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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE EIINFO QMUST BE COWL - . _.iD FOR Date:I--tJ--- TO BE ACCEPTED Permit Number: • © too NED ' Buildft, Oran Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort -Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ PERMIT APPLICATION FOR: S�4eo1( Address: Legal Description: _ Property Tax ID #: Site Plan Name: Project Name: �ee backs Front 54, I'u_cOP J/' Applicatiqn ' MAR o 5 201$ 'arcs Residential n D a-- G n e oy F�6 f 0— Lot No. Block No. ac Right Side: J Deft Ide: 6 E � ! , 3 6 ea 1t 5lo, Additional work to be pertormea under tnis permit — c i ecK au inat apply: —Mechanical — Gas Tank _ Gas Piping — Shutters Windows/Doors . X Electric _ Plumbing — Sprinklers — Generator _ Roof Pitch Total Sq. Ft of Construction: _� �Q 7 Sq. Ft. of First Floor: 1 Cost of Construction: $ a Ut'lities: — Sewer _ Septic Building Height: 1 City: 1'"1- • t" I' P, /'CP State: Zip Code:3'r-f I 4< 2 Fax: _ Phone No. LJ JQ `(/J i�'y' �'47 Fill in fee simple Title Holder on next page ( if d from the Owner listed above) If value of construction is 2500 or more, a RECORDED Name: Company: _�. Address: City: State: Zip Code: Fax: Phone No t. .'. -E-Mail State or County License of Commencement is required. t. ­— k INEER: Name• '7' Address Zip:- ,.-V `Phone. _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: { ,�+ Address: State City: State: Zip: Phone: FEE SIMPLE TITLE-HOLDER: —'Not Applicable, BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: i Zip:. Phone: OWNER/ CONTRACTOR AFFIDVIT: Application 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 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.l 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 ins 'on. If you intend to obtain financing, consult with lender or an attorney before commencingwork or ecordin o oticeW Commencement. S' na of Owner/ Lessee/Contractor as Agent f V y r, ; Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA 9�; *0 COUNTY OF COUNTY OF The for o'ng in um t as acknowledged before e� o� o 20 i by 2 The forgoing.instrument was acknowledged before me day 20 -by thiday o m this of , J faz -n ).4_ A �T= G - (Name of person acknowledging) 5 (Name of person acknowledging) N (Signature of Not Public- State of Florida 1) V (Signature of Notary Public- State of Florida ) Personally Known/ OR Produced Identification Personally Known OR Produced Identification Type of Identification j Type of Identification Produced Produced Commission No. (Seal) Commission No.-' REVIEWS FRONT I ZONING 1 SUPERVISOR PLANS VEGETATION, SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I. aj 4%L1 RECEIVED DATE C31 COMPLETED R—eV.7/2014