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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED arid Date: g SCANNED Permit Number: - BY St. Lucie County _ Q I=rGTE ire. Building Permit Application AY 2 9 2018 Planning and Development Services Building and Code Regulation Division LSTLuc!,e Coun 2300 Virginia Avenue, Fort Pierce FL 34982 tY. Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' cl Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III I PROPOSED IMPROVEMENT LOCATION: III Address: Legal Description: Property Tax ID#:34'14--npl-1-4_701-�ri%1-)-(, Site Plan Name: ,, r�, c Project Name: E 1`k(n rr ci si6e) S-59n Setbacks Front Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I Mall sign over6rbreftn-- - ou e�\eC_firtCJ I CONSTRUCTION INFORMATION: I -cnecK an tnata UHVAC i _IGasTank UGasPiping LJShutters 11 Electric 0 Plumbing�/ Sprinklers 0 Generator Total Sq. Ft of Construction: c L] S Ft. of First Floor: _ Cost of Construction: $ 4� 5. 00 Utilities:12 Sewer ElSeptic Windows/Doors Roof = Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Ci51 n Name: LDt_4dP.�Ct Address: IC&39 6E Lonn Iri) 2 Company: n City: RY+ S+I-A1Cw_ state: FL Zip Code:346152 Fax: 33TO MP Phone No. "F3 3%-C!Z)Co Address: 0219 5E LPV1r0 YJ Qd- city: L i6-e- State:, Zip Code: 2!l+4 52 Fax: 337 - ©?b� Phone No. 33s"aN4 1 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: C �Y111(Cfhl @ hc�}mai I .cam State or County License: ESN 2 b0131r� if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III Name: City: Zip:. FEE SIMPLE TITLE Name: Address: City: Zip: Not Not Applicable E COMPANY: _ Not Applicable Name: Address: City: Zip: BONDING COMPANY: Name: Address: City: Zip: Phone: _Not Applicable 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 ano 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 SigOwner/Lessee/Contractor as Agent for Owner S Signature of Contractor/Licens o der STATE OF FLORIDA STATE OF FLORIDA COUNTYOF S+LLtCI>° COUNTYOF���ICJ,P. The forgoing instrument was acknowledge,)before me this I- day of �CtT 20 by (Name of person acknowledging) ��ii A ext d,-&[Z�11' (S nature of Notary PPuublic- State of Florida ) Personally Known `r OR Produced Identification Type of Identification Produced Commission Revised 07/15/2014 08=0z+ The forgoing instrument was acknowledged before me this AC2 day of .20 _a by Q1,00y-d (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER EVIE REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ��