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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPI ICABLE INFO MUST BE COMPLETED'r n APPLICATION TO BE ACCEPTED . Date: I� '"���/if Permit Number: �© l' OI�J W x "4" SCANNED RECEIVED B Lucie CountV SFP l 0 2018 Building Permit Application Permuting Department Planni"g and Development Services St. Lucie County euildir11�and Code Regulation Division 2300 rginia Avenue, Fort Pierce FL 34982� Phone? (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED I�NPRQV�EMIENT LQCATION: Addresl'�: (03 C0 O (2 II� Legal D scnption: ProperIy Tax ID #: 1311J• 133OOI)LO.00CS- Lot No. Site Pla Name: Block No. Project Name: Setba i i s Front Back: Right Side: Left Side: DETAILED DE�SCRjIIPT10'N OF O'R C n1� o to iacd S ( ; (\_Q '111 J Additi, nal work to be pertormed undertnis permit—cnecK aii tnat.appiy: _echanical _ Gas Tank _ Gas Piping _ Shutters Tlectric _ Plumbing _ Sprinklers _Generator i Total S . Ft of Construction: Sq. Ft. of First Floor: Cost otConstruction: `$ ''- Utilities: _ Sewer _ Septic Windows/Doors Roof Pitch Building Height: OW NIER%LE=�S�SEE: C. a.NiTRA�C+�1'LQ,R. Nam Address: City: Zip Phor E-Mail: Fill ir from kicole (1c, //O Name: 3 �' Company: 1 ,e2 State: hL ode: 3K4'S` /. Fax: a No. :. ` Address: �.-; r�r. City: "'``t" ;'4" State: Zip Code: Fax: Phone No E-Mail ��c��s�/.COS/ Ifee simple Title Holder on next page ( if different i he Owner listed above) State or County License If value°;of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUP SEMEN L GaNST UCT t7N (<. 1N LAW 1 fCA}RMATID;, DESIGNER/ENGINEER:. _ Not Applicable Name: MORTGAGE COMPANY: ✓Not Applicable Name: Address: Address: City: State: City: State:) Zip: Phone Zip: Phone: I FEE SIMPLE'TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 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 encl accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fort improvements to your property. A Notice of Commencement must be recorded and posted on the jobsit;e before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Les /Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY STATE OF FLORIDA OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this m day of �R. F� 20�ff by this day of 20_ by Name of person making statenVnt. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign e ot Notary Public- State o Florida) (Signature of Notary Public -State of Florida ) Commission No: a��a� 'a., (S6JO AHNA INGRAM Commission No. (Seal) a°. „`<+ Notary Public -State of Florida A My Comm Expires Dec 20, 2018 =^, IIsion # FF 177249 REVIEWS FRO "��� IltXiro 0 s ERVI • PLANS VEGETATION SEA TURTLE MANGROVE COUN, E E EVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17