HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number lq o J Lbl�
FED
• MAR t 21019
Building Permit -Application Pe�,lcra�° C0� �en
Planning and Develapmentservires
St. w
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (Tn) 462-1553 Fax (Tn) 4151-1s79 COMI iiercial Residential
PERMITTYPE: . """`'Lj
re-(-00JP MAP W1 -F(a._-F- BY
Property Tax ID #: _ ` Z501 —QQ� to Lot No.aI
Site Plan Name:
Project Name:
Additional work to be performed under this permit— check all that apply.
_Mechanical _GasTank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 3 r� 4 Sq. Ft of First Floor.
Cost of Construction: $ 8�1 3 5 Utilities: _Sewer _septic
Block No. Q_
_ Windows/Doors
Roof Pitch
Building Height: 5 11 a —
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rOWNER/LESSEE +�
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Name Kirt1JNMor,C
Name:Jf'ffik./ -PLat �$c'�►..(
Address:_oft C-.f ro,.)' A�AR.
Company-_5} u.t.C:(f POg?F(1R
crcY Port- S{, LM-Cc -f� Stater
Zip Code: 34 1 t5 01 Fa):
Phone No.. oiV/
Address: 113w SS& ah. ft?.4 O
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City_900- Si L.(G-(-
Tip Code. 3Imst/ Fax:
Phone No r 'W---3yH-r,)l 3
Stater
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner Usted above)
E-Mail 1tA � ( C W C n XbOO.
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State or County License C
it vame or conswmon is y25w or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTRucho
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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 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 Counter makes no representation that is granting a permit will authorize the permit holderto 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
"WARNS TO OWNErr YOUR FAUURE TO RiCORD A NOTICE OF C011iMENCOUNT MAY RESULT IN YOUR PAYING
TRICE FOR 011PROVEPWJYS TO YOUR PROPERTY_ A NOTICE OF COf1 UNEEKEIU MUST BE RECORD AND
POSTED ON THE JOB SiTE BORE THE FUM FJSPECTW _ W YOU MEND TO OBTAM FNANCING, CONSULT
MTH YOUR LENDER OR AN ATTORNEY ARE RECOROMM YOUR NOTICE OF COIYni f_7
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�XMFIMI_ r
STATE OF FLORID 4l . STATE OF FLORID . r
COUNTYOF (L.rcl�t7� COUNTYOF
The forgoing instrument was acknowledged before me
this II dayof MAdo44 20_ff by
( ) e (Trezl i� ArnPSO►.l
Nimeofperson maki -statement
Personally Known �OR Produced Identification
Type of Identification
Produced
A A
(Signature of Notary Public -State of Florida
Commission No. (Seal)
The forgoing instrument was acknowledged before me
this It dayof h ),All I Z0J_J_ by
( 4fed }laff)ONd
Name cif person rhafingstatemen
Personalty Known✓ ORProducedidenntifiration
Type of Identification
Produced
C N P',",
(Signature of Notary Public-StLte of Florida) /
Commission No. (Seal)
REVIEWS I FRONT ONING SFATURTLE MANGROVE
COUNTER I ZREVIEW I S RPEVIEW UERVISOR I REVIEW PLANS ��EW GETATION I REVIEW I REVIEW
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tate of Florida -Not
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