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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETL :'OR APPLICATION TO BE ACCEPTED Date: V3C) Permit Number: I� 1 �415Li Building Permit A plicatigM 3 0 2017 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Co ty, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: ��y„n«,� ,-ta c>r3 A monk t_) PROP®SED INPR;©1/E EaNT LOCATIC+?N: Address: -2�6 Gc>L-ff'y� 900,-r S - Lyck7n Legal Description Lka INLV s \ A -No a.ELF c�F vs`3 A As ohs A�sa:� - ay3 Property Tax ID #: ,3L11y - 50k _ 1-7a\ _ Opco -1zi; Lot No. Site Plan Name: Project Name: Setbacks Frolvt— Back: Right Side: Left Side: rJ5"- PY-02�,kG1q1ACf7 aoL-k-F-j ilcrF®o,=ov�sL or rA Block No. _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: I Cost of Construction: $ - o,r-> N a m e rJ \ LAA ('L va- lz-\. Address: 36 Gvu-,�—'- 62 . City: P o2- s L-.Jc-i f State: Zip Code: Fax: Phone No. 9 \ Q, E-Mail Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) ' Name: 3oWN,. r!��fuZNy Company: (a Address: 1c:)'--1 1 S — 57It '"' i srr City: Qo N\PArvo State: FL - Zip Code: Fax: Phone No goo �6ti7 E-Mail State or County License Ce- If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. Eli, cTiaN ��E�w INFO MATo DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: Address ;:,;v.: sicL, F-"-, City: 'State: , City: State: Zip: 2 3+LP, Phone f s6 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ NotlApplicable BONDING COMPANY: ,,,Not Applicable Name2P Name: Address:y.,—, S -s i l � H�Wt Address: City: PoR%rr .-LvL� ...:�.L _ I City: Zip: Phone: I I Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Appl I certify that no work or installation has comm is hereby made to obtain a permit to do the work and installation as indicated. prior to the issuance of a permit. St. Lucie County makes no representation that islgranting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home OvWners 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 requesteJ 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 exI mpt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, w6llls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Rei improvements to your property. A Notice before the first inspection. If you intend' commencing work or recording your Not )rd a Notice of Commencement may result in your paying twice for of Commencement must be recorded and posted on the jobsite obtain financing, consult with lender or an attorney before :e of Commencement. i {Signature of Owner/ Lessee gnat Con_ actor/Lic 'se=Holder-� STATE OF FLORIDA I STATE OF FLORID COUNTY OF 'C>a COUNTY OF 'G m,.►-_s Awn I The forgoing instrument was acknowled ed bef re me The forgoing instrument was acknowledged before me this )IS day of 20X-7 by this _M day of 20_n by IF — (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) I (Signature of Notar/y� Public- State of Florida ) Personally Known. OR Produced Identification Personally Known �/� OR Produced Identification Type of Identification Type of Identification Produced Produced ....% ALAN MILLER o�,...,ei. a , , o ALAN MILLER Commission No.* * MYCOMMISSION#Ffgggpp Commission N * MY COMMISSION #FF1954tteal) y p sr FIRES: May 5, 2019EXPIRES-.-May ) (& 4$cic� �fF�F�oa`O Bonded Thru Budgel Notary services 5, 2019 �� �� �ArFOF Fl°�`O Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW (REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014