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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1� 1 d d SSa r RECEIVE® OCT 24 2018 Building Permit Applic �"Rn. Planning 91 nd Development Services ucie County, Permit ding Building a Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone: (I72) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PRC�7P + 5 A INPRO ENT'LOCATION: i Address: �Ili_ W_ Legal Des c iption: � c ^.L. s �.!"•Ah!NFIf� Property Tax ID #:(. Site Plan Name: Project Nalme: Setbacks Front Back: . . 0C?OS Right Side: Left Side: BY Lot `'No._ ie COW& No. Addition I worK to be performed under tnis permit.- cnecK an tnat apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters indows/Doors _ Electric _ Plumbing __rr _ Sprinklers _ Generator o�Ro i'Z- Pitch Total Sq. Ft of Construction: 5 �S . 5� T� Sq. Ft. of First Floor: Cost of Construction: $� ��6� C Utilities: _ Sewer _ Septic Building Height:-© I . O — /-, /C=�S�vE�E C • N RA OR Name v�-�.', s1i�:-P�za'�/ ,. ,Name:.. fCompan016 Address��c,...� ✓cP�,i4 'Nl.i --�Cti-sue Address . Q1CR�"' S--` City: State-- Zip Codle?3�1�� Fax: City: State:1; i Phone No.-I-IZ Zip Code-'_ O LV x: E-Mail: Phone No -1 `7 `Z _ Fill in fete simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County LicenseC'1"G V3Z4a If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. i SUPPl� EN 1. GC1NS, ai GTI i I.lE W rNFQ MA iQ 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: 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 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 O er/ Lessee/Contractor as Age t for Owner Signature o ontractor/Lice Holder STATE OF FLORIDA i STATE OF FLORIn,& , S LJc COUNTY OF COUNTY OF �e The forgoing instrument was acknowledge before me ' d 1 �I The for oing instrument was acknowledged efore me a��day d_-`� this _Nay of �'� 20 by this of , 20Aby \-\ \\ a { A :1 M e.'rV. Name of person making stat ment. Name of person' making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced IF (Signature of Notary blic- State of Florida) (Signature of NotaryPublic- State Finrida Commission No. # GG 022023 DEANNAMARIEGNENS Commission Commission No. COMMISSI�D 022023 ''�r�`s MY COMM►SS►ON 16, 2020 XPIRES: December 16, 2020 K_�Ie mbar PIRES: D9G8 lets ed Thru Nota Pub! Undenv tore, p" ��;i SondedTtwJ ;�MERV�ISOR REVIEWS FRON PLANS VEGETATION SEATURTLE )MANGROVE COUN REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Ve—v.-972M-