HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9- �S z ° / SCANNED Permit Number:
BY
St. Lucie County
— Building Permit Applicatiorik,
Planning and Development Services
l!®�OP4
Building and Code Regulation Division �y0, ?�
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553-Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
Address:
Property Tax ID #:
Site Plan Name:_
Project Name: _
McL}°n ar
cr'GC
3yo3-80S-60$5--ooci -6
Lot No..:L 4ns 39.1)
Block No. S
DETAILED DESCRIPTION OF WORK:
26 X 2 X CT�r55,e- oil vi W CljP(Q(kQ, InD PII( birIct , m QIPZMcn hf) (%.4/l►tW0A4 .
SLeb iS 3000 Psi 5t2e UX, 2..1 F7ber,Mtsh Z/;✓1CA /2XJ2''Foore,
M c-�F L_ f n cow �o�r7 i,�-4 LoCafi,bn
CONSTRUCTION INFORMATION
Additional work to be performed under this permit- check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 3'1/ 6
Cost of Construction: $ / 3 D 00 ., 0 O Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:-
Name Xtom P Zoupe
Name: To-me-5
Plqwer
Address: ' 343 +MPL4-Dn d r
Company:_ (`a--Puy-d-s AVM
City: farT Pi cir m State: f�(
Zip Code: 3 H 9 8 2 Fax:
Phone No.
Address: •0 • Bo,<- 110
City: '9MV0- State: I.
Zip Code: 320011 Fax: 362'y(p45-I I I
Phone No 0 --I i
E-Mail:_ h aro/d/2ype gQ Qrhalt,GO+'h
Fill in fee simple Title Holder onpage (if different,
from the Owner listed above)
y3�5i-
Unext
E-Mail
Q Y (+
Ma
I 0,11�
State or County License C 01i%
it vame or construction is W51JD or more, a RECORDED Notice of Commencement Is required. Al f eo y 0•1
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
2
T"L-
Name:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
ZIP: Phone:
BONDING COMPANY: _Not Applicable
` I Address:
City: City.
ZIP: —Phone: Zip: Phone:
)WNFR/ rnruTRArTno Acnft%,,_ .
rr w• ic'cuy mace to oorain 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.
which is in confii makes no
any applicable HomeaOwners Pssociation� rulesauthorizelr and covenants that mabuild
y restrictt orprohibitstructure
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE nE rnmmrwrcvc..r A
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF Sc,v �'e
The forgoing instrument was acknowledged before me
this /S day of Se(>}c. bete 20ya by
Low_
Name of person making statement.
Personally Known __V/ OR Produced Identification
Type of Identification
of Notary
Commission No. commisCHRISTIN
F955411
11:�r COhA95 FPns:JM y27,2020
ac—
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF_ Bis�,+t)FDRA
The f r oing instrument was acknowledged before me
this day of KEPT 20±1 by
J gA,fE5 PL,,IE�
Name of person making statement.
Personally Known �9't OR Produced Identification
Type of Identification
Produced
(Signature of Notary S - uF166d, IV
Commission No. o >h•; MARIA R. BURGIN
^ommisslon6P`f1 *849
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