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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0 • ` . �9 — OG SCANNED Permit Number: n229 E, ' „•- I \_� By RECEIVED St. Lucie Cni n... 'n Per # plicatic Planning and Code ion Dices �A Building and Code Regulation Division I 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial OCT 17 20% County, PERMIT APPLICATION FOR: Foundation i' III I PROPOSED IMPROVEMENT LOCATION: III Address: I & 6 C, Legal Description: Property Tax ID #: 225'- 21L - CD00 1 - 000 Lot No. Site Plan Name: Block No. Project Name: 0 VP DA;11 IW S AO2 FU� Ctil/°��C�NIE Setbacks , Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CE�rt-t;� ©K'DOMe 0HVAC Ii Gas Tank Gas Piping Electric 0 Plumbing ❑Sprinkl Total Sq. Ft of Construction: s i Cost of Construction: $ � 1 . 1 Shutters ❑ Windows/Doors Generator 11 Roof = Roof pitch S Ft. of First Floor: Utilities: Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: ' Name 'Z.AV is 71-% eA-\M 1T Name: T 7- Address: ll, G $ 6L k 0_-PkMOO.# l W Company: CaAS -bUi LAik e0 City: Fi7NT PLeV_C)C- State: L Zip Code: 3;g9 y S Fax: Phone No. '7'7'2- 4129 Address: 791 5W / Arey-,b '23,Ly7' City:ToyzTr&:q- L'%J e-�'s Zip Code: Z 4q 22i Phone No. -7'7 L . State:-F-L Fax: 772 2-7 J D I 110 k c) E-Mail: A 4 (ZXZ 9AVC-i7%EM If -kg, OR G Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: COA41-A L Clo AP>r*Q5 C• . 0 State or County License: CQ 6SZ f 1 Z ("i IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II DESIG N a m e: Brander Brothers constructors, I= Add re ss: 14623 Hwy 71 west, 0100 City: Austin State: Tx Zip: 78738 Phone 812-263-7922 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad d re SS:751 sw Mawdo Blvd. City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Jeffery Braun Address: 1`09°x12220 City: Pert St. Lude State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: 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 1 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, fence walls, signs, screen rooms and accessory uses to another non-residential use WARNING T OWNER: Your il72i2er kecord a Notice of Commencement may result in your paying twice for improveme s to yo prop tice of Commencement must be recorded and posted on the jobsite before the first ins ion f yod to obtain financing, consult with lender or an attorney before commen n wor ore rdinotice of Commencement. Signa'tdre of Owner/ Lessee/Contractor as Agent for Owner Signature of Contr or/License Holder STATE OF FLORI?tk II r STATE OF FLORID � COUNTY OF .'r%:'`c-- COUNTY OF_va.a The for oing mstru ent was acknowledged before me The forgoing instrument was acknowledged before me this day of 20� by thiss day of %.e�r 20\16 by Name of person making statement ✓ Name of person making statement Personally Known OR Produced Identification Personally Known Y/ OR Produced Identification Type of Ide 'fic tiRn Type of Identification Produced •,( J Produced du(� - \�iOact' (Signature of Notary Public a'te FII��rr (Signature of Notary Public- State of Florida ) �MY� IISSION#GG033730 Commission No. u� ` E%P�eptember26.2020 Ct� Commission No. `� ���lo o��tlFbg`c (SCMRUTFfrRS vF ° Bolded Tlvu Ru*tN0tWy SetvI= MY COMMISSION # FF 986210 9� EXPIRES: June 9, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE j COMPLETED Rev.8/2/17