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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMP FOR APPLICATION TO BE ACCEPTED Date: �'3� ' �� Permit Number: a By ����Q�4��'®��6� RECEIVED rr r Building Permit Application MAY 3 0 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential \ ^ PERMIT APPLICATION FOR: PROPOSED IMPROVE E T LQCATION: Address: Oi�0 a�iil'))�, 4�,C/%& �I� P00 S Legal Description: R I V e_l� P/'r KK— U 6 1, ) T A—6c-/ti 9 LOT I CMAP Property Tax ID #: 34) �— S10 - 03QG -I d0O _ a Lot No._� Site Plan Name: I Block No. Project Name: QI Lkmbina Setbacks Front Back: Right Sicle Left Side: 'n4 //;R &-447 t Ateto PwAl'i Haaivonai worK to De perrormea unaer finis permit — cnecK all inai apply: � I _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors ,Electric Y Plumbing _ Sprinklers _ Generator / — Roof Pitch Total Sq. Ft of Construction: C �& 0 Sq. Ft. of First Floor: / / 010 Cost of Construction: $ erAl1 �fi: b�� Utilities: I Sewer Septic . Building Height: OW NI ER/AIOWN EE: C©NTRACT©'R' Name vbge= + S' nn 6re Address: oaa� City: �.t40,1 b State:FL .. Zip Code: Fax: Name: (,1�f 2l91 UN Company: Address: .' City: State: Phone No. 1D'— 8r1? 9033 Zip Code: Fax: E-Mail: FJ 13Ke au @ YGI:hoo. epyp Pho e No E-Mil Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State) or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONON RUCTI©N UEN LAW INFORMATION. DESIGNER/ENGINEER: _ Not Applicable , MORTGAGE COMPANY: _ Not Applicable Name: Name: ­ - - Address: Address: City: State. ` '' 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 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 or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The f oing instrument was acknowledge before me The forgoing instrument was acknowledged before me this day of MfAy 20f 6 by this day of , 20_ by ame of person making statement. Name of person making statement. Personally Known _V OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Fidtary Public -State of Florida) (Signature of Notary Public -State of Florida ) Commission No. ;=��"Y°%a��; K� S. NIELSEN ��Stat o orida-Notary Public C ommission No. (Seal) °� �a Commission # GG 207484 j1rnmm°" Ju a 12, 2022 REVIEWS FRO PLANS EGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW/ REVIEW REVIEW REVIEW DATE RECEIVED DAT15 COMPLETED ev. 8/2/17