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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP ETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Num BY -� St. Lucie County Building Permit Application 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 NOV 2 0 2017 ' BY: Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED IMPROVEMENT LOCATION: Address: 8313 14)1 Iq Tf�e= `r 1 Legal Description: Property Tax ID #: 35�p I - to3--m a-C)DO' a. Lot No. Site Plan Name: Project N Setbacks Back: Right Side: Left Side: Block No. I DETAILED DESCRIPTION OF WORK: III I nsta.l 1 6 T w -Rd a c-0 bount,s5 CONSTRUCTION INFORMATION: itiona worKtOnienerrormed un ert ispermit-check all appy: ❑HVAC 1:1 Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors 11 Electric ❑ Plumbing ❑Sprinklers Generator ❑ Roof ❑ Roof. pitch Total Sq. Ft of Construction: `y , oG Sq� FFtt.I of First Floor: Cost of Construction: $ ��. ©� Utilities: L nSewer ❑Septic Building Height: _ OWNER/LESSEE: CONTRACTOR: Name MCI I 6f- Vi LLC.. Name: O& Address: 0 jW k i)f tim wenr e Al Va 6k 2,0r, Company: ` City: Tcca 00--bn State:TJ_L Zip Code,'�V$I Fax: Phone No.. - --n - 40 -1 Z I'I Address: 10 Z`) Sr- Ley%iA l_t-r) City: Fbyt-(4 I At Cde. State:gi. Zip Code: 5/+0152 Fax: 337-UXOCP Phone No. -77 Z - v 35-24k4I E-Mail: J, xikte I at trPD"l,I4 . cairn - Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: 6 (.Ix/1 eCI1 UI ?,,S 10- i1obyi ou I - �VVI State or County License: ( CO 13 (P O If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III 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 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 commencine work or recordine vour Notice of Commencement. s Signat re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA - COUNTY OF ai: L-LLCIe I COUNTY OF a Li a_ei-6 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this :2(->day of m oy 20 J 7by I this 'LO day of NI . 20 E by (Name of person acknowledging) / (Name of person acknowledging) ljfpe/I f/V A) it gd L u l i( (Signature of Notary. Public- State of Florida) (Sig ature of Notary Publif- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known � OR Produced Identification Type of Identification Produced T pe of Identification Produced Commission No. CIS PopYestswotFlodde mission No. � "afts L Lwd° 09810 Raj Notary Public State of Florida My Comm,eNoa GG KrisBna L twderback • a My GG 108810 erzo*.re21 Revised07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REV EW REVIEW REVIEW REVIEW REVIEW DATE n G COMPLETE INITIALS '.Zy . Y119 �.J