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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA �APPLlr.ABLEINFOMUST6EODM(:. _11)FORAPPLWATWXTOBEACCEpfEp Da4i6 SCANNED PerrrikNumt BY - St. Lucie Countv . Building Perl Application Planning and DevelapmentSe7w a Bulldl m and Code Reg&Won Dhr4icn 23WIftinlaAtrenue,pipA ma3� Phone: 1772) 462-1553 rage 1772) 462-1578 �% -01gZ I OCT 0 9 2019 '- ST. Lucie Commercial Residential PERMITAPPUCATION FOR: To Select from d fopbo)�. click Legal Description: Property Tax ID#: Site Plan NaMel at the end of fine t�So.J wr k'l �oAT S`r f ►oll Xr . GC�cGE E `f-0005o - 000 9 F t-BL.CC hA_1. car -'A. • - . Lot No � Block no. : Setbacks Front Righ- t Side --�_ 8adc /O .�_Left Side: 0 DETAILED ^DESCF�IPTION O - WORK: £lam rt�, E}cis*r',IG G GAS Iroc APPRa X . $ T LOSE % FEYD AkAJ CeolCT'�. 1iJ�11 � /OR 41ALC 0t IoQ LiAti, -To aOxT.'P. Car/NLt7' PRIOR Gros kw1E N9111 — F".e HVAC VGas an V n f/rhutt• Gas Piping _SShutters -- Electric _ Plumbing _ Spriniders _ Generator Total Sq. Ft of construction: - S9. Ft. of First Floor. _ Cost of Construction:$ a • 10— litiNOW. _Sewer _Sept �t/q p � Company:' ZPC�#s"-=- 19 Fax: State— Addr esi Phone No. ��Z yr8 — 49,E cl ZIP Code: E-Mad.ELirL..ArJCy Pw[ � •� FiOlnfee shrrpfeiltleHold2roarmap. �of•c Phone No. arg�6NdifR¢rent EMail:,�F&I from the Owner tlated above) State or County �+ ofrrQlon Is S7.SOU ormorGa RECORDED Notice of Con►mencementls Windows/Doors — Roof ® Roof piioh Building Height Fax DESIGNER/ENGINEER: _, Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: _ Address: Address: City: State: City: State: 7jp: Phone: Zip: Phone: FEE SIMPLE TITLE WOLDER: _ Not Applicable• BONDING COMPANY: Applicable Name: _Not Name: Address: Address: City: City! Zip: Phone: Zip: Phone: OWNER/ CONTRACPOR AFFIDVrr: Application is hereby made to obtain at permit to do the work and installation as indicated. 1 certifythat no work or inAallatlon.has commenced prior to the issuance of a permit St Luce County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which Is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 an the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. �Signatore wnerf gentyrlrssee igna ce e . on ra`e iar%tivertse bider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ��. �l aP COUNTY OF.(('\� The Ding instrrJ�ntw acknowledge efore me The f Ding instrume t w s acknowledgedbefore me this day of l J�_ 2a by �e this' day of rr .- 29 lA by 1 °�ir�'(`l 1 ('g 11Y�P x�tlil • -;�,� (Name of person ack owledging) (Name of person acknoibledging ) (Signature of Notary public-S to of Florida) (Signature of Notary Publio-.- to of Florida) Personally Known _Y OR Produced Identification Personally Known X OR Produced Identification _ Type of Identification Pr urpri Type of Identification Produced BRITTANY REDDIN Commission No ate(S�glpriaa-Notary Public Commission No. " 'w.,, Ce� ITTANY N GG 190282 ¢s=(Sta[6 is Commission of Floride•Noter P lic My Commission Expires Commission 0 GG y 190REDDI REVIEWS FROA PLANS .VEGETATION ebruary 28, 2022 ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW- REVIEW. REVIEW VJVUVU - REVIEW DATE - RECEIVED P DATE COMPLETED ev.