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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBLE INFO MUST BE COMPLt7 rD FOR APPLICATION TO BE ACCEPTED All APPLICA Date: 'li / (0. %� Permit NumbVrr 9Cjj"b1U V NE-6 BY uds Camoi>,'<J Building Permit Appli Planningllpnd Development Services Building pl nd Code Regulation Division 2300 Vir[(((g��I�inia Avenue, Fort Pierce FL 34982 Phone: 1772) 462-1553 Fax: (772) 462-1578 Commercial !11 V '4M.0 JUL 16 2018 JoMitting Department St. Lucie County, FL Residential Y =11 T APPLICATION FOR: �000 .10 p ood"{° e. egal Delll ription: Sfi�2y sw a III Property ID #: �1�0���(�(��� SC�-c�db - Lot No. �I Site Plan 1Name- Block No. L t dame:cFront Back: r& Right Side: -Left Side: v "DfTA(l. �© D��SCRalP1'I"ON Of UVORK: Aaaitioal worK.to oe perrormea unaer tnis permit - cnecK aii tnat appiy: —Mechanical — Gas Tank — Gas Piping _ Shutters _ Windows/Doors E ectric Plumbing —Sprinkle rs Generator Roof Pitch TotalrS`i lrFt.of Construction: ^ n Sq. Ft. of First Floor:',most of"Cruction: $ _ -ID Utilities: —Sewer Septic Building Height: O1t1iNR/LESSEE: CONTRA OR: , Name,Is• II1 1(Z[ G -C � L Add re; City: Zip C, PhoJ 5 . �Z�Z� �61f1.L & -ClGbk �)W ' VWP, Company: Address: City: State: Zip Code: Fax: Phone No pp al State: F-L II de: 3 Fax: No. I2 (o r 0�� '-Ma I •CMA &k 1n1W 0 Cap /01��'� �W� Fill in' from fee simple Title Holder on next page ( if different he Owner listed above) E-Mail Sta or County'License If value;,;of construction is 2500 or more, a RECORDED Notice of Commencement is required. PLMNTAL CONSTUCT�aN �ItEN LA IN.�tf+NATION. DESIGNER/ENGINEER Name:-ga_��XQul 1. %olyi��u�n� Address: City: Zip: Phone Not Applicable State: MORTGAGE COMPANY: _ Not Applicable Name: Address: I I City: State'. Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City:' 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 sucfi" ­. 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, accessorystructures, swimming i. g 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 commencirn work or recording your NotMornmencement. Si atur of ner/ Lessee/Contractor as Ag Iforgpw er Signature of Contractor/License Holder �x g STATE ORIDA z m�$ STATE OF FLORIDA COUNTY OF � COUNTY OF C ��S The fo11rg�$$in�g instrument was acknowledgb The forgoing instrument was acknowledged before me this 1�day of 201 b 23A Q this day of 20_ by ame of person making statement. Name of person making statement. i Personally Known OR Produced Identification Personally Known OR Produced Identification I Type of Iden ific n ' Type of Identification Produced Produced (Signature of N t ry Public- State of Flo ida)U (Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE _ MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17