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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLci'<D FOR APPLICATION TO BE ACCEPTED �l Date: SCANNED Permit Number: EJ1l q - BY St. Lucie County • aEca`� -- --- — Building Permit Application �pR:2s1o� Planning and Development Services owmasilt Building and Code Regulation Division agStAuntY 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: P.ROP.QSED IMP,RO.V,EMENT LQCATION: Address: �2 7.r Rlo Mprk —{ 99t' S - La -COL 'FL V9s2- Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: .SOLAR- PDOL, I4JAi'FZJZ Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters —Windows/Doors _Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 2100 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: ©WNERf LESSEE: F ONTRACTOR: Name (`1AfCaf- Prz-Pl 0 0VI Name:l�"l8 FISCO-14J - Address ,2a I 2fD hI>ip- Company:7U�SLLk$ COAST So LAP, City:_I6k <r LiP-Q - Stater. Zip Code:,Nq(�-- Fax: Phone NoWE 44 ( y049 Address: R0735Cz- [JASHI06TDl`3 Sr City: State: FL - ZipCode:',-WS7 Fax: Phone No %7 L 631 -2�s`6 6 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail SOLARTL e Cp-kAl L , CO VE State or County License CG VcG !9 66 $.S 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. INEER: Address: City: "' l-r State: Zip: _� Phone FEEFSI.MPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: Zip: _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 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, 1 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 ORAN AITORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY S�. COUNTY OF OF The forgoing instrument was acknowledge l before me g 's 1`� The forgoing instrument was acknowledggg before me \ this � day of `� f \ . 20 by thisl.G day of's J 1Z 20 ,by pe;aC�1 'F�aa,�e( V-.AZA 1f•\'S6,,X Name of person making statement. Name of person making statement. Personally Known OR ProdVed I1de, tification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced F �• �-• • (Signature of Nota NAMAFkIEGI ry a DFJw N R GG 022023 Commiss. rF +' ' p° Odar& ea mbar 16,20 cv Pubg Underxaers (Signature of Notary Public -State of FloridaM GIVENS �p pJR.�� GG 022023 F Commission No.� .•- + B°nded�br°N°Wy MY CGMg 16.2020 et, ;f,•' '•*: mbar r _ p(PIRES:D PubimUndeiwrilers p REVIEWS FR I G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE V2y (`/ RECEIVED DATE U COMPLETED Rev 2/7/19 Ay