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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABILE INF9 MUST: BE COMPI Date. FOR APPLICATION TO BE ACCEPTED SCANNEDPermit Nun BY 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 PERMIT APPLICATION FOR: Racr� Building Permit App Commercial `.v`cx)Ak �, -N� k ber- �a5- ba55 RLCLIVE MAY 01 2018 ounty, Permitting Residential Address: I SS �,:,1 ,beR �R �P Dg, fit• Gc Legal Description: P®RT P- LuCI j5 — SemoAJ BLK %0q L0 % 3 a /M #r yy 6S oR 16 © 7 - 2273�0 Property Tax ID #: -p l� 7 �� - � 0 _ Lot No.32 Site Plan Name: O13d�- �d) add a- �dCi -,5 Block No. /0`1'� Project Name: Setbacks Front.. Back: Right Side: Left Side: Additional work to be performed under this permit- cneCk.all tnat apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _Electric _Plumbing SprinklJeTs�` _ Generator �oof Pitch Total Sq. Ft of Construction: iP 5h' % "/ Sq. Ft. of First Floor: Cost of Construction: $ a2 010 000 Utilities: —Sewer _Septic Building Height: /C) r aWN'ER/LE-�5�-SEE• C � TRACTt+�R; Na'�•�o.bb�t o9-r>t�0 n� C` me Name', F a„ ril3rr�►t .TOA�. Cord6any'"��, Address: 12, Ad'd"ress:-' I(Vf ,`S' State: ��� City: P00- S .:Lu c J State: FJ Zip Code: 9 � Fax: �� Phone No(-7 7.) Zip Code: 31(?S-3 Fax: E-Mail: �' 'Phone No c-21A51 g.I E-Mail 12 r/V �� i'� d[i % C4r'#-1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CC it 13 3 l3 a If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPL ENTAL GMN- ; U 1"IMN LIEN iA mOm" M1 1M» DESIGNER/ENGINEER: Name: Address: _Not Applicable I MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: City: I State: Zip: Phone I FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City! Zip: Phone:' I I I City: 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 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 and7'accessory uses to another non -'residential use WARNING TO OWNER: Your failureito 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 ' st inspection. If you intend to obtain financing, consult with lender or an attorney before comm n work or recording o uI r Notice of Commencemen VJ91 Signature Ow ess a/Contractorias Agent for Owner Signature Contractor/Lic rise Holder -STATE OF FLORIDA,,., L STATE OF FLORIDA COUNTYbF t COUNTY O"F' ' ` The for oing instrumentwas acknowledged efore me The foying instru was acknowledged -before me this day of 20 ��by this / �� day of 20 /d by (Name of person acknowledging) I (Name of person acknowledging) (Signs a of Notary Public- State of Florida) ' (Signature of Notary Public- State of Florida ) I �OR Personally Known OR Produced Identification Personally Known Produced Identification Type of Identification ! Type of Identification Produced Note -Public State ofFlorida Produced Brandon Smith �, ! Notary Pubii S1ate'ot Florida c My C roll GG 137433 Commission No. �D1" �xprr 021 Commission No. . Brand My Corn i GG 137433 Expues 030l32021 REVIEWS FRONT ZONING ., . .SUPERVISOR PLANS VEGETATION SEA•TURTLE MANGROVE COUNTER REVIEW `REVIEW REVIEW REVIEW REVIEW 'REVIEW DATE RECEIVED ... �, . DATE COMPLETED' ev. r �8d5= D©5s RECEIVED MAY 0 7 2018 ST. Lucie County, Permitting cyp 2adds 0 ; �i �.e ,p p'2° Pa;a�e c�pp �'C�J-�`e�