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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 56 5'o S 7 bt;ANWhU BY St. LucieCounty --Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Gnerato� 0 PROPOSED IMPR©V,EMENT LQGATiI®N y§ Address: 1103 Tilton Road Port St Lucie FL 34952 Legal Description: St lucie gardens 23 46 40 blk 3 lot 4-less s 10 ft and less rd r/w Property Tax ID #: 3414-501-0704-000-3 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: HVAC L I Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: f Cost of Construction: $ �79J Lot No.4 Block No. cl Piping ❑Shutters ❑Windows/Doors nklers R] Generator ❑ Roof S Ft. of First Floor: _ Utilities:i Sewer ❑ Septic Building Height:, O,W,NER/LESSEE CONTRrACTOR: Name •21Y1 P.1' Name: Address: 1 Company: �� Af l L 1A C City: i State:'� Zip Code: G Fax: Phone No. - Ad ss: ViSt OY 10-7 h�5 Cit otkSl .U'LO Zip Code:. Phone N -� �S�tatte::`F Fax: -171' AV I` c h�U5 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: i 1eYlc �-` State or County License: L.0 1'�Ob �r�1 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEfVIENTAL'`CONSTRUCTIONLIEN LAW INFORMATIONi DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: -Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notica of Commencement. , _ Signature of Owner/ essee/Agen Signature dt Cony'actpi' STATE OF FLORInA-� n STATE OF FLORIDA COUNTY OF (�L A I P P� COUNTY OFsamw e The oing instr e t cknowledged before me The forgoing instrument was acknowledged before me this I day of 20 _by this t� day of ma" 20 _ by ear Michael Fla an (Name of rson acknowledging) (' tie of Notary Pu lic- State o rida ) Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identificatio Produced a OR Type of Identification Produced 8116 �talD al Florlds Commission No. p NgyLtV � - ommission No. Sea • �/ a •AAntedmlal8% on PP 1f3uld9t201 °'°': Note ry ry ,c State of Florida eh Antonia NI Paula Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS