HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �' 1'1�• �� SCANNED Permit Number:
BY
St. Lucie CountyMY17.
C 0. 71rN T RECEIVED
Building Permit Application
Planning and Development Services MAR 2 6 2019
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Fence installation
PROPOSED 'IMPROVEMENT LOCATION:
4275 N HighwayAlA
Property Tax ID #: 1423-120-0012-0008
Site Plan Name: Ocean Harbour Villas Owners
Project Name:
Lot No:
Block No.
I DETAILED DESCRIPTION OF WORK: I
iI MLaa 10% UI o ulyu a iau i ui IN icncv vvun t I,) yaic . _3( Q U rOf a O U I
W--pool- .(✓adj /u6owC4 (6p cv k1lik
CONSTRUCTION INFORMATION:
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: G
Cost of Construction: $ a.% 76 •O
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name cean HarDour Villas Uwners
Name: eary 6 Aaarris
Address: HignwayAl A
Company: - --A-dams Fence =
City: Ft. lerce -' _ �' State: _
Zip Code:. 34949 fax:
I - 3i�l06
Phone No: {'
Address:
City: Vero. eac ;' State:_
Zip Code: - Fax:
Phone No7-�
E-Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail eliza e a ams encecompany.com
State or County License
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 LIEN LAW INFORMATION:- '
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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.
no
structure.
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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
POSTEDONTHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO, OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENr."
Sig�re of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
ety-((
STATE OF FLORI[
COUNTY OF_ ion
COUNTY OF 1 ��CiliG� �I�tl
The r oing instrum�ggnt was acknowledged before me
Arwcm
The f�ygoing instruMnt was acknowledged before me
this day of 20J4 by
this �� day of N1 IUT 20Lq by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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L% G�
' o _ ` ,"Oblic-Staf p o
`fix EFIZgBM
(Signature of li - a e of Florida
EVANS:
_•: .' NataryPuhllc-Stale•"�„�"""
Commission < � S"'
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