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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Date: �' Permit Number: I� f SCANNED BY RECEIVED s S uild ng P1ermit Application FEB 13 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION �. Address: <LaP,W A'/ V o0-^r S LQ'LI E �rL-3ti9 S'a. Legal Description.: S'T L.y e--i £ L. do V. U✓,s n►p '� L�t6 CLy oy us " --I, 21 w Property Tax ID #: -2'�NtA - Sc�\ - t'? v \ - oov- i Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D;ETAlLED DESCRIPTION'OF V1fORK: - A M0!2,, -f k+—c.-N Ar--1 fl r=(��1 L�l fLOvn^ 0HVAC IJ Gas Tank ❑Gas Piping ❑Electric 0 Plumbing []Sprinklers' Total Sq. Ft of Construction: * I S�o Cost of Construction: $ <6 V ct�. c--4D "Shutters []Generator S Ft. of First Floor: _ Utilities. Sewer Septic 0 ❑ Windows/Doors Roof Roof pitch Building Height: 17 OW_'__ LESSEE: CONTRACTOR Name Name: John E. Murray Address: 'aS iA� 3 TF' 1 JAy Company: AMS Inc. City: Pt�rz�-r �—.• i .mac+ State:` Address: 941 SW 8th Street Zip Code: 'A L Fax: rJ\ A- City: Pompano Beach State: FI Phone No. 1>� , 3 3 (, - �'?'7�1 Zip Code: 33069 Fax: 954-782-0995 E-Mail: Phone No. 800-226-6677 Fill in fee simple Title Holder on next page (if different E-Mail: maryannp@amsoffla.com from the Owner listed above) State or County License: CC C042787 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SU�PPLEMENTALCONSTRUCTLON+LLEN LAW INFORMATION: : DESIGNER/ENGINEER: _ Not Applicable Name: James Bushouse Address: 3300 NE 11)th Terrace City: Pompano Beach State: FI Zip: 33064 'Phone: 954-956-2203 FEE SIMPLE TITLE HOLDER: = Not Applicable Name: NrIE_ c-�viis�i�►�, c©szP Address: 12 <Z:ouk 5 w A-1V-- City: MkAIVNI 'EL— Zip: 33l$b Phone: MORTGAGE COMPANY: }*Not Applicable Name: Address: w City:, State: Zip: Phone: 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 permitwill 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 land 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 a improvements to your roperty. A Notice of Commenc before tbp first inspifttibp. If you intend to obtain final comr 6 r ing work or r ding vour Notice of Comme STATE OF FLORIDA COUNTY OF S'r- The forgoing instrument was acknowledged before me this:t day of 20 -Mby mencement may result in your paying twice for t must be recorded and posted on the jobsite consult with lender or an attorney before cerise ILTE OF.FI UNTY OF forgoing instrument was acknowledged before me day of FTZG(Z J A.rL -/ , 20 19 by John E. Murray (Name of person acknowledging) ;(Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally known _)L OR Produced Identification Type of Identif�gpXLon Produced , ; •••., % ALAN MILLER Commission * MY COMMISSION # FF 195491eal) s,0 May 5, 2019 "roof r10," Bonded Thru Budget Notary Services Revised 07/15/2014 nally Known_ OR Produced Identification of Identification Produced Par Pue ALAN MILLER niVi MY COMMISSION # FF 195499 (Seal) EXPIRES: May 5, 2019 Bonded Thru Budaet Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE/Q COMPLETE _�, r INITIALS lf__�