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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi 17_ All AP I LICABLE INFO MUST BE',5 G,",.,e_=TED FOR APPLICATION TO BE ACCEPTED Date Permit Number: 1 n Oq 01 i-20 i L C TMOk p" W �j Building Permit Application SEP 2 5 2018 Plann ng and Development Services Buildi�gand Code Regulation Division 'Permitting Department 2300 irginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: 462-1578 Commercial a.l-- �- tnty, FL (772) R iadent PER 1 IT APPLICATION FOR: P S©1fE � ENT L �� Al' �N• _ bI r.: Addres, Legal Description:M`Q(\N[�s(�� 0 A �1 Qo�OI CANNE Property Tax ID #: •� — U� ® Lot No. Site PlanName: k- Block No ProjectName: Front Back: Right Side: Left Side: Setbacks DE�T� �IAd L�ED CONTR CTt:ON MAT7,71 id a work to be performedunder this permit- check all t at app y: i —IV 6chanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ E ectric V Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sc Ft of Construction: Sq. Ft. of First Floor: Cost of i onstruction: $ &(4 1`) � Utilities: —Sewer _ Septic Building Height: OWNERf DES �E : caAi-RA;R: Name Name: t5 Addre : LD +)0-f0i A UX'ZACompany: UA City: W St Address: Zip Cc e: S c� Fax: City: cc rr Stat Phone No.:0 2. Mu ')S0 Zip Co Fax: E-Mail Phone Not Fill in ee simple Title Holder on next page ( if different E-MailY1 j from t ie Owner listed above) State or County License G If value I construction is 2500 or more, a RECORDED Notice of Commencement is required. II CQf��S1f►R+l�� CAN '; �(� W 1 �{�R{ A � ., . �U'PPL�iUliENI"A DESIGIVE LR/ENGINES : Not Appl'c bb { MORTGAGE COMPANY: _ Not Applicable Namel , '1 1 ,Name: : -' Addre' dress: i State: City: ity: State: Zip: Phon Zip: Phone: FEE S111 PLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable _ _Not Name I Name: Address: Address: City: City. - Zip: II Phone: Zip: Phone: 1 ' I tr OWNE / 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 , ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure bylaws which is i' conflict with any applicable Home Owners Association rules, or and covenants that may restrict or prohibit such structurq'�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 accord nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The folloring building permit applications are exempt from undergoing a full concurrency review: room additions, accesso1. i structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another 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 attorney before comme,hcing work or recording our Notice of Commencement. I a of Owner/ Lessee ontractor as Ag for Owner Signati. Signature of Contractor License Holder n STATE OF FLORID4 STATE OF FLORIDA - . COU TY OF `S}• k1,�(" COUNTY OF Lt , 1_A JCJQ The fo oing instrument w s acknowledged before me efore me The forgoing instrument was acknowledgTby 2) this day of 0� by this day of S�Qlx 20 (Name of person acknowledging) (Name of person acknowledging ) C v v (Signs 'ure of Otary Public- St& of FI da) (Signature of Ndthry Public- State VFlorWja 11 Personally Known _ OR Produced Identification Personally Known _ OR Produced Identification Type o Identification Type of Identificati Produced Produced : o^"""' . s�A4ARIEGIESY•VARNEY Commission o`'- P �i, • KARLEY MARIE GIESY VARNEY No. =2. .^: NotaryPubli(g��p�ofFlorida _ . . Notary Public -State of Florida : • . Commission No. CommissIonl� 401 • Commission # GGG099801ak� `:�' o:' MyCOmm.ExoiresMay1,2021 ,,.' Comm, Expires May 1, 2021 adndedlhroughN�tional"aryAsstr, ti a;: REVI 'WS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEP,ED DATE COMP, ETED Rev. 11 i _ All APPLICABLE INFO MUST BE COIV.!°'_ETED FOR APPLICATION TO BE ACCEPTE Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: ID P i� D ±St ryl! e 9 D© Q Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Additional worK to be perrormea unaer _Mechanical _ Gas Tank _ Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ Right Side: Left Side: permit— cnecK aii tnat apply: Gas Piping _ Shutters _ Sprinklers _ Generator Sq. Ft. of First Floor: Utilities: —Sewer —Septic Name Address: City: State: _ Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Lot No. Block No. Windows/Doors Roof . Pitch Building Height: Company:- G.: Address: City: ' . ,A. G State: Zip Code: Fax: Phone No E-Mail State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.