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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIC BL INFO MUST BE COi'irLETED FOR APPLICATION TO BE ACCEPTEu Date: ` SCANNED Permit Number: I 1 ID Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: _(772)462-1553 Fax:-(772)462-1578 PERMIT APPLICATION FOR: BY RECEIVED St. Lucie County OCT 01 2019 Building Permit Applicatioill ST. Lucie County, Permitting Commercial Residential PROPOSED INPROVEMENT LOCATION: 7- i Address: Legal Description: V4- t�-7i;31 33 raatoFLmi-9y 4 011 01 4 f -/0i 7-7 or wAiD2 YArco Property Tax ID#: -660-1-nnOU7 Lot No. Site Plan Name: Block No. Project Name: 51,41-3 r �t i Setbacks Front o2Y Back: /5 Right Side: %S Left Side: 7,S ram• u S 'k 10' A2r%3J 11:CONSTRUCTION INFORMATION: _ y _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 5.70 Sq. Ft. of First Floor: Cost of Construction: $ G, 9 8 3 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE': ` CONTRACTOR: a Name o.-•.rl le;,& 7tS Name: pal Address: /o 1,/ /?•'vE'x-view fir. Company: City:_ e-4c4 Stater Zip Code: 3`71 gS 7 Fax: tJA Phone No. 77e2- 3 3Z- W/l to Address://7 Qocait .4/ City: 7 otT- i7 g7t6e : - - Zip Code: 311f4lq Fax: Phone No 77a-33z- )` 1�G State:--L-L E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Se--- (, ILL&1zS 0 State or County License GPSe- 12585 3z If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPRLEiti%IENTALCOtUSTRI! # N LIEN LAW INFt)RMATION n - a DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: _P_hone State: City: Zip: Phone: . State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: 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 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, l 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 commencine work or recordine.vour Notice of Commencement. Sig tur70wnessee/Contractor as Agent for OwnerSi eHolder ure of Contractr'q, A I ATE OF FLORID COUNT<�C. LIjC',l� COUNTYOF �Cf,IC The forgoing instrupr�nt as acknowledge before me thisday ) (� 20J by The forgoing instr . ent was acknowledge before me day by of _ this of 20� `( Re-Kc ©ILL tJ 3Q1CK (Name of person ac no�ging) (Name of person acknowledging (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced ,o+'U•.,, Produced KAREN S. NIELSEN- Florida -Notary Public ,;„+'1 • KAREN S. IELSEN Commission No. _° ��c State of FI(sewZtary Public ;Commissionn, a GG 207484 Commission No. 'sa r`r My C04sion Expires _ •= Commission N GG 207484 June 12, 2022 M My Commission Expires '? REVIEWS FRONT ZONING PLANS VEGETATION SEATURTLE MANGROVE 77MM R COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1— 1013�1 RECEIVED DATE ' COMPLETED ev.