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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 19• J7.Jq SI%Ahirgr, Permit Number: BY CE.-IV�D St. LucieCoun�y,_r ;Luc� � --- Building Permit Applic JUN 1 7 2019' ' Planning and DevelopmentServices itting department Building and Cade Regulation Division COUnt 2300 Virginia Avenue, Fort Pierce FL 34982 yr FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: Address: ^ Vn // x:A V1. • M1 Property Tax ID #: l/i3 z-_}O©-7- 00 - o0o-0 Site Plan Name: 6��,lU�tAM AN Project Name: 3)W1r5 Additional work to be performed under this permit -check all that apply: 4mechanical _Gas Tank, , ,Gas. Piping _Shutters Electric Plumbing Z' _Sprinklers _Generator Total Sq. Ft of Construction: I "1 T Sq. Ft. of First Floor: Cost of Construction:$ 1101000• 1 Utilities: _Sewer _Septic Lot No.32q Block No. Windoows//D►oors •,Roof •'7' IQ;. Pitch Building Height: OWNER/LESSEE-' IGONTRAGTOR: Name VE-f L. Name: ()5MR F207.1VA 1 -•Address:.. 0, . Tg&Qt 1Gt C.T. , .r...,•+.- -Company: -, E:TIL� IJURp. ' F0 Cify. :�F.00LT'_'"rr•__1F.RGL Zip'Code4�f1c. 'Fax: 01 'Phone•Nb:'-+ a 0� State: ;�' "' '«+✓ ^ 3i0O �iRTLE. VE. ,Address::' `City:"' ... T' vZip:Code. 33- I1 Phone No 7 5 Stater /- /� Fax: 1612 WHO � E-Mail: I- a- �c1 0-1414 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail L�L� n State or County LicenseUAD 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. Dec' �4KO-r\ [ w - C���l DESIGNEKENGINEER: _ V Not Applicable MORTGAGE COMPANY: � Not Applicable Name: �����1�1�.': WE ii'�•' Mc. Name: Addre a�y� "' ST Address: Cil:y:"` IZT T`Li3C.1E State!�c CO:' "' State: Zip: Phone 7 -7 5 All Zip: Phone: , ;I. FEE SIMPLE TITLEHOLDER: t, Not Applicable BONDING COMPANY: Not Applicable iy Name: Address: 7'= 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:Hom&Owners,:Association,rules; bylaws -or and.covgnants•tliat may restrict or prohibit such structure. Please consult with your Home O'wners 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 YOIIR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ; ' ' ,Signature of Owner/ see ontractor as Agent for Owner •Signature of Contractor/Li nse Holder STATE OF FLORIDA STATE OF FLOR1 CO p COUNTY OF The f in instru ent was acknowledg before me this day of 20 by The instr ent was acknowledg before me oing this�day of20Pby pSCDIZ Zt�l,< Name of person making statement. NL�iLVEY; 3O4E5 Name of person making statement. / Personally Known 'Y .' OR`Produced Identification Personally Known OR Produced Identification Type of Identification Produced ' Type of Identification Produced\ ' (Signatureo Notary Public -St teofFlo- ',• • t. , o.. o: �� a �• (Signatur f Notary Public -Stated loi r , • •+worry Public S Commission No. `'a•�o1 (Sea •tarybell M 1 ' • ' Commiaaio of FWida • yy Notmy;Public Stets of FWkSo nez Marypell Martinez GG 270975 My Commlo-iien GG 270875 1y ' ` •r ' • <* ''�� ' ' Expires 1012 •'� 22 yor 'Eupims f0124=22 REVIEWS FRONT-.' =:ZONING ..SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER•'• REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19