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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED permit Numb St. Lucie Count', Building Permit Application MAR - 4 2015 Planning and Development Services St. Lucie CPublic Works Building and Code Regulation Division ty, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial � Residential PERMIT APPLICATION FOR: �' Address: Legal Description: Property Tax ID #: ,� R'(i3iL�r`� 7C Lot No. Site Plan Name: Block No. Project Name: j� �} ►1% r) -C> E> 1 /mid J JI ti Setbacks Front Back: Right Side: Left Side: DETAILED.DESCRIPTION'' Or,WORK: 1 'D roe i and 2 za 3 zoo Lp 20, S zo CONSTRUCTION INFORMATION:` 11HVAC u Gas Tank Gas Piping L.__I Shutters Windows/Doors 11 Electric Plumbing Sprinklers ❑ Generator Roof Total Sq. Ft of Construction: z Ig C9 0 SgI�Ft.� of First Floor: �t9O - Cost of Construction: $ '�� 000 - Utilities: nSewer Ll Septic Building Height:_ -OWNER/LESSEE: CONTRACTOR; t . Name J:> Name: V Address: JoIJ-2- Compan at,llc City: em5en Brsr16 State:[, Zip Code: 34 �%,T?- Fax: Phone No. !�`� ��� ( � Address: 2N-9, SF_ Moor S! City: Zip Code:�j�gq �— Phone No. Stater Fax: g�Z -s E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: i7�ta P.C��}S�$� ?'Mill -&4 State or County It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNE ENGINEER: Name: _'_Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable AddresC-P 'VWv Address: City: S '!/g °T' Zip: .Ed4.lone: ?j,LZ— State: 1 Za;L_ ©y- City: Zip: Pho State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: of Applicable 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 permitholder 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 —Signature o caner/ ge STATE OF FLORIDA COUNTY OFG\-e_ The f oing instr t was acknowledgej� b e me this J by day of `f�.Y( ' '�20, (Name of person acknowledging) O (Signature of N tary Public -State of Florida ) Personally Know .'. "OR Pro gg; I ca ion Type of Identifica ifSeddyn AWN EXPfS:A'`gPF��h Banded Thmoarypnl l2, Nindnrtltefs ion No. Ae Commiss Revised 07/15/2014 s Signature of ractor e s er STATE RI COUNTY OF The f rgoing instruwas �ack�nPw—ledged before me this day of M s t 20 J:57by of person (Signature of N&ry Public- State of Florida ) r 1 Personall' n OR Pr uFed I tyfication Type of I t1±EftG3 r(�d ('nmmic n'�. Y..Ci MYcc w�MHUFF Swill REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS