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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPI FOR APPLICATION TO BE ACCEPTED Permit Number: SCANNED BY St. LurieCounty 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 PERMIT APPLICATION FOR: RECEIVED AUG 0 5 2020 Permitting Department III, hw@l@ 9@gnty Residential YL Address: 351 ( Srjee& 94 Fo,+ P%.e_rce. r FL 3t-19 YS Legal Description: a 8 3�:- .38 N/ d 9 0. t-( JCT of E 33 0. Y Ft -� O F S ISc 0r,- N e l/q d F s 1- I/N 'e f, 0 oc Property Tax ID#: c1dWB-Y(y— 0033-000 % dcewo+# /aro90 Site Plan Name: Project Name: C.Vk0AS 13a_fri Setbacks Front S0 r Back: 30 I Right Side: a©r Left Side: AO r 6( `e Lot No. Block No. Aaamonal worKTO oe perTormea unuerims perm¢-cnecK.au Gnat apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch 1- Iotal-5q._Ft:ofconstruction: / a 0 0 Sq. Ft. of First Floor: Cost of Construction:$ as �0-�- Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name /YIrCGICt2I C -b a �k2, Name: Address:39-41 SlvwJ 12d Company: 1 :'M L. `1 0 city: - I N-rce- State:2r4 Zip Code: 3 Y ? L/U� Fax: Phone No. !! 2 a I c( 7 7 (S� Address., City: li = State:_ Zip Code: Fax: Phone No 1' E-Mail:/nieetaelCe-C�� 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. SUPPLEMENT L CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name:., Address: MORTGAGE COMPANY: _ Not Applicable Name: 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a perttiit 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 rion-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 -your Notice of Commencement. Pr3fgnature of Owner/j essee/Contractor aCAkent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ( / STATE OF _ � COUNTY OF J UAL COUNTY OFORIDA The forgoing instrument was acknowledgep� efore me The forgoing instrument was acknowledged before me this day oof�f IQ20 L) by this_ day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced r �n�� _ �('e / Produced (Signature of N P lic- State of Florida) (Signature of Notary Public -'State of Florida ) Commission N . 'i1bj�. . o" �.-` ELLEN Vg4dC,1(HN Florida- Commission No. (Seal) otary Public - zn mmission # GG 270079 'O ctober 22 202 s - REVIEWS FR _ VISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW" ., REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.