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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION\L)—N 'S All APPLICABLE INFO MUST BE C Date: FOR APPLICATION TO BE ACCEPTED'��� Permit Number: OGA NFp ;t 1 llria APR Buildi goOrmit Applicationpublic Worxs Planning and Development Services St. Lucie county, FL Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: 1-PA INPROUEMEN?T L©CATI®N: Address: Legal Description: Property Tax ID #: Site Plan Name: S tA.v t,S Project Name: -Setbacks Front Back: Commercial Residential Right Side: Left Side: Block No. _Mechanical —Gas Tank —Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch Total Sq.,F.tof Construction: Cos, t0Construct[on :-,$ SOipC�O,H` Sq. Ft. of First Floor: _ Utilities: —Sewer _Septic Building Height: MWN ER"I/ I' QS.5 E - INGONTRACTOR: ^. Name_ 1— \\. e�� ✓V1,c.�nr-.1� Name: Q&AIL13 Lo Address:'"4s3 2 c!4,P Company: m City`. d : -`:J p `a(3 P e—l- (_ state: � Zip Co`dei 3'Z9 (.o C.) Fax: % Z 4 L 3 0o Phone No. —? -)'t— Address:? ) it C)1 i 14 u b-3 City: 1/d,to Loi FL Stater. Zip Code: ZJL9 to O Fax: Phone No -7%a— S`7304Ci �o E-Mail: 17., o � , �. . �..1� .[ aw.. ��� Fill'in fee simple Title Holder on next page ( if different from the Owner listed above) .E-Mail G� �g`- ¢.Z(— tooeQ Ga �t o�• �a+r State or County License re-? C_ dG i 2`t If value of construction is 2500 or more, a RECORDED Notice of commencement is required. EER: I_ Not Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: Zip: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 mon,-ina �unr4 nr rarnMina Vnnr Nntirp rlf rnmmpn rpm pnt. gnat re of Owner/ Lessee/Contractor as Agent for Owner nature of Contractor/License Holder ST F FLORIDA STATE OF Ft6RfD7k CO NTY OF i6I (�Ui COUNTY OF N BAN ��1 VI fll/`2Y The forgging instrument as acknowledged before me The or ing instru ent wa acknowledged before me il this day of . t Cr/(1 \ 20�by this ay of 20by r Lis A I Co 54,�/� (Name of per n acknowled ) (Nameperson acknowledging) %—�1X toff'^ V ' ,�rnw'r2�. (Si ure of Notary Pu ate of Florida) `rrtr� (Signature of Nota ublic-State of F �1•`` �FER G�.` Per ovally Known"il n �N •......, Personally Known OR Produced�dit+fic�tiPrA _ '•_ 2 Type of Identificat. SOUTH Type of Identification J- Produced— SSION #FF0797ao — Produced ecember 29, 2017.Commission Commiss!on No. yl oltil ? B I VBL No.e servlce.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REV EW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. //ZU14 ��/