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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM ED FOR APPLICATION TO BE ACCEPTED Date: T ' a 9 Permit Number: E7 L/. e)A? J SCANNED �,... BY RECEPIED • St. Lucie County — �- Building Permit Application APR 24 2019 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie C Unty, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: p Ol u r`C PROPOSED IN�PROUEMENT LOGA` IO/N� c Address: _S 1 1 3 �0.V-c� \7 O ff\ V 2 ✓ �1 Property Tax ID #: (9 — / ©� ��� — 0 00 . Lot No. Site Plan Name: Block No. Project Name: 1,D ETAI H E 011 DESGR1PTION MF WORK: � t7 o S c •e �.�. 1 • CONSTRUCTION INFO MATIONs Additio'n'alporktobeperformed under this permit — check all Kat;2�ply: MechanicaI GasTarik Gas Pi in fly': �' 5— — _ p gj : o Shutters _,Windows/Doors V a s j 49 Ele'e1Cic 'l ' . ';; `=Plumbing _Sprinklers S i =° I Generators Roof Pitch , y � Total Sp.�l Ft of Construction: t D /P 0 Sc( Ft'. ofiFlrst Floor: I E Cost:6kbnkruction: $ V d Utilities:':: ;,.,.SA' er Septic Building Height: — 1!;'%'i �r .:,:•IA iI;� gin. _' :•. f OWNER/LESSEE: CONTRACTOR; Name -•Name:-�' Address: 913 ��rv� Ob Company: tC Y�\O City: Lp State: IL Address: 6 L°O�'AC Nrvka City: State:n,kl_ Zip Code: y �� Fax: Phone No. Zip Code: 3 C� Fax: E-Mail: Q Phone No anf�),_ 3C? Fill in fee simple Title Holder on next page ( if different E-Mail State or County License from the Owner listed above) If value of construction is $2500 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. DESIGNER/ENGINEER: _ Not App Name: Address: City: State Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Address: Zip: Phone: _Not Applicable 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 aril 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 lwith lender or an attorney before - commencine work or recordine'vo6r Notice of Commencement. — Sig ure of Owner/ Less actor as Agent for Owner Signature Contractor/License Hol TATE OF FLORIDA TA OF FLORIDA COUNTY C COUNTY OF`60 The oing instr ent was acknowledge before m 0ce he forgoing instr ent was acknowledged before sc� VP`d thi day of 20 by his ay of 1 20f by V ✓� r l� ll, �yN / Cd e of person making statement. a e person making statement. Personally Known / OR Produced Identificatioi ersonally Known OR Produced Identificati n .� Type of Identification Produced ,,"pper ° a; ype of Identification roduced'�e` s�' iy J 1 (Signature of No Public- State of Florid ) XG7l�//Q (Signature of ryPublic- State of Florid ). Commission No. (Seal) Commission No. (Seal)'. REVIEWS FRONT- ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. `)/Zb/16