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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONsi All APPLIC IBLE INFO MUST BE COMPLEVV'''FOR APPLICATION TO BE ACCEPTED. f - Date: Permit Number: SCANNED n RECEIVED ' BY Sm Lucie c®un'bj JUL 0 6 2018 Building Permit Application � ST. Lucie Cown�y� P�r�Itcing Planning Development Services -.---- Ind Building � d Code Regulation Division 2300 Virg pia Avenue, Fort Pierce FL 34982 Phone: ('72) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMI APPLICATION FOR: RUPC+)S`�D IN�PRfJ 'E SENT L+ A I � Address: _ to o 2 2u SS '�0 IFC)r - Pierce 4ot �' Z Legal Des gll iption: I I Property i x ID #: 'I'-vo-5- soz, 0-a,r\4 - a14 - Lot No. Site Plan Project N ' II ame. Block No. me: Setbacks'�11 Front Back: Right Side: Left Side: DETAIL ED DE�SCR�IPT O(� aF WCI K: e '; vo' 0-P SW, vl le UQ ►-C- ng 4-0 A& M� ,4150 C")J"fq 901YalU5s '-00'(- UAC)eeV [C4YA4ekl-{- I CC1' 1"R ISNIMS ition I work to be pertormed un er t is per it-cFeck all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof z Pitch Total Sq. t of Construction: Z1 OO S F Sq. Ft. of First Floor: - Cost of C Instruction: $ C1.1000 Utilities: —Sewer _Septic Building Height: WN R/LESS E: CONTRA - Name: Name 1Z3 G V Address' 602 (ZOSS R-0 Company: City: State.RL Zip Code:`3'A Cl I Z Fax: Address: City: State: Phone INo. ZO 1.1Z7 165S Zip Code: Fax: E-Mail: Phone No Fill in file simple Title Holder on next page ( if different from t e Owner listed above) E-Mail State or County License If value o construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENT CC1 4 =I 0'F4RMATI©N. DESIGNER/ENGINEER: Name: Address: City: Zip: Phone _ Not Applicable State: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: I� OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made -to obtain a per'mit to do the work and installation asl 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 your Notice of Commencement. )(�__ ze�2� ignature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/,License Holder STATE OF FLORIDA STATE�OF FLORIDA COUNTY OF 8 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this __ day of I U A y 20k-4 by this day of 20_ 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 tD t— Produced v (Signature of Notary P blic- State of Florida) (Signature of Notary Public- State of Florida ) Sg GIVEPIS Commission No. tMA is P TZ S�'� GG�?Zp23 ,,,- ��'�� tf,15slota# . 02U ommission No. (Seal) er G}CPSRESotzNpublicUrdera& REVIEWS FRONT 9-ZO'N�F G SUPERVISOR PLANS VEGETATION SEA TURTLE 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 8/2/17