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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE Date: a� _2� I j � 9 PLETED FOR APPLICATION TO BE ACCEPTED �n , rmit Number: BY & h I!IP1P rhf(n t Building Permit Application 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 enti APR 0 3 2018 810Z s0 ddd PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lin ifff RO�/ iPROPOSE'D IMRROVEMENT LOCATION v 4 ., . Address: I,o� Legal Deseription:�'�serJe P(Qlri+�a-h©n tl�s—�- Prop4rty Tax ID #: 8d3'- OCY_i_::�' e00O — C Lot No. Site Plan Name: �GmeS Ala nrl Block No. Project Name: t ICI-ri Setbacks Front Back: Right Side: Left Side: r DETAILED DESCRIPTION OF'WORK =IrIS-I-C� 11 2-ZI � C�►'��rCe �G �� � �� � � LA_-:-q l oco �r In (c)d LAi e�6 "Shutters E]Generator Windows/Doors Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 4AQS' O Utilities: _ Sewer Septic Building Height: OWNER/LESSEE : ; CONTRACTOR: ' Name Q Address: 10—ID3 ��� RrI C7n1 +. Name: 01mfal Com an p y� nn City: PbL_ State: EL Zip Code Aq p J Fax: --nppa`-�31 8- ILQ Phone No.`7_70 -' C4_1 I— 24- E-Mail: �b O Q� Qn f ff) Address: 1 t1J ity: Zip Code: Phone No`7 E-Mail: I &c State: c . -7 Fax 31 9;�Q (344 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State County License: )-Q If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 1, CWJ DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone RTGAGE COMPANY: _ Not Applicable ame: Adress: ty: State: p: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mace 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 dill authorize the permit holder to build the subject�structure which is in conflict with any applicable Home Owners Association miles, 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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. �- ure of'Owndir/ Lessee/¢'ontractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of , 20_ by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Commission No. (Seal) Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of , 20_ by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE, COMPLETED Rev. 8/2/17