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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEL) Date:0. 19. ' Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 SUANNE® RECEIVED BY JUN 04 2019 St. Lucie County Building Permit Applicatio . Lucie County, permitting. Commercial Residential ✓ PERMITTYPE: 0�v%cf• for ZU'�C [9>` s\ab PROPOSED IMPR©UEMENT LOG4TION: Address: 5 0X A%I Ayr_ K'-1- Di .I T-1 31-12cl is ;Property Tax ID#: .1131-101-ony(,-ncg)-? Lot No. Site Plan Name: Block No. H23_f( Project Name: u\c!'Iycc liacroyl Additional work to be performed under this permit- check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 3 &D 5 %- Ft 00 Cost of Construction: $ PV211LL Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name %.16I IS..e�cco" L DocnV%%14 9-Tjo.rCnrr Name: Address_5102 A ie,InAn c4.rc -Company:_ _ City: E`r_ p:c ecc Stater Zip Code: 3K95/L Fax: Phone No. '.) ?ix-' ^ 3 7 `L. ^ Address: i? . .t City: State:_ Zip Code: ;Fax: Phone No a r E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail State or County License 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. Not Applicable I MORTGAGE COMPANY: Namer. Name: Addressi ' " Address: City: State: City: Zip: Phone Zip: Not Applicable Name:_ Address: Zip: Phone: Not Applicable BONDING COMPANY: _Not Applicable Name: Address: 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-" t Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO IDA STATE OF FLORIDA COUNTY COUNTY OF OF (1, IL. �� The forgoing instrument was acknowledged before me r The fpfgoing instr ment was acknowledge6before me this day 31F' this day of 20_ by of 20( by I�,' Name of person making statement. Name of person making statement. ' Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identi ' ion Produced Ct AA (Signature of Notary Public- State of Florida ) fission No. (Seal) (Sign ture of Notary Public-5 `:OZ45t%4 of Florida-Notaryublic , KAREN S. NIELS1"484 Commission No. N ;llo; Commission # GG 20 " � My Commission Expes REVIEWS FRONT PLANS VEGETATION SEATURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19