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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE i IPLETED FOR APPLICATION TO BE ACCEI' Date: SCANNED Permit Number: 116 NO - 01 ' BY RECEIVED St. LUCie Countv Building permit Application JUN 0 6 2016 Planning and Development Services PERMITTING Building and Code Regulation Division / St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 i// Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III Address: - DLV Legal Description: SOShoe e Ct�vidom i �v� As s o��A�l I rn , t 1 vi C Property Tax ID #: ucizz_-- ocp ?(O ` k 'i Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: F1VJeL � 6.ar-9(o �oo�� Ike -Cb 1-1k& &o7 (x] GcLfcTs l e n & 123-]0, 12-n-p, N23`)4 , 1231•o Gas Tank as Piping 1:1Shutters © W41A Plumbing [?Sprinklers ❑ Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor: _ Utilities: Sewer ®Septic Building Height: pUVi4ER/[E$$EE �r CONTRACTOR k F rK' Name .aesoctiZLArF. .Name Address: I3L( CaD 11an-6&6A-t'&*gl�. "Cbmpany:� i�)l de ��QA491Q�DoP-5 LLC. g` �T (alcr 2 State.: F'C- City: q Zip Code: 3cf390 Fax_-I-lol-33LP-Iytpc} Phone No, 7-2a- Address %311� �� ligA/ I 1� State: L Zip Code: _23LA53 Fax: NI Phone No. (-1'7a) 320 r 619 (,p E-Mail: Fill In fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: 9-1 @ 01)00 . C=fY State or County License: o� Li3 If value of construction is $2500 or more, a RECORDEO'_Notice of Commencement is required. SPMF1t VJw s! .5Ew2 _ _ DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address:: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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'authorisethe permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or arid 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 exempf.from undergoing a full concurrency review: *room'ad'ditions,' 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 it S. S=-ar% _ Signature of STATE OF FLORPIp STATE OF FLORIDA COUNTYOF c� Ca,2�' COUNTY -OF LUCIC. The for oing instrument was acknowledged before me The going instrument was acknowledged before me this I day of � 20 i (pfiy this day of 20 ]Q by (Name of person acknowledging) (N eam of person acknowled i g ). Notary Public- State of Personally Known OR Produced Identification v Pers( Type of Identification r7Produced r FI_ �(_ Type CommissionNo.1 F INv�� r (�>. _HFARiHi--_ ice; EXPIRES: Febrd*24.2828� Revised 07/15/2014 of Notarv'Public- State Known OR Produced Identification / ratification Produced .KAR N S.-NPECSUN Commis5io6A FF 115637, June 12,,208 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEATURTLE MANGROVE COUNTER REVIEW REVIEW REV W REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Fla