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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-- L Date: ������ Permit Number: By RECEIVED M Lucie County FER 0.8 '918 Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 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 Address: _:S(p © C_� Legal Description:L I Property Tax ID #: /3I "? t9t1)& 000 0 Lot No. Site Plan Name: Block No-� Project Name: / Z5 I Setbacks Front_ Back: � � — Right Side: LeftSide: K60 P o©l,�i-- , ACIClitional work o be nertormed 11HVAC L_J' Gas Tank yl Electric [ Plumbing under this permit — check ❑Gas Piping Sprinklers a apply: ri Shutters I Generator a Windows/Doors 1:1 Roof Total Sq. Ft of Construction: t< o� V z V —74, S . Ft. of First Floor: Cost of Construction: $ Utilities:Sewer Septic Building Height: RJQ15tE ;�1` S 'i � 3.Yz � .4 y a COI0TRACTO s ' rr Ala(ne cL . Name: Address:' Com- an City: State: Address: , Phone No.77Q Zip Code: 361�46 Fax: E-Mail: Ct.���/l ,fe,(� •l'P ,� Phone No. '772— D!D% Fill in fee simple fee Holder on next page (if different E-Mail: from the Owner listed above) State or County License: VaUV W wnxU ULAIUJI lb ,pcwu U1 rnure, a ncwKiiru immice oT commencement is required. t yy Cl"�10s111 '�`3^ Y +..9v - ay....s,�'i� ta.,-%.;,3+'3�:3. � .F.vIF, 2.e. � . .£�,kY _ sfa .ro:;n•... ,.n.�,<t , � +S: ham. +.�, .ui..',�• P- v.hSs ., Y6L..X^f`:.s.d�ry �'_� k� 34'� kt. .ks.e r DESIGNER/ENGINEER: Not Applicable MO� 'I m'J -O_ Y Not Applicable Name: Name: Address: ' Address: + City: State: City: Z-4 J State: Zip: Phone: Zip: -Q!2 7D7 Phone: 9-7-1 NO ILM FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: 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 requesteld 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 commen im work or recprding your Notice of Commencement. SignG� f"Owner, nt/ Ldsse� STAT F FLORIDA COU TY OF The forgoing instrument was acknowledge before me this day of 20 I%by I �I 1 I (Name of person acknowledging) C4,t) (Signature of Notary Public- State of Florida) I I Personally Known OR Produced Identification Type of Identification Produced Commission No. S 00AW estuot lwu+o0 RW uolsS�M 0 Revised 07/15/2014.., Sign re of Contractor/License Holder STATE OF FLORIna COUNTY OF The forgoing instr ment was acknowledged before me ^ this �L day of 2 V by \ yf'Y�S 4 ► a(6 (Name of person acknowledging) (Signature of Nota y.Public- State of Florida ) Personally Known L--' OR Produced Identification Type of Identification Produced No. #v � !(Ssgjll ubk State o/ Florid. CC W Seton My commission GQ teiase REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, CL OF THE CIRCUIT COURT SA '';CIE .COUNTY FILE # 4398861 OR K 4094 PAGE 2728, Record W2018 11:17:53 AM s Permit No. State of Florida, County of St. Lucie NOTICE OF COMMENCEMENT Property Tax ID No. 8I 027—z Ono b The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available rY � ���piS ; �ilc .�-� LAID General description of improvements Interest in property: Fee Simple Title holder (if other than owner) Address Contractor Gp I Phone # 'I S fJ 1 Address SS1 Q!S j '� . FL Fax # Surety Phone # Address Fax # Amount of Bond Lender Majetriooik.4 Phone # 77 J. ?/ i TYJ 1? Address r;1 / Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Phone # Address Fax # In addition to himself, owner designates Phone # Fax # to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED R:&ROPER PAYMENTS UNDER CH.713. L3, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN ARNEY BEFQRECOMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. / 1 or Signature State of Florida, County of 4 Lkr LI L, Acknowledged before me this `a day of 24 1 % , by , who is personally known to me or who has produced as identification. Signature of Notary Type or Print Name of Notary �00 Notary Public State of Fwas Title: Notary Public Commission Number C W geton 1 MY COMMIsion OG'IS7456 ar R Expires 1b13f1112t