HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE .. APPLICATION TO:
..-
RECEIVED
Building Permit Applical I • l I 2019
Planning and DeBuildinvelopmeritservices
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.• Virginia Avenue, FOULP-Jerce FL 34982
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Description:
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Property Tax ID #: 0 C7 Lot
Site Plan Name: :. .
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Electric Plumbing Sprinklers Generator -L,41oof -�SJll Q Pitch
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Sq. Ft. of First Floor:
• of Construction: ,
Utlifities: _Sewer —Septic Building Height:
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Zip Code:
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address: - -
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
t�
S' atur 6 of Owner/ Lessee/Contracto s gent for Owner
sigrktur Contractor/License H a
STATE OF FLORIDA q
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The for o' instrument was acknowlecig d before me
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The forgo' g instrument was acknowledged before me
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(Name of person acknowledging)
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Type of Identification
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Commission No. w�� r a; iuioour;G196519
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REVIEWS
FRONT
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SUPERVISOR
PLANS
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pfres Mar 14,2022
adMiAlNGRflVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
kev.7/2014