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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC LE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 91 V7 Permit Number: - _ Building Permit Application SCANNEDBy Planning and Development Services St. Lucie Countv 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: ____ _ III Address: "/'IU / //(AEI M OVXT' ffde- 0167Y1' 0"iC/[c /Z J Y'is / Legal Description: LRKLwJarQ �iir(L,GC�.i51 �QLIG 81 1-ofs 16 f (%�/Z7991A 73�! /l7i 6M 3g33 -W3i 17101 Ac% v gr- Are. 3q45/ PropertyTax[D#: Lot No. /6—/7 Site Plan Name: Block No. 3 1 Project Name: Setbacks Front Back: Right Side: Left Side: GO�,;STRUCTI©N INFORIVIATIQN: itiona wor to e e orme un ert ispermit—c ec a 1JHVAC Oapply: G Tank ❑Gas Piping _Shutters ❑Windows/Doors 11 Electric f J Plumbing ❑Sprinklers Generator L]Roof Total Sq. Ft of Construction: Cost of Construction: $ 64 6s, C/L7 S Ft. of First Floor: _ Utilities:Sewer Septic Building Height: OW ER7jLESSEE: CONTRACTOR: Name L'aIdyr Name: RobertZrallack Address: ri70 I 4SPJ rnor%+ AV 2 Company: Solar Energy Systems City: State: Zip Code: uqs 1 Fax: Phone No. Sto (— SOtj — i of l Address: 160 Smallwood Avenue City: Fort Pierce State: FI Zip Code: 34982 Fax: 772-466-7937 Phone No. 772464-2663 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: vpsolarenergy@yahoo.com State or County License: CVC056637 / 9057 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. It SI PPLE .ffiT L GONSLK CTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 authorize the permit holder 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 yourdeed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that 1 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 commencine work or recordine vour Notice of Commencement. �_Signature of Owner essee/Agen t STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�dayof 20k'�by this day of �anutt 20 I=j by Robert Lallck 1 1 Robert Zrallack (Name of person acknowledging) (Name of person acknowledging ) (Sihnature of NotaryPuubQH& State of Florida ) Personally Known V OR Produ tifk g*wah Music Type of Identification Produced NOTARYPUBUC Commission No. �F9I2/S7 Canm#FF912137 Expires 8/24/20, Revised 07/15/2014 -- — 22 (Signature of Notary Public- State of Florida ) Personally Known ✓ OR Pro AlIN080 Musk Type of Identification Produced NOTARY p68LIC q OF FLORIDA Commission No.f Fr9lz 37 FF912137 Explres 8/24/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS