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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI All APF N Date: LE INFO MUST BE COMPLEi'w FOR APPLICATION TO BE ACCEPTED - • R Permit Number: © O Planni il�g and Devel pment Buildin� and Code egulati 2300 l/irginia Ave e, Fort Phon(772) 462- 53 BY Lucie Building PerAWp�icatio FLOC34 8 6 me PERMIT APPLICATION FOR: RECEIVED AUG 2 7 2018 ST. Lucie County, Permitting al Address11 I [-->9 S4(r7.e ��rz-r, 'F©rt..:r FiGfLc-a—. icL Legal JI cription: .Su 6�?oc�1 �./.S� (S�� T 2 fZ� i�i, CoT -7 Z � — 19 S• � ' Propertll Tax ID #: % Lot No. % Z Site Pla Name: Sf-(r(44.-nnr,l F-C Block No. Project ame:�(Ri1MOnel {� Setbacl s Front Back: Right Side: Left Side: C®NSTR+l1CTl®N I�NF®R+MATI'ON: itio " _ El�ctric Total Sq Cost of a work to be performed under this permit- check all that apply: chanical _ Gas Tank _ Gas Piping _ Shutters _ Plumbing _ Sprinklers _ Generator Ft of Construction: 2A 2 Sq. Ft. of First Floor: ov it nstruction: $ Utilities: _Sewer _Septic / ✓ Windows/Doors _ Roof Pitch L 9-1::) Building Height: Jr Name Addresj� City: Y Zip Co Phone E-Mail: Fill in f�e from t 1 (, net" Name: `, d c;u M I✓2 Company. r 2�E"' State: (�L � � _ e: :�34-g4 Fax: q o.'?72 -• SoL Address: City: State: Zip Code: Fax: Phone No simple Title Holder on next page (if different `- �,I Owner listed above) E-Mail State or County License If value o#1construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNS Name:_ Address: City: Zip: NEER: ' ' _ Not Applica State: Phone FEE SIMPLE TITLE HOLDER: Not Applicable?. Name: ,. Address: Citv: Zip: MORTGAGE COMPANY: Name: Address: City: Zip: Phone:. BONDING COMPANY: Name: Addretsc .! r' Zip: Phone: Not Applicable State: Applica 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-applj,, able. Home Owners•Associbtion:rules,.bylaws q`r.and ,cov!nants 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 c6nsideratio'n of the granting of this requested'pe'rrnit; I:do hereby agree that,i`will in all re`spects;-perfottm 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 roorrrs'*ah accessory' uses to anofiier 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 "Sttorhey before commenciuMwork or rec*dinR vouvNotice of Commencement. !VgNature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder, STATE OF FLORIDA COUNTY OF The for ing inst me was acknowled before me thisday of 20 by Name of person making statement. Personally Known OR Produced Identification Type of Identif gation Produced C- I— 't-,I STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of . 20_ by Name of person making statement. Personally Known OR Produced Identification I.. Type of Identification Produced (Signature of Notary Public--'Stat ure of Notary Public- State of Florida ) ,!y P;;a,,� KA R E N S. N I E L N Commission No. __°���x( ��$$to of Florida-Notar Public .. . . (Commission # GG 2 ssion No. (Seal') ��O®®f`� My Commission E Aires � 11 ,a` June 12 202 ' REVIEWS FRONT PLANS VEGETATION SEATURTLE' - MANGROVE ZONING SUPERVISOR COUNTER REVIEW . REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED , DATE COMPLETED Rev. 8/2/17