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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Permit Number: RECEIVED Building Permit Application MAR 19 2019 SCANNED ST. Lucie County, Permitting BY Commercial St. Lucie COOYidential ^PRQPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #:4�i `i 0C) ©42 CDC> `' Lot No. Z� Site Plan Name: �Z = A "� < f lam/ — C:�:" Block No. Project Name: kMR.-:_O419� DETAILED DESCRIPTION OF WORK-� CONSTRUCTION; INFORMATION: Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing Sprinklers _ Generator Total Sq. Ft of Construction: �t 5ti� Sq. Ft. of First Floor: _ Cost of Construction:$ Utilities: _Sewer _Septic -�Windo,�wtls/Doors ✓(oof `Z 1 :?,Pitch Building Height: OWNERAESSEE: ; ' CONTRACTOR: , . „ Name Name: Address: A 5 Company:. City:State: Zip Code: t k Z kFax: Phone No. Address: 5' qmt�'L City:Bp!s Ail State:NEL' - Zip Code :3�C�tao Fax: Phone No'CZ'L "adlg —Z�'SS E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail '9M Coo-'tQif* t-- , L-& State or County Licensees If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more; ayRECORDED Notice of Commencement is required. ) SUPPLE,MENTAL'CONSTRUCTIO LIEN LAW INFORMATION DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature STATE OF FLORI COUNTY OF , Owner I Signature of The (grgoing instrum t was a knowledge¢ before me this lT day of 20_4 by Name of per n m k g s tement. Personally Known OR Produced Identification Type of Identification Produced State of Commission No. REVIEWS I FRONT I ZONING COUNTER REVIEW DATE ;KUt�il»:111L4y STATE OF FL COUNTY OF. Thefo oinginstru nt w acknowledg before me this F day of 2f� by Name of pbrsoh making statement. Personally Known �OR Produced Identification Type of Identification )Iary MOW G 207484 Commission No. t Expires 022 SUPERVISOR PLANS VEGETATION REVIEW REVIEW REVIEW My SEA TU RTLE REVIEW S. NIELS da-Notary n#GG 20 MANGROVE REVIEW