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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: Permit Number: Q I ., RECEIVED SEP 2 7 2018 - Building Permit Applicati S,ni LUCIQCgUnty, Permitting Planning land Development Services��� - Building and Code Regulation Division � © 2300 VirI�'inia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial GkLucif-OR,es,idential PERMIT APPLICATION FOR: I Address: ��y �ILegal Description: PKnJ� 3-Sud 6-ag?X. 9L � `�'v r6. % n %7C Me b�%0-%3vol- Lai e a 19-- 32AL-za Property Tax ID #: r - ® V 7 D - Q D 0 Lot No. 4_ Site Plan Name: 41 Block No. al I Project Name: Setbacks I Front Back: Right Side: Left Side: Vleckanical _ Gas Tank —Gas Piping 1/ Shutters _V'(I 1ectric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft, of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: Sewer —Septic Windows/Doors _ Roof Pitch Building Height: Name Name: Address: QyL4kQ_"- Company ­. , City: Stater Zip Code:! Fax7%? -L 6-4772-7 Add ess:' ' City: `il 7 State: Phone No� Zip Co`di :ei Fax: I-���C�-7ZZq4602,% E-Ma Phond,iNb. E-Mails', Fill in fee simple Title Holder on next page ( if different _ State & Cdunty`License i ,from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencementis required. RPL ,1' L ONS R I N INFO . A-01 rg` DESIGNER/ENGINEER: Name: = _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: 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 Inconsideration 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 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 commencing work or_ recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor-as Agent for Owner Signature of Contractor/License Holder. STATE OF FLORIDA STATE OF FLORIDA COUNTY OF__ _ :f — I.UC, - - COUNTY OF The forgoing instrument was acknowledged before me 'The forgoing instrument was acknowledged before me this 7:k-d>ay of C> Q 20LL by this day of 20_ by lv1Gt� le-,e, A10-TSo1/ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification dG Personally Known OR Produced identification Type of Identificatio, Type of Identification Produced Produced (Signature of Notary Public- St e of Floridanncf) (Signature of Notary Public- State of; Florida ) Commission No. (Se Commission No. (Seal) Z0am REVIEWS FRONT ZONING SOR LANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW DATE. Qo>c�m RECEIVED u' o _'" DATE COMPLETED �'���►�'., �� ev. _> U-J