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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT D j _ Permit Number: - 1 �— SCANNED BY M. Lucie Coumy _ `�- I RECEIVED Building Permit Appli Plot, ing and Development Services Bu►l mg and Code Regulation Division 230 I Virginia Avenue, Fort Pierce FL 34982 Pho,ie: (772) 462-1553 Fax: (772) 462-1578 Commercial PERIMIT APPLICATION FOR: ion JUL 0 5 2018 ST. Lucie Coungy� Permitting Residential Legal I escription:.SAI L)c19 1&4 32 ~U,L►%oriF -AkSY /EGG (.o% Z719,1,0 .2JYT oFk.1' ZM �2,93 Prope yTax ID #: �Z8 `�Lot No. Site PI n Name: Block No. Projed 'I Name: Setba inks Front Back: Right Side: Left Side: DET PLED D CSC*RIPTI,CiN C?F W,QRK. ✓!,�'� Irr� �P �pQ ii �ti�� � l.� �y�1y3; � �� lD /p�vs ���piPs 11d2 ��/ SGIj �� l4S i(/F�C/1`O/ e R0Whc-� .iliLt/ h6 A tv4 )�;R ir, _1-46/ 4� C0 SCR+UCTIQN INF©RMATION Additional work to be Performed under this permit -check all that api)v: Illechanical _ Gas Tank _ Gas Piping _ Shutters �lectric _ Plumbing _ Sprinklers _ Generator Total S . Ft of Construction: 31616 Cost of jConstruction: $��0� Sq: Ft. of First Floor: Utilities: —Sewer _Septic Windows/Doors Roof Pitch 1567 -- Building Height: OWIR/LE=�S`�SEE: C • NTRAC O'R: Name�� Addr City: Zip C Phon E-Mai Fill in from the �:1 n Awd 7q. AJi 50 ss: �tZQ� IS5'�ll,r. ._ j._ ;�!: fi. C.7] "c,�"-a:,41, -',T%4/ 4 rN5'Tetz�II � ;�01Company MQAJ%e:Ili.lp•_ ode: —4SLng Fax: ti. �No. 561—a5,;L-U55/-1 140 City: State:(/ l Zip Code: r7 Fax: c�M Phone No 32,1 - 9 -WO -tom E-Mailj�}tiif�C %�i �C4rly%M,fiG'�JR/G�i►4 `%d aAl -TASov--I t LI-i )AA PceV5r, „I lee simple Title Holder on next page ( if different Owner listed above) l State or County License° /5166a If value Of construction is 2500 or more, a RECORDED Notice of Commencement is required. =J6100M RICN MAiiON: DESIGNER ENGINEER: / Not Applicable — Pp MO,RTGAGE'COMPANY: Not Applicable ' Name: Name: Address: City: State: nAddress:: 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. I 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 jobsit& before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. II Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO AQQ/�'l STATE OF FLORID COUNTY OF COUNTY OF �� �SCC - The fong instru en was acknowledged before me The forgoing instr me t was acknowledged before me xhi —day of 20 l6 by this day of 201f by of (Name of person acknowl (Signature o�Notat�ublic- State ot#lorida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced . L. N 6ro04�7c `�� "'rp�•.,, ,Iffl-I Prod uBUICIACRO KAREN S: NIELS T� vZLA 5�'D�Seal) Notary Publ� -State of Florida jl Ipfff 24$426 _ �-1State of Florida -Notary 5• •= Com_mission #GG 20 's;,liSealhCommission Exp Commission No. -CO ���� My Comm. Explres Jun 30, 2019 ''�'�� �``� June 1.2, 2022 %" Bonded though National Notary Assn. REV_ IEWS FRONT ZONING SUPERVISOR qPI PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED