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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt All APPLICABLE INFO MUST BE COMPLETEb.'FOR APPLICATION TO BE ACCEPTED Dat Permit Number: q BY RECEIVE® M-1100101,111,91at INOCO� t MAY 212018 Bulkling Permit Applica[ionPlanning and Development Services Lucie County, Permitting 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: � U, I k% f e i\6- " -- v� Address: � �(i'c� �s p/��cC �P AR/ L --4e ,zs !�/ etc'e O3 6'2! Legal Description: �iL�� d�,`v e✓c �l�� p>�-� 7`�/k 73 �o/ offs^ Property Tax ID #: Site Plan Name: _ Project Name: Setbacks Front a _6 /d --cam 06 alepd - 2 Back: Right Side: Left Side: Aaaitional worK to De perrormea under tnls permit— cneCK all tnat apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: Sewer _Septic Lot No. Block No. Windows/Doors Roof Pitch Building Height: 01NNER/LE�SISEE: C{o7 TRACTOR: Name 1_1/yt g/�-7. % �17,,412 a Name: If ,Ir �1 Address: City: State:z_—z Zip Code: 3fit` 9IF5-2 Fax: Phone No. Fr Company: l;N o-r — Address: A0221 /e4c"a`d y-e City: Iii ���-� Zip Code: Fax: Phone No% State E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail s m fl , State or County License/3C G°.5'S 26 2 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTkL C©NSTR�IlCTION k.tEl1lLAW INF4RM►TI'©N: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ -,Name: Address: " "' Wddi-ess: City: State: T City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVI . pplicatiori is hereby made to obtain a permit t/ments. wor 'and installation as indicated. . I certify that no work or installation has co enced prior to the issuance of a permit. St. Lucie County makes no representation that is anting a permit will authorize the permr o build the subject structure which is in conflict with any applicable Home Owne Association rules, bylaws or and covat may restrict or prohibit such structure. Please consult with your Home Owners As ciation and review your deed for antions which may apply. In consideration of the granting of this requested permit, do hereby agree that I will, in ats, perform the work in accordance with the approved plans, the Florida Building odes and St. Lucie County Amnts.The following building permit applications are exempt from un going a full concurrencyroom additions, accessory structures, swimming pools, fences, walls, signs, screen oms and accessory.usther non-residential use WARNING TO OWNER: Your failure to Record a Notice of Co\enmust ment y result in your paying twice for improvements to your property. A Notice of Commeno be r orded and posted on the jobsite before the first inspection. If you intend to obtain financinit wi lender or an attorney before commencin work ori ecordin our Notice of Commence Signature of Owner/ Lessee/Contractor as Agent for Owner/da of Contra or/License Holder STATE OFFLORIDA F FLORIDACOUNTY OF OFThe forgoing instrument was acknowledged beforeme-ing instrument was ac nowledged before me this day of 20_ by y of 20_ by (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary Public- State of Florida ). (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identi ' ation Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.