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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEIW tOR APPLICATION TO BE ACCEPTED Date: Permit Number: �" 0U�l� - SCANNED BY RECEIVED p ®����% , 6ucie �i �► MAY 01 2018 Building Perm it'Application Permitting Department st. Lucie county 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 Residential PERMIT APPLICATION FOR: PRO � t3 --E.D III PROVEMENT LOCATIaN: Address: ,' -e &tJ' Legal Description: Property Tax ID #: 7-% - -711i 00 z-3 e20 03 Lot No. Site Plan Name: vzJ C, r Q- Block No. Project Name: S j Setbacks Front Back:'- Right Side: Left Side: -� I DETAIL � � DF=�SCR�IPTION t�F W4RK -cam 1 .� I ouqv o s �.�•1 g �r� t o4y��� •wc.� _ I CONSTRl1CTI©N INF®R�MATI'QN: Additionalwork to be per orme un er t is permit - check all that apply: _Mechanical _ Gas Tank I Gas Piping _ Shutters - Windows/Doors _ Electric _ Plumbing I Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: %70 I Sq. Ft. of First Floor: Cost of Construction: $ �Z�j Q• �� I Utilities: —Sewer _Septic Building Height: I 01NNR%LESSEE: CO'NTRACTC}R: Namc li 'Wo//s�i �i9 i re Name:- Company toll CL AddresZ 3 col S• � '44 ��� 2 r City: State: rl Address: Z(aZ �f % e✓ga Z" I City:JW '- rF — State: Zip Code: Fax: Phone No. 2 Gri - 3GC. -2 I Zip Code: 5q5'9'Z- Fax: E-Mail: Pli"one ;No=-', 77Z - 70� ' OR 55 &Mail' _.�'X��� e� ?/U4 rt �'i i Fill in fee simple Title Holder on next page ( if different from the'Owner listed above) State or County License �VP 73 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. 1; . 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 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 ou property. A Notice of Commencement must be recorded and posted on the jobsite inion. If you intend to obtain financing, consult w' der or an attorney before before theegworvr Corr 'ecordin our Notice of Commencement. 4ie F 5 St1iPPL�MENTA�i p , LICE DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: (V��.L��,.Q� \ �� $�� Address: �I 1 ' e i�� Address: City:(�YL \ State: City: State: Zip: 32$ l � Phone �io7 73y %1/7© Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: nature of Owner/ Lessee/Contractor as Agent for Owner i gnature of Contractor/License Holder STATE OF FLORIDA ,STATE OF FLORIDA ' COUNTY OF 5� LuGu r COUNTY OF-"- `5�- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ! day of f'�/�? y , 20� by this � day of /�'!/.�.-i , 20�by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Publi ate of Florida) (Signature of Notary Public- S e of Florida ) Personally Known OR Produced Identi • � Personally Known OR Produced Identification �- Type of Identification Type of IdentificationProducedProducedCommission No. (Seal() No. SealCommission ml;it®r" REVIEWS FRONT ZONINGPLANS VEGETATION SEA TURTLE M30VE COUNTER REVIEW REVIEW REVIEW REVIEW �$I9W DATE oc RECEIVED N m"m T DATE " Nam. N c