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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE //INFO MUST BE COMPeci rD FOR APPLICATION TO BE ACCEPTED Z Date: S Permit Number: SCANNED F BY FROCEIVED St. Lucie County Building Permit Ap 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 PERMIT APPLICATION FOR: )Z.CN rVJ;%T)0 N Address: 10410 S Legal Description: -APT. iOd-7 JUN 11 2018 Permitting Departmer St. Lucie,County, FL ri g637 ?S/Q Property Tax ID #: 14511 -- $1Z/ - ©o'7q — 0-00 -:!4 Lot No. Site Plan Name: 4141 Block No. Project Name: Setbacks Front Back: 'v Right Side: 1141 Left Side: 40 r livatall 4 _ %vb `tvrNed ,�,-ro st,zwet- permit - cnecK a Mechanical'—GdSTank%-GasPiptng Electric Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 9 Sao UtilitiE _Shutters _Windows/Doors Generator _ Roof Pitch Sq. Ft. of First Floor: 200 s: ewer _ Septic Building Height: 1, 200, � CQ(�iRAGTOR "`"i+ MA M'+WT iad afTM .xw .i, s#i h..fi Name DFi Name3•�;' L11�M%4` S cje>osaA Address: PIv%e-r,_eaL Df �v� Company (3u� It1�JeG •CetJT4a,xaR 'S'toc. City: is i }ct> �. State: - _..,,Address.` Zip Code: /(a L41 7 Fax: — City: Jr - A'P✓�,1-1 State:_ Phone No. 2pg - a i9 -o8 5 & Zip Code: 3 y 9'6 a- Fax: 77Z-.2S' ,g q Phone No 779? -;0-6- `7/09 E-Mail E-Mail: CAycI,12 M798 e 4 NAY.' 1 cc✓I Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License C If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Name: ;; :;ai= Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: — -?`ii Address: City: Zip: ,,,,,c :+ ,Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER; :Name:pe(e (C'Z Linda . _ Not Applicable s. JYla4s BONDING COMPANY: Name: Not Applicable Address: S Lz'P,we.T¢c � p_ 2.uq_ Address: City: Q , tZA2n City: Zip: _16 uw_ Phone: 5t73B5_6 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 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:t before the. first inspection. If you intend to obtain financing, consult with lender or an attorney'b fob,,.. t commencing work or recording vour Notice of Commencement. nt. "6`l Q .Signature/ Lesse-e/Clontractor as Agent f4l Owner Signature on ractor/License Holder !! Iw s r jUXti STATE OF FLORIDA STATE OF FLORI 'W COUNTY OF fflo i i n COUNTY OF' The foring instrument was acknowledged before me The forgoing ins m nt was acknowledged bef "NUAbthis ay of 12rob 20� by this day of 20 �by r�hIP Of la4c. aHd Linda 5 . %rla.cjs �'T e-11E.�04.I (Name of peronacknowledging) (Name of person acknowledging) ail & (Signatu` f Notary Public- State of Florida) (Signature of No ry Public- State of Florid Personally Known OR Produced Identification V Personally Krq n OR.Produced Identification Type of Id7e7ntification�}}. Producedf All- -jar $o-Flti,i.RY Pie ' Type of Identification Produced �i"•C.. MnRVLEervms ;....,K6 �t . MYCOMMIs$IONt1GG0646 Commission No.FiBd(y��a�i$ y al) SFor Commission No. (Seal) F-xPIRES: MaIti16, 2021 rlO¢;�B . Mded,Tivu Budget Nohry . - . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. 1/2014