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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt- 1'I AL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dlte: 1�0Permit Number: li SCANNED ---, RECEIVED Building Permit Application AUG �018 Planning and Development Services ST. Lucie Count P B��Iilding and Code Regulation Division Y, ermitting 2. Virginia Avenue, Fort Pierce FL 34982 / P?one: (772) 462-1553 Fax: (772) 462-1578 Commercial. Residential ✓ PERMIT APPLICATION FOR: To Select from dropbox,, click arrow at the end of line �� I PROPOSED IMPROVEMENT LOCATION: Adl ress: d % �i /✓� �Jz/ !/C Legi I Description: 23 i'` 24/, ON?LE- 644-16 Cou �v Tcz IfLLA P P :)erty Tax ID #: l2 27 ` ?d " D Z 7 - ®DD Plan Name: ©N��` ��ti�Q nu"V4 eeu b ect Name: PEIL4 o Al backs Front Back:_ Right Side: (31_ Left:Side. Lot No. 23 4- Z Block No. DETAILED DESCRIPTION OF WORK: co/v S 2[J L�/ eJl'✓ P> f �'vr iv! /pe► tJNCB- CQNSTRUCTION INFORMATION: itional -work to be nertormed under this permit -check all apply: E1HVAC Gas Tank Gas Piping _ Shutters a Windows/Doors OElectric LJ Plumbing Sprinklers Generator Roof Roof pitch Toil I Sq. Ft of. Construction: S . Ft. of Firs _ tFloor: Cosit of Construction: $ Fes, b Z 1� ✓ Utilities: Sewer - Septic Building Height: OWNER/LESSEE: CONTRACTOR: Nal' Address: I Cite: a F�L! k. S'�%7%R.�i ,��77✓i°ii e . Name: A f 6-' CO/✓C/LCTe Fde) / S Company: '9 *4/ /E� Address: 465 dress: 3i/Gl % ,B0TI Tii> IIJE" �y -1 . A4_XCE State: Zip Phone E. �1 Code: 3 V 9_5 Fax: A11,4 No. N�� ail: `,PDt-.-✓ A✓E-% City: 1-711V/z57tCState: /. Zip Code: ✓ 419. $ 2- Fax: L/f, 7-162-1/ Phone No. '722, - .g 7 $- 775'9- in .fee simple Title Holder on next page ( if different the Owner listed above) Fill fro? E-Mail: State or County License: CPC_ %1.5- 79b Z it vaiue or construction is ;pLSuu or more, a KCLUKUtU Notice oT Lommencement Is required. rr— SqPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: D IGNER/ENGINEER: .. _ Not Applicable . '. - ' MORTGAGE COMPANY: - Not Applicable; N A e: - Name:: Address: ress: 1610 e—*_SZ471- b c W. Ci p/L72.�47cff State: d City: State: Zi �Phone:-: j "72. - T7 - feiz T Zip:' Phone: . FE SIMPLE'TITLE HOLDER:-,. _ Not Applicable BONDING COMPANY:. _Not Applicable .N Address: e: Name:. - Address: ress:. Ci City: " Phone: Zip' Phone: Zi 1 ci rtifythat no work or installationhas commenced prior to the issuance of a: permit. St. Lucie County makes no representation that is granting a'permit will authorize thepermit holder.to build the subject.structure " whh is in conflict with: any applicable Home Owners, Association rules, bylaws or andd covenants that may restrict or prohibit such str cture..Please consult.with.your.Home"Owners Association and review your -deed for any restrictions which. may apply. In c Drisideration of the grantingof this, requested permit,'[. d 6: hereby agree that .I will, in_all respects, perform•the work in i cordance 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, acc ssorystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to.another non-residential use Wirovements RNING TO OWNER:.Your failure to Record a Notice of Commencement m.ay result.in your paying twice:for imto.your.property: A Notice of Commencement must be. recorded and.posted on.the jobsite. be ore the first inspection. If you intend to obtain financing, consult'with lender or an attorney before . co mencin work or recording our. Notice of Commencement. s Sig' ature of Owrier %Lessee /Contractor as Agent for Owner Si o on actor/License Hol er ST TE OF. FLC�RILZA . STATE OF FLO COUNTY OF �� COUNTY OF Th' ,�rB,�ing inst en s c S edg fore me The gin str nt of nowledg fore me .: th�'day of 1 20by thisay of .j 20 by ( o son ackn wledging). Na pers acknowledging) . i (S at _ f No a.ry Public -state of Florida) ig re Notary Publi ate of FloridaL007 ) ..Per onally TRACE a if' c ti n Personally'Known OR Pro nIk CEYW.MCGHEE PUBMIS Ty of I e Type. of Identification Produced STATE OFOOKIMIalBP� Co 'miss Comm# FF2�11935 Ces.8110/2019 # FF241935 (Seal) Commission No.:. l: �+ res . 12019 Isla wised 07/15/2014 R IIVIEWS ' FRONT - ZONING SUPERVISOR PLANSVEGETATION SEA.TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW .:REVIEW REVIEW E DA PLFTF _at) �J�K4ffiM