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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEy W FOR APPLICATION TO BE ACCEPTED Date: 1 Permit Number: RECEIVED SEP 112018 Building Permit Applic Lo,_ie County, Per Planning, and Development Services BY Building and Code Regulation Division UCI@ CO161��1 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: S� PR�� POSED INPR©VEM�ENT Lt�?CATI'ON: + ,/ Address: 1 700 / DST WA Legal Des. * tion: L® 1-7 Property Tax ID IT: /go l &o it ��1�� 0040 % Lot No.� Site Plan j lame: Block No. Project Name: ®� Setbacks Front Back: ;" Right Side: Left Side: .r ®ET ILED DE=�SCRIPTI®N OF WORK• :L/V e le, -airy; C®NSTRUCTI(!1N IN'F� �+MATItJN: Additional work to be per orme.. under this permit. -, Check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters ✓Windows/Doors ,Kei tric tubing _Sprinklers _Generator ✓fZoof C9 / Z Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: •3 ?ate 9 Cost of Construction: $ ^ Utilities: —Sewer 1� Soreptic Building-Hei ht* r o OW N ER/LESSEE: MNTRACTUR: Name: 2 O fP Name � Company:e /02Sra '''-11 Address W Address: 4a 7< 4►.fo 1 City: State ZipCode: Fax: '�� City: D S L State:_W Phone No. Zip Code: 2 q*fr 6 Fax: E-Mail: , hone No � VIA !C� / 7 Fill in fee situ le Tit a Holder on next pageJ ( different ' E-Mail from the Owner listed above) State or unty Lic nse If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. G i 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,l 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 resultjn ,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 commencingwork or recordingour Notice of Commencement. e DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: ' Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Address':, Name: Address: City: City: Zip: Phone: Zip: Phone: Si nature of Con actor/Licen Signature of ner/ Lessee/C tractor as,Agent for Owner