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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1—t Date: 4 1ldo' 11 Permit Number: s RECEIV 7D AUG 0 8 2017 • SCANNED Building Permit Application BY Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description: PropertyTaxlD#: 111No- 5o Site Plan Name: Project Name: R Setbacks Front Back: .5 a-vc-Tu&,Q . 'VAJ Si A4,L-A T1010 -dada-add-o Right Side: Left /5 vcr0,4 /Chi ©c /:6V -VA UHVAC LJ Gas Tank UGas Piping L,A Shutters Electric 0 Plumbing []Sprinklers Generator Total Sq. Ft of Construction: S Ft. of First Floor: _ Cost of Construction: ,• a <<^' ' : Sewer Se _ P �.� Utilities: tic Lot No. Block No. U Windows/Doors 11 Roof -Building Height: k, d Y W '11 •"iyF,�ty 5[ >. N'e OWNER/LESSEE; ,�*'.," :a _CQN[RACTOR 4 i 6. t3'v 1 h ,;>;,, Name a12 Name: ti i Address: ! l k A A Company: / City: F£. f l h RC/= State: Zip Code: %l,L9/fj Fax: PU 1--)20rl -Phone No. - t9 ' Address: -/ 0a 4iWO iA S� City: 2 ,&iZ AIL% Stater Zip Code:Fax: Phone No. 27a mot? E-Mail: 07 Fill in fee sim le Title Holder on next page (if different from the Owner listed above) E-Mail: State or County License: 0 If value of construction is $2500 or more, a RECORDED Notice or commencement is regwrea. .5UPPLFEM�EIVTA4COlSTRrcIiCTION LIENLPtW4NFfORMATION DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 0— Address: City: — — Zip: i _ Phone: �U State:(, �f(�(� —'t2S/ City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not 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 Court 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 onithe jobsite before the first inspection. I you intend to obtain financing, consult with lender or an attorney before commencing -work or m(oiding your Notice of Commencement. I At � of Owner/ Agent/ Lessee STATE OF FLORIDA N n�c COUNTY OF Th%tirginstft1nw acknowledged before me this ay of 20 by Commission No. (Seal) Revised 07/15/2014 STkYTE OF FLORIDA COUNTY OF The f oing instru ent was acknowledged before me this day of 20_IA..by iI Of Type of Commission No. (Seal) . REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW EGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE C INITIALS