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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt; All APF Date: INFO MUST BE Planning and Development Services Building -and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (77J) 462 PERMIT APPLICATION FO FOR APPLICATION TO BE ACCEPTED Permit Number: FtionOCT EIVED .Building Permit Applic2 5 2018 unty, Permltting Commercial Resi ftn' tial t/ Address: /6 /U; I-t-11 Ad ► Legal Description: /O Jr 39 Al 2 41 I/2 OS 0 � o f SW !U ©10 1 y© ft LeSS A), ► , I Fly -for �13�1-1i-9�� 13��-/6RT[Ra'I-z��� ) PropertyTaxlD#: 2:310.2321 Lot No. Site Plan Name: Block No. i Project Name: Setbacks) Front Back: Right Side: Left.Side: xa)' (h0 -3 BY 0.ncc - 4I "v I v St Lucie County Additional work to be pertormed uncier tnrs permit- cnecK an tnat apply: Mechanical _ Gas Tank _ Gas Piping —Shutters _ Windo'ws/Doors Electric _ Plumbing _ Sprinklers _ Generator -Roof Pitch i Total Sq. Ft of Construction: JS(X2./ Sq. Ft. of First Floor: Cost of Construction: $ /�7 1 Utilities: _Sewer _Septic Building Height: 10 Name 1,e_s 'g_r C:. 1- a m me, t Nam Address: 2�4 A) F14 P./ Company: D% i Let City: fA Pj e_ roe_ State: Address: / rd et6t Tf Zip Code : -J44 q.3' Fax: City: Do 6-SO ate:J L- Phone No. 979 • 5 /1 97- Zip Code: O/ "ZA 3 -36�-E-Mail:;,VeS+e_r ri I&M.ml 12 Ae-11 saftfA• /i1�7i" Phone No 334 36 Fill in fee simple Title Holder on next page (if different E-Mail naCar ort 9n from the Owner listed above) State 9KCounty License 91 -*C I -Z- If value of construction is 2500 or more,,a RECORDED Notide of Commencement is required. 00 DESIGNE / NGINEER: Name: 2950WX IAOM'SA6ac Address: Gad lJ t&J City: G IdAnd Not Applicable t-dt orK V State. MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: A Ir Phone I Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: _Not Applicable Name: Address: Address: City City: Zip: Phone: Zip: I Phone: I OWNER% CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify lat 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 inl 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 accordai ce 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 accessoryuses 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 rnmmPnrino wnrk nr rPrnrding vnur Notice of Commencement. I nor + wnefl Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for o'ng.instr eni Was acknowledge efore me 1 by The forgoing instrument was acknowledged before me this day 20_ by this day of 20 of . I (Name of person acknowledging) �» (Name of person acknowledging) (Signature of Notary Public -.State of Florida) � (Signature of Notary Public -State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica ' Type of Identification Produced L Produced Commission Commission No. (Seal) ,,��., KAREN S. NIELSEN No. .�'�P"""`B� - to of F)Notary Public •= Commission # GG 207484 Y: My Commission Expires REVIEWS FRON,11111, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW. REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rcev. i/