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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED [ n Date: Permit Number: I q l a% C) 0' `T SCANNED tiJAci-,-� BY RECENED © - . , . St. Lucie County DEC 0 S 1018 Building Permit Application Permitting Departn Planning and Development Services St. Lucie count, Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential PERMIT TYPE: PROPOSED INPROVEMENT LOCATION: Address: i "W-b L7c?iT Property Tax ID#:33aa • SOLD • On63• flC>tn"1 Lot No. Site Plan Name: Block No. Project Name: _DETAILED DESCRIPTION OF WORK: 5 �+ I 0 711--Y O_ I 19ETL,T �iZ.drY/17>l 4 ..':-i s. /.-.. in,-f. t Oa -r/2 Sl4OL 0i 2 CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical G sTank _Gas Piping _Shutters _Electric �/ Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: O� Cost of Construction: $ -�- A Utilities: -Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR Name ArG:�-c Name: Address: -I ?10 �k ttC�S T Company: City: 1�Di� 3r t WU 6 Zip Code: 34-gla4 Fax: Phone No. to LO -60S-5157y State: �:U Address: City: State:_ Zip Code: Fax: Phone No E-Mail: J404L�U'ro 2 a 6,r�4-;):GoM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County License it value or construction is $zbuu or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,50D or more, a RECORDED Notice of Commencement is required. e SUPPLEMENTAL CONSTRUCTION LIENLAW tfVF®RMATON� kVu�tIkr IY DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conict with any applicable Home Owners Association rules, bylaws or an 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 Fesording vour Notice of Commencement. Signature o ner/ Lessee/Co ctor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF C Q t. Q COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this (\_ dayof —rry • 20_ by 1 this _ day of 20_ by Name of erson making statement. Q Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificy Type of Identification Produced `lk j ()—+ FfFlFlorida Produced i nature of Notary Public- State g rY J (Signature of Notary Public -State of Florida J Commission No. „�„ LAG+P.t7UJA INGRAM Commission No. (Seal) �•`. ;`•; Notary Public - State of Florida a � c REVIEWS fiRCS F4" C Into ugh N fl F 177249 PLANS VEGETATION SEA TURTLE MANGROVE CQbNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED wv. v14VJlo