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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:111111111114 - = as • SCANNED _ __- Building Permit Application BYSt. Lucie County Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: = . Address: 31 O ORMAYS 3Q. -F&T- RFPiaEFL 3 � Legal Description: SAC l7_LVtV / � 36 / 3 Ty / `110 E P 06 ' iwlaGi*U Property Tax ID#: / 3Q - /43 - tXo/ - 000 Lot No. Site Plan Name: lock No. f� Project Name: ©VL=R ffgt¢b Wfvt N Ll /i Gce,,V1;9 Setbacks Front Back: Right Side: LeftSide: DETAILED DESCRIPTION OFWORK; Over �Pa � � �•� [CONSTRUCTION. INFORMATION: , Additional work to e e orme un ert -checkispermit a apply: ❑HVAC 11 Gas Tank []Gas Piping Q —Shutters Windows/Doors Electric E-1 Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Y Cost of Construction: $ i G76 r Utilities:nSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Address: - . ,c , - `- '; t 0 �. Company: Mtl �W C"il A& /U!0Cl INC City: �W • Ptel'CQ I State:_ Address: WO '/V iti CQVC0U.19,9_-_ W1 -P! Zip Code: 3�/66. -Fax: City: ?,L:zs,�L, State:_R_ Phone No.7?Z �Z 2 3 qv Zip Code: 3"976 Fax: 772 - 336 -r%S O I E-Mail: a /ssrr,►7ftYY lAh*.®1-� Phone No. 722- - 500 Fill in fee simple Title Holder on next pa g ( If different E-Mail: rnC?(o o w i eff&GU m e State or County License: from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of commencement Is requlred. 1,SUPPLEMENTAL CONSTRUCTION•,LIEN.LAW INFORMATION: Name: City: Zip: - FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable no representation that is granting a permit will authorize the permit holder to build the subject structure any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such It 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 tender or an attorney before �C _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF SA •� ti c a The forgoing instrument was acknowledged before me thaL day of 20-IL-by (Name of person acknowledging) Notar. y public - state of Florida MY Expires Dec 20, 2011 Commission # FF 177240 Revised 07/15/2014 . s Signature of Contractor/License Holder STATE OF FLOR116 COUNTY OF t The forgoing instrument was acknowiedg 4befbreme this _ day of 20 — by :!�u (Name of person acknowledging) of Notary Publi&, State of Florida) Personally Known OR Produced Identification ype of Identi'6ati n _ Co mission No. s `�= Notary P WGflAM `O off; MY Comm. State Florid. Bonded throuorun # FF 1772s gh National ^iota REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW R EW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS