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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLE72ri rOR APPLICATION TO BE ACCEPTED Date: 3 SCANNED Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: C 6Yh BY St. Lucie County RECEIVED Building Permit Application MAR 12 2918 / ST. Lucie County, Permitting Commercial v Residential Legal Description: CaD.031A-0 C(DK2(o49-V7V:CfD;Q-71Q Property Tax ID #: 11410 - ILA I - 0009- ODD- 0 Lot No._ Site Plan Name: Block No. Project Name: MODULAVL UFFF'1 LE Setbacks Front Back: Right Side: Left Side: SEE SU IZ VCY /It15TALL ME.FA DR I GATED M O.DL/LHR IQ-FF/G&- SEE 1PL(4VS FO2 DE71o4/LS Mechanical �Tectric _ Gas Tank' Gas Piping _Shutters _ Windows/Doors' Pitch _✓Plumbing Total Sq. Ft of Construction: M0- Cost of Construction: $ _Sprinklers FT- ✓ Od Sq. Utilities: _Generator Ft. of First Floor: Sp"i ewer _Septic _Roof c Building Height: OWIEEi%LESSEg`� Name I3f11f1©LEY PIKESSULK �'pNTRAC7OR ame. LAfLp CRAIATF15 ' "Address: 401S IU LL3 hIWY [ Company: Ecli 13 ELITE . EKWCES City: FT. PIERCE Zip Code: Fax: Phone No. 3O5-90 S - 3016 State: FL Address: 68'2.( STA'l2CAiZyro- iY V City: fy-. 0mwzeF State: P-C. Zip Code: '5161 Fax: 1721..-46S-=5 ( Phone No ;4L - 5�% O8';-( E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail CGF}/ems _ COOOC;W�A);6 State or County License GC 15 ( VY6 G. If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. tg r l�l_ K* Y 3� r Na IINtA>t;CON°i cTlai�l� LIEI w�tu r fifi'3e . . °ate R^.i ; ! .F 4, $Xbl w'j4f`�-` ♦ v�ve"nnmi aMa blob: ,Ya'h k's'�' •�"ti"*w> p! DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address. - City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: 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 Qwners: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 req-need' stpermit; l'do hereby agree'that I will, in all respects; per 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 attotney before &A —k -�_ %c, r e� Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLO%IDA COUNTY OF kk The forgoing instrument was acknowledged before me this \'a`t , day of ''s c { 20 1 by G GI -\ -A cS (Name of person acknowledging) (Signature of Notary Publ Personally Known Type of Identificatio Produced I" Commission.No.'1 REVIEWS FRO COUNT DATE RECEIVED.... . DATE State of Florida ) OR Produced Identification 0 y W GG 022023 iq Eg;DeceptIeT 16,202; SUPERVISOR REVIEW Signature of Contractor/L(cense Holder STATE OF FLOJIDA';. COUNTYOF ?' The forgoing instrument was acknowledge ,d� before me this��dayof f'�a{ 20L by (Name of person acknowledging) (Signature of Notary Personally Known Type of Identification Commission State of Florida ) OR Produced Identification PLANS � EVIJiW VEGETATION EVI WI'S REV EWLE� I MANGROVE