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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: +� /Q , Permit Number: \°�0�' OLiI 13 SCANNED , - BY St. Lucie County RECEIVED Building Permit Applicati n JUL 1 8 'D19 Planning and Development Services ie Luc Building and Code Regulation Division ST. _ _ County, Permitting 2300 Virginia Avenue, FortPierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: w�.I.dowS - c�dt0 PROPOSED IMPROVEMENT LOCATION: Address: 'ffl00 S• ©62,ct,� 9r-. 7--4499 668 Ter' Property Tax lD #i: 3 S 3 s" %2 - oo24 - oo0 - 6 Lot No. Site Plan Name: (p �jh /L✓S % + rf,o j;• C4 p, S r L(D6 Block No. Project Name: f6e'- -o DETAILED DESCRIPTIONOF WORK: M, t."J- IN 0 7o# 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: $ 312-0 D Utilities: —Sewer _Septic Z2• 7 -Windows/Doors Roof Pitch Building Height: ,OWNER/LESSEE:, ._ CONTRACTOR: ' Name Aqbet+0 � 6wu Name: fS c) 00.j S Address: 1530W '5L-z t+4i Company: /WLP& C?' E}C,�t/ 5.. . City: G %L- - State: Ef- Zip Code: !CKFax: / Phone No. 3bs' 3 L>C- $NCO Address: City: 4_� SGti �et It State:��- Zip Code: ^J r(95-3 Fax: Phone No Ste`/'2 Z[SyS'�Z E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail C �✓oodSCo ip e- Yu l cy. Cy r-t State or County License (C7G�� 9q�q 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: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: 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: 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: YOU I RE TO RECORD A NOTICE, OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROY S YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE J SITE FORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH ,110 R LEND OR A ATTORNEY BEFORE RECORDING YOUR NOTICG'6F YOMMENCEMENT. Signature of Owner/ Le Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5 �) a�� COUNTY OF. I The forgoing instrtAment was acknowledge before me this day of 20M by The forgoing instr e t was acknowledg before me this I day of 20rL by ����cr� �P� e of person ma ing statement. Name of person making Itatement. / Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of Ident' n Type of Identificat' Produce. Produced 1� (Signature of Nota f lorida (Signature of Notary Public -State of Florida ) 6a,, KAREi)(.S. NIELSEN Commission No. _:° =; to of Flbli�1Notary Public Commissio NIE - •, Commission # GG 207484 "z ,�° R La`[.; Stale of Florida -Notary Public e^P•` MY Comm' a rr qn7ARA" June 12, 2022' if i;?o o ,° My ommission Expir s REVIEWS FR PLANS J GROVE COUNTER REVIEW REVIEW REVIEW EVIEW DATE RECEIVED' DATE COMPLETED nev. c/ r f iv