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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 /� �7 "/ Date: �. �' )%. SCANNED Perm`Number. 1 BY St. Lucie County RECEIVED e --- - Building Permit Applic 3tion MAR 18 200 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce F134982 c i e County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �� R ' PERMIT TYPE: -r PROPOSED IMPR_ 0_UEME_NT LOCA,`TrIO,N �;__ _ __ __ Address: JTyny v e_lreak&5 Property Tax ID#: .35:Aana13.1-000J- 1&)--7 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTI©NL©F WORI(r CONSTRUCTIONiINFORIVIATION. .T � �� Additional work to be performed under this permit- check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 0O Cost of Construction:$ 1(,41 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: _. C©NTRACTOR a M Name _5� `l Name: Address: J 1Q Company: City: _Ary' .a. LUei a State: • Zip Code: 3WFS Fax: �a�/6 Phone No.�%�%//� Address: City:.Uen ba cA Stater ,/ Zip Code:�q&A Fax:919-IIff_-J 1y-, ��C21io/-� E-Mail:S�P/I&4L� 62a. r Phone No 1oL- -�%LI& Fill in fee simple Title Holder on ne t page (if different E-Mail iYl State or County Li ense from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION L' IENI LAW IN�FORMATIQN.: -- -- - --T —'MORTGAGE DESIGNEI ENGI RV Not Applicable COMPANY: Not Applicable Name: Name: Addr s : Address: City: State: Zip: Phone — City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 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 F0?RAM9ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTW ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WJTH YOUR EFORE RECORDING YOUR NOT CEMENT." "Signature of Owner/ Lessee/Contractor as Agent for Owner Sigfiature of on actor/License Holder STATE OF FLORIDA (�// / COUNTY OF JT Ltte if STATE OF FLORIDIL COUNTY OF t1ram I vi->!.n The forgoing instrument was acknowledged before me this-ILdayofyY/ARI'/L_20_Lqby The for oing instru as a nowledge fare me this day of 20y -Pry - 'Foxy- Name of person making statement. Name of p son making sta ent. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of o ary Public- at on 1,PumlaSlat. ofFioria Amy Kwasnicki Commission No. 02 • (IJly��mmissionGG242913 o„�QF Expir s 07130/2022 i nature of Notary P lic-State of Florida ) C m15 U. a y,� o�ry u �#10 rTSTate of Flon a Tammy L Crosier REVIEWS FRONT ZONING SUPERVISOR PLANS Expires 01 32022 ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.