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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' ® , O 11A L Date: !� Zd� Permit Number: FC. Building Permit Application AUG a 01201! Planning and Development Services PEiifAlTTii<GSt. Lucie G'ounty, FL and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: ( 00 1 5 6A)�Ck CAMt4L 1VC1. Legal Description: 1 q ,35- ,;9 S . to 'Al. ?/ Pi -_o Nylf-1y OF tV E ,3�f y yS Property Tax ID #: 22/y / Z / 000 Z a00 "l Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: RC -le oar SG ,)-Y�0 CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit -check all t= apply: 11HVAC LJ Gas Tank ❑Gas Piping _ Shutters E]Windows/Doors Electric 0 Plumbing Sprinklers Generator 2—Roof 3 /� Roof pitch Total Sq. Ft of Construction: 5 VV Cost of Construction: $ z % 77-5" O 44- Sct. of First Floor: _ Utilities: Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name aci a of LU Name:Gn4�5 Company:, Olurd4 /'Co06/sd��wL Address: 40,94X /M 7 Address: ©O( Ao-cedar of tia�( J City: Stater=t- Zip Code: Fax:— Phone No. -7-7Z LP gi 2 City: Ap�pG State: f�- Zip Code:, % / Fax: Phone No. Z®/ / 5 Z E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Lcicc,(.�S Roo`/mJd-1,yG e!�Z? rN 'e' oo "4 State or County License:. C CG. O$'VO / / 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: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: 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 improveme our property. A Notice of Commencement must be recorded an Ehe jobsite before a first ins ion. If Inten g obtain financing, co or an attorn before co encine wool o ecor Int?✓Vour No ' of Commencewren _ 'nature of Owner/Lessee/Contractor as Agent for Ownef STATE OF FLORIDA COUNTY OF V The forgoing instr entNas acknowledge before me this day of 20 by person ackdowledging )/-\ STATE OF FLORIDA COUNTY OF The for oing instr men was acknowledged before me this day of 20 a by (Name of person (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida ) Personally Known OR Pr duced Identification V Personally Known OR Produced Identification _V Type of Identification Produced Type of Identification Produced(, Commission No. � ion �lo. r�� � ` ` `Q. o,, , � � �n- ommEN S. tS�I S �� ,,n,' .BEN S. NIELSEN ° - Commission ' FF 115637 _,(� ,� Commission It FF 11563 June 12, 2018 Revised 07/15/2014 June 12, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS