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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 ate: fi/ � (! l S Permit Number: Building Permit Applicatio ing and Development Services ng and Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 e: (772) 462-1553 Fax: (772) 462-1578 Commercial RECEIVED SEP 19 2018 ST. Lucie County, Permitting AN `NED Residential BY P9RMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �ej4l PR"(7P40S�D IMPROV MEN LOCATION rt ,p ress: SO(, Dco�'L-E" l "-le- 4;f. 1ptdr-cc rL 3(-/`q-4 it Description: �� IwrG�/ F_<4WC-Cc Slo 91L F� L d- l� 0,3� 02 /d 7X - 42 )erty Tax ID #: 001(/ — OyO— 3 Lot No. ( a Plan Name: Block No. [> act Name: Poo Jacks Front Back;.�T Right Side: Left Side%�_ 0 k-CSJ- 6"t l !^��o d011�6o wc6-tc�c{c PC,�-o C'__Y .�C.lCe Additional work tone nerrormed under this permit —check all apply: Flit HVAC Gas Tank []Gas Piping fn _ Shutters b ctric �umbing Sprinklers I Generator Total Sq. Ft of Construction: Cost�lOOf Construction: $ - 9/ ©d0 S Ft. of First Floor: _ Utilities: Sewer Septic Windows/Doors Roof Roof pitch Building Height: iA #CONTRACTOR „Q INE'R%LESSEE .}. y 1.. ,'� _ {„ +}.._ � : Name Name: BW Nzd- CC less:LrL2cf Add tip/ 4"c Company: fc^�� State: + City: Address: Zip 11 q�u�ode: �c{T�(," Fax: City: State: Phone No. 23� — 3 �10X Zip Code: Fax: E-Mailil: Gam`-' Phone No. jfee simple Title Holder on ne page ( if different Fill i E-Mail: from[ he Owner listed above) State or County License: It vaiue of construction is 52500 or more, a RECORDED Notice of Commencement is required. , DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable %,ddress: Address: Nty: State: City: State: Zip: Phone Zip: Phone: f1EE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable it Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I de'rtify that no work or installation has commenced prior to the issuance of a permit. St' ILucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure W4 ' ich is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit such st bcture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in ccoraance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. Th 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 W �,RNING 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 co�inmencinjz work or recording your Notice of Commencement. Signature of 0 er/ Leiss'ee/Contractor as Agent for Owner It Signature of Holder �11 I ATE OF FLORIDA /�6ntractor/License STATE OF FLORIDA Th�,e thj� fqoing instrumlQnt was acknowledged before me s _ day of. 31, ��:j 20 19' by The f ling instrument was acknowledged before me this:Tdayof 20 IT by Name of perso aking statement Z��OR Name of perso aking statement P rsonally Known Produced Identification e of Identification Personally Known OR Produced Identification Type of Identification oduced Produced RYAN EXPIRES Januwy 27 201J9 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW CO, PLETED