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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAN APPOEABLE INFO MUST BE COMPLETED FOR Date: 2. s'` W 10 CATION TO BE ACCEPTED ,(' Permit Number: l Fos os — ©� 71 BY _ St Lu�cieCvunty •y Building Permit Appli tio, Planning and Development Services Building and Code Regulation Division �°n�o i 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentiafh`3 _ R PERMIT TYPE: )1� h0r✓��id,h Address: / 7 L Property Tax ID #: Site Plan Name: Project Name: _ c,3 Lrbo" r R da •e igl v 68'a/ooz9vooS ' d 4 le 14 r h / q i ' f `c 4 -e y Cg A.' h, C -J�J 041a & -6 &wry GayYr .-Amr l a u re AII a -r7�tr t dr d •� , ,r�,c Lot No. Block No. ai fi dihe d�a.f's� �7oio►r� Additional work to be performed under this permit check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprii klers _ Generator. Total Sq. Ft of Construction: Sq. Ft. of First Floor:_ Cost of Construction: $ �f Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: • WNER/MOM- EE: CONTRACTOR• Name !--{ 4 Address3 2513Y ok/'. /?i Address: cr City: i�at �w, C�`/ State:�<-' Zip Code: 5 q-2 9 Fax: Phone No. 2-- / i 0 i 42e: - r_ h Company - Ad'dress:" /' �i 'C �/1-4 City: State: Fe Zip Code: Fax: Phone No E-Mail: J�&A�'r+ Lq`t Q r!H �oQol°ri,i!CO Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I E-Mail State or County License If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Q N ,p, , R p 8 .► DESIGNER/ENGINEER:`" Name: Not Applicable MORTGAGE COMPANY: " ma'me:• t' Address: Not Aable Address: City: Zip: Phone State: City:.:,,- is _ Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a'permit'io •do the Aid�k and"installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is, granting a permit will authorize the permit holder to,build.the subject structure whic11'9s 7n-contlict with any applicable Home O%4ners Association rules; bylaws ge.and•covenants'that•rriay r'estrict.or,'pyohibit 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 he''reby=agree,that'I Will; iri all. respects, -perform the work - in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. 7. The following building permit applications are exempt from undergoing a full concu4 rrency, review: roomadditions; accessory structures, swimming pools, fences, walls, signs, screen rooms and acc�ss6ry`u e's to anothiee:.•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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AAP i !T� RNEY: BEFORE RECO111DING, YOUR, NOTICE OF'COMMENCEMENT." 41' e_ .. _. .. •' . .. .. ice: �Sg ur of Own es a/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA OF r' STATE OF FLORIDA COUNTY OF COUNTY �-1,�� The for oing instrum was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 aOby this day of 20_ by 2.ffi I lAdl�n trZ_ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification ProducedG Produced (Signature of Not Pub s A � 0 0d 270079 i rteture oftNofa Public=•State`of Florida g rY') =. ►= pmfirkisIon N1 Ceait59 slon Explros 2022 Commission Noa° ��;��� ( sober 22, mmission No. . ` ; ($eal)' REVIEWS FRONT ZONING SUPERVISOR "'.-,SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/ 19 All APPLICABLE INFO MUST BE COMPLEi w FOR APPLICATION TO BE ACCEPTED Date: 5 'a Permit Number: �$O 5� d ro1 r SCANNED i BY RECEIVED St Lucie County Building Permit Applicati n MAY 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone:.(772) 462-1553 Fax: (772) 462-1578 COC111T1eCC18I R251CientlBl �/ PERMIT -APPLICATION FOR: I t Address: A r Legal Description: A Property Tax ID #: Site Plan Name: Project Name: _ Setbacks Front _Mechanical y Ll4 2,G Y01001 c566S Back: Right Side: _ I 2 NN' QF NOP K: 1 ! . Z I't o 117r Z-1S 3 Left Side: Lot No. Block No. Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: I Cost of Construction: $ oob. OD Utilities: _ Sewer _ Septic Building Height: QWNER%LE-�S`�SEE:NTRAC`i'O Name Name:.. Company:l- Address: _ ` el-e— a Address Z O e' cSU�" % aPi ✓� ff13 City: State-,�. Zip Code:3 � 011 Fax: / Phone No. 7 7 7-7 Z `� 6 City: . State Zip Code: Fax: Phone No -ZZ E-Mail: ::OMaczc�e'erL _ :- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 70_C State or County License -02 - ' If value of construction is 2500 or more, a RECORDED Notice of Commencement'is required. '�a �� ARP RMLU TAL. O S1"R TIC* LF N INFORM TlQ 1• DESIGNER/ENGINEER: _ Not Applicable Name: a n Address: ei-C-e- ,e_ ;1Address:, City: State: ,MORTGAGE COMPANY: __1,^t Applicable City: i ' ' State: Zip: Phon — Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: 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 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 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 gr recording r Notice of Commencement. oe Signature of wner/ ssssee tractor as Agent for Owner natu e f CXcicense Holder STATE O LORI /X STAT OF FLCOUN F L c COU , TY OF cA The forgoing instrument was acknowledgbefore me The forgoing instrument was acknowledges_ before me this � day of VNL3,,V� 1201 by' this day of 20_fS. by \ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced. L Produced lb �— ice-•ram-'�'`^..<�.:. (Signature of Notary ai;e of FIo l', � ""�'- oz� ° tISSlOtdtGGO_"t I„ (Signature of N ar�p.ul1i�-Sat ?, 123 c MY GO V14 et i6, �S *_�, ES' ecemb Commission No.�;t Y l-ac jP�tary' PubtieUnderv+nt�r3 its Bondoo I.. G 0 h r �rX IRES: Decem er 96 10 u Commission No. ��`fa 7hruWotaryPd�� n "' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVEDLL DATE 7 COMPLETED Rev. 8/2/17