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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: SUANNED J 0 0 ZVI (2 I;t I Irip Onion RECEIVED Building Permit Application MAR 3 6 2018 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie county 23W Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 40-1578 Commercial Residential PERMIT APPLICATION FOR: To Select froT dropbox, click arrow at the end of line .PROP.Ogtb'-IM'PROV-.EMENT-L-OCATIOU-. Address:11-0­md-Vh (AS-t rMrL,-',)-iercC S 3L10N(o__ Lod- Legal Description: �J LA Property Tax ID #: v4Q© - 6CO4 Lot Nop-� Site Plan Name: rxit) P_ fv%'eJr,: 1 e knne ouiM Block No. Project Name:I I Setbacks Front Back: 12L I Right Side: J5Z Left Side: DETAILED DESCRIPTION.'OF-WO'RK;- pi'd n sin e w Ide Itune- CONSTRUCTION INFORMATION. Aaaltionalao-K16-15anerf'ormed un0er t,his permit - cnecK all apply: HVAC Gas Tank ElGas PipinF. Shutters Windows/Doors Electric El Plumbing ESprinklers Generator El Roof Roof pitch Total Sq. Ft of Construction: I S Ft of First Floor: 16819 "n FlSeptic Cost of construction: $ Utilities Sewer— Building Height: 0WHt LESSEE: I CONTRACT -OR: Name;. Name otAMht LA61,e �IIMnP_ Address: Li 1151US-k Company: Slake (,6_4e , fin(.:. City: r-nrk P,t State: fl Address: lno�c �y Zip Code- Ll Fax: i city: lr=makc Me- State: F Phone No.- -73 7 - 15-1- S390il Zip Code: _"113sbcl — Fax: _96Z-G16-o?_61 E-Mail: I Phone No. Wif- 1946'- 6Z04 Fill In fee simple Title Holder on neiit page ( If different E-Mail: )&n JAW% 99 026M611- COM from the Owner listed above) I State or County License: 3b63 o If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN. LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable j MORTGAGE COMPANY: �, Not Applicable Name: Name: Address: Address: City: State: City: - State: Zip: Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: xNot Applicable Name: I Name: Address: I Address: City: I city: Zip: Phone: Zip: Phone: I I OWNER/ CONTRACTOR AFFIDVIT: Application is herebylmade 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 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 u accessory structures, swimming pools, fences, walls, signs, sa WARNING TO OWNER: Your failure to Record a Notic improvements to your property. A Notice of Comm, before the first inspection. If you intend to obtain fi commencing work or recording your Notice of Com ergoing a full concurrency review: room additions, in rooms and accessory uses to another non-residential use of Commencement may result in your paying twice for (cement must be recorded and posted on the jobsite iincing, consult with lender or an attorney before Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA . STATE OF FLORIDA COUNTY OF �C)r COUNTY 0F�1 The f oing instrument was acknowledged before me I day in The for oing instrument was acknowledged before me day 10 thisa of iAIra rrr, . 20a by this of Ir'Ch . 20 j , by I Aron Ingcal, � � Name of person making statement I Name of per on making statement Personally Known OR Produced Identification Personally Known A OR Produced Identification Type of Identification I Type of Identification Produced ' n i i Produced 1'320;fl f%A i 1lf iluo wl i I I � (Signature of Notary Pub ' -State oWforida i i (Signature of Notary Publi - ate of Flod Commission No. I Commission No. -A poytoffirvvw Public State of FloridaP NftV Sta4oiF]olWhVick" LWJ5 ictoria Lawstklrnni>ft" REVIEWSoa►ta2 WoqVftN,�otery PLANS VEGETATIO CI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED _T DATE COMPLETED Rev. 8/2/17