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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLY INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� r O�V Date: �J� SCANNE-b Permit Number: ( I' ©�0 BY �='.5717myc _f� St. LUCIe Count: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: F / I - Address: QL 75 Building Permit Application RECEIVED Commercial_ JUN .2 5 ,1019 Permitting Department Resident` aide Cnunt,. Property Tax ID #: 12 0 / — /13. 0Ct91� O -,Y.3 � 0001- 0/O- /. Site Plan Name: 1� ��j.. ,Af p l� Project Name: �IAYA 42 �.J. U_ ES" UlGliib 7 DETAILED DESCRIPTIONOF WORK: CONSTRUCTION INFORMATION: . Additional work to be performed under this permit -check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction:$ 05600. O0 Utilities: _Sewer _Septic Lot No. Block No. Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: : CONTRACTOR: Nam Name: �GO AddreL gQdAL o Company: AL GCLe&C 1 City:%e"y_ Stater Zip Code: 14272 Fax: Phone No. 'I%7- 359 - y9il Address: y`j. /�ixee J+4!'!+ la�,l3 /�EJ CityJD-&&/'.ua�w-v Zip Code: 3/f94,-'T Fax: Phone No �(o% �? 9? 8 State: E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail f"i /Lf_ a pn r&e-- L4e- y1 �2aZ - Calh State or County License 46 /.300- 5R6 9 SL G 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. "SUPPLEMENTAt C01tISTEtUCTION`LFEN L"A}IU INFOftMATIOtV 4` DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable Name: Name: _XNot 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB KrL\BEFORE THE FIRST INSPECTION. IF YOU INTEND TO Oj3*IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-" as Agent for Owner I Signbfufe of STATE OF FLORI A STATE OF FLORID/1 COUNTY OF S LVG.rQ COUNTY OF S tuct`e� The forgq�ng instrument was acknowledged before me The forgq{ng instrum�t was acknowledged before me this o Sriiay of Tvw� 204 by this _S fiay of 0 V • 20J_J_ by Name of person making statement. I Name of person making statement. Personally Known ✓OR Produced Identification Type of Identification Commission No. CA 4_10 0-2- REVIEWS I FRONT ZONING COUNTER REVIEW RECEIVED ;K�lul]Ial��] Personally Known ✓ OR Produced Identification Type of Identification Produced David Raymond p&nature of Notary Pub —State of Flori Day Raympa NOTARY PUBI IC NOTARYPUBL STATE OF FLC t{IMmission No. CIG Xrl GY2 I STATE OF FLC Comm#GG28 062 ComrN►GG287 SUPERVISOR REVIEW I PLANS REVIEW I VEGETATION EV EW I S REVIEW I MANGROVE