HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCE4TED
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Date: SCANNED Permit Number:
BY tv
St. Lucie Coun �
o g ,_
IV
Building Permit Ap ication Planning and Development Services APR 19 2019
Building and Code Regulation Division De drtment
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting P
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial I�futLeq untyl FL
PERMIT TYPE: ROOf
;PROPQSI €} tiFR4�E>,/IENTtrOrf��
Address: Q77-1 (uc.r rn S+
PropertyTax lD #: 0181 oc - itr e(#f iaG-I tf odol - oao-O Lot No.
Site Plan Name:
Project Name:
—X1 Sws ` n
Additional work to be performed under this permit -check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
—Gas Piping
_ Sprinklers
_ Shutters
—Generator
Total Sq. Ft of Construction: 14043 Sq. Ft. of First Floor:
Cost of Construction:$ load oo Utilities: _Sewer _Septic
Address: G771 -FSl-
City: F�, p' me- State: PL.
Zip Code: 349S1 Fax:
Phone No.777,:2 - 4r O- 430-
E-Mail: �—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 5250D or more, a
Block No.
Windows/Doors
Roof 3 . 12 Pitch
Building Height:
Name: Rebecca J. Mays
Company: Comfort Cover Systems, Inc
Address:711 Turner St.
City: Clearwater State: FL
Zip Code: 33756 Fax: 727-298-0111
Phone N-727-298-0955
E-Mail permits@Comfortcover.org
State or County License CCCO57091
of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
POEMAN ALC ERUIETT 3 if �! LAli3i5ffdFf)R 11 T � {� �
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: fa4f4a WLg Address:
State:
City: s a� � State: tT, City:
Zip: 3,324 a Phone s�tz—qs;2-9Ass� Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: W 'C'nrn
Name:
Address:
Address- 19, 04 15Q I� A��
City: VYl i w.• FC
City:
Zip: Phone:
Zip: 3f eC- 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 S ermit holder to build the subject structure
restrict
applyhibit such
lanndrreviewyyour any restrictio may
structure. Please) consult withpyolur Home Owners Association deed for h my
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,
and accessory uses to another non-residential use
accessory structures, swimming pools, fences, walls, signs, screen rooms
"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 R LENDER OR AN ATTO EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ontractor/L' enseHolder
SignaureofOwner/ Lessee/Contractor as Agent for Signature TT
STATE OF FLORIDA STATE OF FLORID/ (
Y
COUNTY OF P`Ae(fo-s COUNTYOF rn GS
The forgoing instrument was acknowledged before me The forgoing instrument w4s acknowledged before me
Or) I 20fy by
this _M day of A°� Z0� by this � day of
( P'[p 1' (Cb- e c
Name of person making statement. Name of person making statement.
Personally Known _ OR Produced Identification Personally Known X_ OR Produced Identification
_mac
Type of Identification Type of Identification
Produced Produced
Un l� D 0 �.t(1a 0 0 d AJ
o n o A s „cad
( gn ture of of ' Public- State of I r ) (Signature of Notary PublICState 5T Florida )
,ppx.y NoIaCE,P,u'picstateofFlorida CommissionN r• State for e
Commission No. ° 4`o AnnL mNouse
ill
My Commission GG 139059 ? Anne Hillhouse
M<r
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Ex ires 41/0412021 '" c ` M
all Ex
fires 11/04/2021
REVIEWS
FRON
COUNTER
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REVIEW
SUPERVISOR
REVIEW
PLANS
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REVIEW
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IEW
DATE
RECEIVED
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COMPLETED
Rev.2/7/19