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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FI Date:�� SQ61�1�Vgy.)yBN J Buildi Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 I APPLICATION TO BE ACCEPTED �� Permit Number: Ids/ RECEIVE g Permit Application APR —s zoos Le:rl itting Departme Commercial ResiLU C'nuntyf FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION.' Address:-7`IOfo f eunsacola Qd fo1r I Pierce , FL 3495 1 Legal Description: 1_akewoo8 i?2,rk - U,ni I L - 91k 68 Lots lD aV1c! f 1 (►MaP 13I_ I'oR-3697-59) Property Tax ID#: 1301 -(aO(o - 02Afo - Site Plan Name: Joky) L. mpcar+ Project Name: ce-yoa� Setbacks Front Back: 1000 - I Lot No. 1.0 11 Block No. 68' I Right Side: Left Side: DETAILED DESCRIPTION OF WORK: iev►aove -1nt e,ci s}ing aspina I t sh;Y%3 dry - in ,ol peel esj;,i, onJeelay vue-i+ Slan,1 13 seam 341" luMe rno;. ed rao , neev Ce- na; l +Ile TOCA Jeck {m }the c,)rfe,4 ebAe 4)asl7in4S final ihs�dll ZN�au9� CONSTRUCTION INFORMATION: itionawortoje_pe 0 rformed this permit —Check a Gas Piping Gas Tank _apply: Shutters rsHVAC Windows/Doors LJ Electric 0 Plumbing Sprinklers LJ Generator Total Sq. Ft of Construction: 21 id S . Ft. of First Floor: _ i Cost of Construction: $ / 2 r $ 7 1 Utilities: Sewer 0 Septic i LJ Roof 3 12 Roof pitch Building Height: iov OWNER/LESSEE; CONTRACTOR: Name John Lamport Address: 7 4 ©lo Rensaotl a P City: Fed- '1%lefc.e State: FL Zip Code: 3N 4 S) Fax: Phone No. 23°1 - 25 Z 1 Name: Dien;el Soroka Company: Soeoka Roofino L L C Address: . P.D. lox 65002 (0 City:yefo Zip Code: Phone No. seacln State: F L 3294nS Fax: (772) 23 1 - 198 3 E-Mail: ' Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: �sor'oka Uoeii-n & a t+. nei State or County License: C C C 13.100 05 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIENIAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phone Not Applicable State: I I MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: ! Not Applicable BONDING COMPANY: ✓ Not Applicable Name: Address: City: Address: City: Zip: Phone: 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 pl for to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the ermit 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 Assoi iation 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 Budding 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: Yo ilure to Record a Notice of Commencement may r tin your paying twice for improvements to your pop y. A Notice of Commencement must be record d Fd posted on the jobsite before the first inspection. you intend to obtain financing, consult with len r an attorney b commencing work or r c er dins; vour Notice of Commencement. F-� Signature of Owner/,tq's*e/Contractor as Agent STATE OF FLOIP COUNTY OF The tp1going instrupwrit was acknowledged,�fo this day of 20L0 by L y 2 LLD 7 u rg Signature of Contr to /License Holder = a N v m Sm o STATE C FL R - o mQ 2 os r COUNTY OF ..•-� ®, Q �° Name of person making statement Personally Kpawn OR Produced Identific i •••' Type of IdenLificato Produced ' -a - /,'lY C— I U - (Signature of Nota ublic-State of Florida) i Commission No. REVIEWS DATE RECEIVED DATE COMPLETED Rev. 8/2/17 (Seal) FRONT I ZONING COUNTER REVIEW The f ing ins' this Tday of Name of person making statement Personally Known OR Produced Identification Type o en • •gation I h% re of Wot#y Public- State of Florida ) Commission No. (Seal) SUPERVISREVIEWOR REVIEW VREV EWON I SEATURTREV EWLE I MREV EWVE