,U,CT ON INFORMATION: Additional work to be nerformed un er t is permit - c cca apply: ��11,HVAC --_yyGas Tank []Gas Ppng _;flutters LJElectric L_`�PlumbingSprinklers Generator 1r Total Sq. Ft of Construction:' �� S . Ft. �of First Floor: _ Cost of Construction: $ �/.30 .2t/$. Utilities: Sewer S'eptic ntial of line _9? T Lot No. I© l Block No. QWindows/Doors E]Roof Roof pitch Building Height: Z_D OWNER/�y /LESSEE: CONTRACTOR: Name_ l Z-3 :� G Name: 14 C Address: 91 2C8 Company: /� C City: C-� State:��- Address: //J/ �,C/1/,4�� Zip Code: 3 � ��I Fax: A--S-Y-- City: _6041— fPjState: Phone No. `� Z — (p - -7 5� 6 Q) Zip Code: Fax: 7 7 L to Q E-Mail:_ CY'J �� ISER-V �-S,(ynt Phone No. J ) 2-- - &., %h );./) E-Mail: eC kM1,A/,C -7a / /&)Z' Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: L GC 06If values of rnnerrllr+inn :. Henn ,..:.. _ ..�...,....�.. . —1,11-1—Meni Is reguirea. S,UPPLEMENTAL,CONSTRUCT ION, LIEN: LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: •Address&,u Address: City::VT f1eA4'r' State: tL. City: State: Zip: SAxiga, -Phone 2jt-4wo rjg5-1 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 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. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. f, /I S L,4' 4�� / Sign re r/ Lessee/Contractor as Agent for Owner ntract /License Holder Sig ure )FLORIDA STATE OF FLORIDA STAT COUNTY OF � COUNTY OF The foWsing instrumen was acknowledged pefore me T da 20 kfty The forgs?,. g instrume t was acknowledged before me this ` day of %� 20 C f5by this of %Z CK24 I "V_c* Name of person ffiaking statement Name of person making statement Personally'Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatii Produced�� Produced 1�=—(� (Signature of Notary Public- State of orida 6EANNA M. GERHA �� , (Signature of Notary Public- State of Florida j TARY PUBLIC��U Commission No. .`� `��o STATE OF FLORIDA DEANNA M. GERH`��Q @ OTARY PUBLIC Commission No. a'(Comm#FF105260 otiv ATE OF FLORID� Comm# FF105260 �� j fires 3/23/2018 e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17