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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABILP INFO IIALIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: LA i 9 SCANNED Permit Number: BY RECEIVED OEM St. Lucie County Building Permit Application JAN 2 4 2019 Planning and Development Services ST, Lucia County, P�rniltting Building and Code Regulation Division _ . _._.. . 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line r� PROPOSED IMPROVEMENT LOCATION: Address: Legal Description:rrsa to s bi go r-�c A,,.d Lass S do r-r ,& PSIS, �S6"R� �?. °IvP A Property Tax ID #: 01_0 -1- 4008-6(-(/ - -00-1 Lot No. i Site Plan Name: ntiVco t'Zyt.c-C Block No. Project Name: hxilea P-e � eL Setbacks Front SS Back: `/ Right Side: `f Left Side: et ('DETAILED DESCRIPTION OF WORK: 'nSi'�ll QZ(o GG d'P 6 � �V4G �.a.c-(� CkiCW G/4.YG v� 3 STrr'(� /iG� .,Irr,C c.6avG cJf Zai�Zpt C'AArr1LCr2-7G Abe-L 6A-rC-s, / ?z,� �.rrrr-�v�2 /1ou G✓f7E JE Z `f'r�rFcrc6a? CONSTRUCTION INFORMATION: - Mona wor to e e orme un ert ispermit-check all apply: 11HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 11 Electric Plumbing []Sprinklers Generator 0Roof = Roof pitch Total Sq. Ft of Construction: Cost.of Construction: $ Z4"0- S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Q 14 Ew `3c5 LCG Name: Michael Alderman Address: YBPS <.r/C c�S2 6/Jd company: Veterans Fence Contractors Inc rr�� City: avN. 41t, &4d, State: rL Zip Code:v. 33'&<,9 Fax: Of Phone No. Address: 2100 SW Conant Avenue City: Port St Lucie State: FL Zip Code: 34953 Fax: 772-879-1009 Phone No. 772-678-2358 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: eddie.alderman@yahoo.com State or County License: CBC-045563 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: / e 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: 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 commencing work or recording vour Notice of Commencement. A, l.F liv Signature of Owner/Lessee/Contractor as Agent for Owner & s Signature of Contractor/License Holder STATE OF FLORIDA L - STATE OF FLORIDA COUNTYOF Sr �0/6l cz� COUNTY OF 5%1GriGCP The forgoing instrument was acknowledged before me this�Sdayof V4t— 20/-?—by c. A( (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personal) Known X OR Produced ILtlilllllf////// Type of Identification Produced .J��`t.•'.. Commission No. ©y3 Revised 07/15/2014 The forgoing instrument was acknowledged before me thisday of. r d 20 L50 by (Name of person acknowledging I (Signature of Notary Public- State of Florida) Known X' OR Produced Id@dMical;tiiii__-_ Type of Identification Produced Commission No. d y3g��('SQaI) i n •10. O'G090823 STATE ISUI illSOR REVIEWS FRONT ZONING PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS