HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS
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All APPLICABLE INFO MUST BE COIVdMr. rED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbgr - L
Fr•a.. 1
Building Permit Application ,oawveaa
-Plonnmg and-Devetopment Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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Residential
PERMITTYPE: Never CANS waiom WWI
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PROPOSED IMPROVEMENT LOCATION: -
Address: i�/SOb V4411R - AA . QFORT PIERCE F • 47
Property Tax ID #: L40b- 50Z- CVh5 D - 000 - (P Lot NoW - 9.1_
Site Plan Name:
Project Name:
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tahk Gas Piping Shutters
Electric VPlumbing ll _ Sprinklers _ Generator
Total Sq. Ft of Construction: 11190 T2
/� nr� 0
Cost of Construction: $ loot00p.
Sq. Ft. of First Floor:
Block No.
Winddoows/Doors
Roof 4 ' 191 Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
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Name `( L. r-rWcSH��-L
Name: IZ �?.Ih1f
Address: IgU16 N AIL" ,.. „
F.MT!LE. Como
City:f -,. ELT R*FACC State:'�L':
,.Zip Code•' q •' Fax:
,P.honeNo.-t� Oil �- -.•.t.
„company;
`Address..•''• «;.TURTLE Ewe
City °. ti State:1-
ZipCode:3 �•L` Fax: bl(oiL 11-Q
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Phone No Q 05g/�8
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
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1w-�i0 iai
Vic,
State or County Licensed. 1521509
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.
Addre� s: P154 5•W.
City:OURr� G
Zip: Phon
FEE SIMPLE TITLE HOLDER:
Address:
City:
Zip: Phone:
Not
Not Applicable
MORTGAGE COMPANY: V Not Applicable
Address:
City:
Zip:
"aTI @ 7i
BONDING COMPANY:
Name:
Address:
MR
J Not Applicable
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain'a per'mitto do,the'work and installation as indicated.
I certify that ho 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 AssgEtatipq rules, bylaws or and.'cbvLsnants that mayrestrict 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'thai Twill, in all'respects, perfoYm the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie CountyAmendments.
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."
Signature of O er/ Lessee/Contractor as,Agent forOwper
. 'Signature of Contra„ or/Li rise Holder -
STATE OF FLORIDA
STATE OF FUMP
C011N�' /� (�
COUNTY OF Y
OF_ D,Vn 6,2p (�—
The mooing instru ent was acknowledgVbefore
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me
The f instru before
oing ent was acknowledg me
this � day by
this day of 20
by
of 20�
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Name of person making st ement.
1
1.
;-, 'I•
Name of p rson making statement.
Personally Known •. OR Produced Identification
Personally Known \ OR Produced Identification
Type of Identification Produced
Type of Identification
Produced
(Signatur f NotaryPublic- State, orida ):
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No I17�
(Signatu a of Notary Public-SfAe df,Fl
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' .y Notary Publie 5
Commission �,D Marti
01 FIaiN
Notary Pu01ie 5tetadF
NoALDi �` _.Warybell
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Marybell Martinez
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.Ex PtFs 10/24/2022
REVIEWS
FRONT "`.
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 2/7/19
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