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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION86 NED =_ By 4_1 S$ LUP'IP (°f1I IYl ALL APPLICABLE INFO MUST BE COMPLETED: FOR APPLICATION TO BEACCEPTED P rm umber: �.. Date•3` \4 1.� e tt.N ..:r. RECETVED 0 Building Permit Application MAR 16 2018. Planning and Development' Services ST. Lucie County, Per in Building and Code Regulation Division 2300 Virginia Avenue, Fort:Pierce FL134982 Phone:. (772).462=1553 Faxc (7�/2j 462-1578 Commercjal Residential PERMIT,APPLICATION FOR: To Select from dropbox, click arrow at the. end, of.line: n `PROPOSED IMPROUEIV�ENT LOCA4TION .._ Address:..,'? s! . t. It PW �1RS Legal Description: to Property Tax ID #3�/a -Sb3 '00 -4 ' 0100�-1 Lot No: Block No: Site Plan.Name: . Project Name:' U1 �Qct. Setbacks 'Front - Back: Right Side:. Left Side: DETAftED bESCRDPTIONk©F WORK ,Q N'STgLJ iION IN'FOWWTEION' ditional work o. e• a orme . under tis_ permit.7-chec a a.ppy: , C�HVAG IJ Gas Tank Gas Piping _ Shutters a•Windows/Doors lectric Plumbing [] Sprinklers . 0 Generator Roof, : Roof pitch Total Sq. Ft. of Construction:�.ti /. .. S . F of First or: t. Flo Cost of Construction: $ 90'00.66 Utilities- Sewer. QWtiq Building Height: OWNER/LESSEE:, CONTRACTOR aine... Name• n' rf Address: U I . Company �itii'4lam �}66 .44 - %nC CityFA. titt State:- Atidress...63R6% liDtk Ave- M : Suik: is A. Zip Code:tiV) Fax: City�,�pngCtcS State Phone No. (� �Jrq"3LiQL/ Zip Code 4,6 - Fax:SL E-Q : �' M Phone No.Sl Mail; ol-&�3�: GolS11 Fill in ee simple . itie Holder on next page (if different E=Mail:' Q�1I0 bt�iid: CrJ� from the Owner listed above) State or County License: If Value of construction'is $2500-pe more, a RECORDED Notice of Commencement is required. r- SUPPLEMEN;.AL.CO:NSTRbIO.N LIEN' LA,W INFO_RIVIATIOW DESIGNER/ENGINEER: 'Not/,Applicable MORTGAGE COMPANY: of Applicable Name-skglin A. wI a -RE 31AW Name:. Addr ss W Address; Gity State:._ City: State' Zip 4W3 Phoney-8 7 Zip: Phone: FEE.SIMPLE TITLE HOLDER: _ of Applicable- -BONDING COMPANY: _Not. Applicable Name: Name: .: Address: - Address. :. ' City: I City: Zip: :. Phone: .- .' . �. Zip: Phone:' OWNER/'CONTRACTOR AFFIDVIT: Application is hereby made to.obtain a permirto. co the worK ano mstauation as moicdLea: I certify that no.work or installation has commenced prior to the issuance of apermit. 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.Associatlon rules; bylaws or and covenants that may restrictor prohibit such structure. Please. consult with your H� me 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.Godes and St: Lucie County Amendments. ations. are exempt from undergoing a full concUrrency review: room additions, The following building permit appl 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 improver ients to your property..A Notice of Commencement mus , rded and posted on the jobs to before the first inspection! If you intend to obtain financing, co. It .with I rider or an' attorney'before k o'rdin our Notice'of Comm0 ceme tW cma"r, WWI o1.9 ! i , u e:of Owner/ Less 6/Contr c bras .gent for Owner - S nat ntra r/License Holder SI E.OF FL q�t IDA QR TATE.OF..L R A. COUNTY OFJoi�ni,Ul('i�. COUNTY I a Iwti //. The .for oing inst ent.was acknowle'd a before me 1"iOI�� 20 by 0 The :for'oing instrument was.acknowledged—bef re me this day of ��tNC.� :, 20 by. this day.of : . 1 to I ��Q .. � t •e A� 1►tis�nn CA Name o person making statement of,pers remaking statement Personally Knowy OR Produced Identification Personally no.., ,K OR Produced Identification. . T l? of l icatidn n ifilption. Produced I I Produced o NPublic- Stated. Florida) (Signature of Notary Public-.State'of Florida ) /otary Commission Nd: l �J Gi1 i�(1 ICIA ANN GRI Ftl �3 . ` mission N PA's�IA ANN GRIF MY COMMISSION # GG4 I 26, 624 =6 s= MY COMMISSION'# GG137 021 .EXPIRES September EXPIRE , . REVIEWS FRONT PLANS VEGETATION SENTIF A TUR ZONING SUPERVISOR COUNTER REVIEW. REVIEW REVIE REVIEW REVIEW REVIEW DATE II RECEIVEq. . DATE . COMPLETED. /. 3lZ°1( Kev. 8/Z/17