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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICA LE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date:
1 �j 1 C� SCANNED Permit Number:BY
St �.Ue County/ RECEIVED
Building Permit Application FEB 12 2018
Planning and Development Services ST. Lucie County, Permlt;Clnu
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator
El
�PROPOSED:IIVIPROVEMENT LOCATICiN. :.
Address: d U60)o I - Or.
Legal Description:So—bQ (r"e�C--� ���+-�� L-4-1 o"' ©ir31 �23' 1qb
Property Tax ID #: c�j324 SCJ— bU ( a- 0�-0 Lot No.
Site Plan Name
Project.Name:
Setbacks Front
Back: Right Side: Left Side:
G--n-erC)'-G Gen-e-r0+-0c.
�l -oo A : i �-ery i cue ,yen 44C , , c e,
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CONSTRUCTION INFORMAI"�10'N
�ona wor to a pe orme. un ert is pmit f',c ec a apply:
_ HVAC I1 Gas Tank `� Gas Piping �' _ Shutters � � Windows/Doors
i
1:1
54 lectric 0 Plumbing ��Sprinklers E]Generator Roof Roof pitch
rK
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction. $ ( D, 1CJ',�'��� + Utilities. Sewer Septic Building Height:
If, a )�
O.VCWN ER/LESSEE:
�..
CONTRACTOR. ="
Name Cv
ri n..
Name:=,i-ielral i
�`�` 1
Address x44
e- f,
Company: i CAe1&1 ' •
Address: �0 �� �V1
�(�►1C��7Y1��
" t� l J
City: State:
Zip Code
4 Fax IJa- 31g- LQE[
City:-fb(+-- -erCZ
State
Phone .
�� ' 3
Zip Code:J�g Fax: —I �o�- e��&L (45
E-M il:
1 I
Phone No.40
Fill in fee simple Title Holder on next page (if different
E-Mail:
State or County License: EC, 3
D__
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lafi
ix
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: - Name:
Address: - Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: I City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applicatio in 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 gra
which is in conflict with any applicable Home Owner
structure. Please consult with your Home Owners A!
In consideration of the granting of this requested pe
in accordance with the approved plans, the Florida E
The following building permit applications are exem,
accessory structures, swimming pools, fences, walls,
WARNING TO OWNER: Your failure to Recor
improvements to your property. A Notice o
before the first inspection. If you intend to i
commencing; work.or recording your Notice
Signature of C�vnOlr/lessee/Contra(
STATE OFTLORIDAZD, Il+
COUNTY OF
sting a permit will authorize the permit holder to build the subject structure
s Association rules, bylaws or and"covenants that may restrict or prohibit such
sociation and review your deed for any restrictions which may apply.
•mit, I do hereby agree that I will, in all respects, perform the work
uilding Codes and St. Lucie County Amendments.
it from undergoing,a full concurrency review: room additions,
signs, screen rooms and accessory uses to another non-residential use
I a Notice of Commencement may result in'you'r paying°twice for
'Commencement md'st be r.ecorded and posted on the jobsite
Ibtain financing, consult with lender or an attorney before
of Commencement.
as Agent for Owner ,
The or i 'nstru wa- acknowledgefore me
thi day of 20 by
03 "T I umo:n
Name of per making statement
Personally Known OR Produced Identific tion
Type of Identiflcatios •„ n ! j . e 1/ hA J/1 I . r
(S�Jure of Notary Public- State of Florida )
JENNIFERCORSON
Commission .• •s4� I)
��
N Q , Expires October 30, 2021 ,
. 9�__-.eQ� BendedTlruBudaetNotanServkes
I
Signature46f 9bntor/License Holder
COUNTF FLORID) r.
COUNTY OF � T
The fo)ng!` strut as acknowledge fore me
this Bay of . 20 by
OJI JU i� I asrbp
Name of per o making statement
Personally Known OR Produced
Pjrod/uc�ed Identification
Type of Identif{c i on/l 1 Lr I I `O 1 Produced f 1 '�-�" -�
I—
re of Notary`Fsublic— State of Florida )
�e JENNIFERCORSON
* N (Seal)
oQ Expires October 30, 2021
�o�� BawledTlwBudpa[NotarySarvlr�
REVIEWS'
FRONT
ZONING
SUPERVISOR
PLANS,
VEGETATION
SEATURT:LE
MANGROVE
COUNTER
REVIEW' .
(REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
°
COMPLETED
Rev. 8/2/17