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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONall ADPI If11hR1 F INFn MAST RF COM FOR APPLICATION TO BE ACCEPTED Permit Number: l �o 7 V 0 Date: l e`er M� ED t�� ter ,/ ED RCEIVr ae Linos Cunt ftiGirl' _ Building Permit Applic tion JUL 2 7 2018 Planning'and Development Services Building' pnd Code Regulation Division P21'IYIItLIng ®C: prtmen,t 2300 Vir inia Avenue, Fort Pierce FL 34982 St. L Cl 20unty, FL Phone: �772) 462-1553 Fax: (772) 462-1578 Commercial. R PERMIT APPLICATION FOR:-Pj't-j� , PROPOSED INPRUUEMI M, T L.QCA III Address: 1.'b Lo Li n 5 (,-j 6 0 10 n Legal Des', ription: III Property) ax ID #: `7D� " 9'0 -000 1 -oco - 3 Lot No. Site Plan II ame- Block No. I Project N me: Setback) Front Back: f Right Side: Left Side: 0E E DESCRIPTION { F C?W 7 /l `lam/ l lic O —Zrl `C l -1 .G, j ...rnl .� • .`I �I Addition, l work to be pertormed under this permit - cneck.,a -that apply: _M chanical _ Gas Tank —Gas Piping _ Shutters _}Windows/Doors El( ctric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total SqJ t of Construction: AD3 X CP Sq. Ft. of First Floor:.. ` Cost of 6ristruction: $ dr Oh • Utilities: _ Sewer _ Septic Building Height. t OW Rf LE�S� E CO RA « . R, Name: Addres�:Ow1`aD(Q City: Zip Co Phone I E-Mail`. :son Name: in 9WV0 1CO-e z Company: Address: City: State: Zip Code: Fax: Phone No Fr 2« a State: e: 03 Y%, Fax: of 72a ag y- 5 �90 f S6, do l0 q A op . C ©rti simple Title Holder on next page ( if different Fill in file E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more, a•RECORDED Notice of Commencement is required. St1P'P E . Ai. CONSTR�UCTIC?N LIB W Nf�RMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name- _ Address: Address: City: State: City. s`= 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: I 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,1 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 jot site before the first inspection. If you intend to o cing, consult with lender or an attorney before; commencing work or recording vour Notice COmrn ncement. aLL� s gig ,Stud"- fz'O winner/ Lessee/Contractor as Agent for � z Signature of Contractor/License Holder .,,-t . � STATE OF FLORIDAc,f Ia $ STATE OF FLORIDA COUNTY OF �.Ll/'� M COUNTY OF The fDrZping instrupept was acknowledge before,q The forgoing instrument was acknowled d before me thisg4.. day of 20Ld by this day of 0_ by In )I Name of person making statement. / Name of person making st ment. Personal) win OR Produced Identification d Personally Known OR Produced Identification Type of I tifi i n n, Type of Identificati Produced ^ ' Produced (Signature of Notary y blic- State of Florida) (Sig ture of Notary Public -State of Florida ) I Commission No. (Seal) mmission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REV EW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ����