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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l0 5 Permit Number: EGi` `�D JUN, Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 i Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Windo /door 0//-J GA,9A6e- D60(2=3 PR ¢ POSED IMPROVEMENfT Address: 7V70 C- C Legal Description: S/40AL l_ (?r�F-K- 19T"ASC_ T L LT7- j Property Tax ID#: (Dv oc) 0 Lot No. _ Site Plan Name: L� Block No. Project Name:_7K�1Yy i•s/ I t is 1 D e-0CC- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION ( CF WORK{ta 6�SD �'J6 9X_7 o/14 G,6'VLA6r Dods CQNSTRUCTIQN, INFORMATIONo mm Additional worK to be neffo-f-m-e-d under t E permit--c ec is appy: HVAC IJ Gas Tank ❑Gas Piping _Shutters 96i indos/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction:: /eZCo S . Ft. of First Floor: Cost of Construction:$ 060 Utilities: Sewer Septic Building Height: OUIINERJLESSEE ,. n(" CONTRACTOR ' ;4 . Name SALaTb F"(C Name: &WAJ0/tl40C16 C- C Address:'770 S'7�EpC�C I � �� Company: &c-/ 6 Dote-s Sci ��- city: -�7` 6LtG/(- State:_ Address; Zip Coder Fax: City: D �� d State-r-c— Phone No. /61700 Zip Code: '5-310&0 Fax:��/990-t�3' E-Mail: /s/ 0.LZ©!. C6 Phone No.g J 7 y�`&16_57)Fill in feelsimpl_e Title Holder on next page(if different E-MailA/ 12CLQ_ Cd h^� from the Owner listed above) State or County License: C-6 033 /3-2 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 0 SUPPLEMENTAL CONSTRl1CTI0N L1EtU LAIN INFORMATION rt DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of Applicable Name: Name: 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 our Notice of Commencement. F2 _Signature of Owner/Les a/Agent �' ignature of Contractor/Lic�e`Holder STATE OF FLORIDA n STATE OF FLORIDA COUNTY OF "�i1.'o(A COUNTY OF �Gwlca,c The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 9- day of . wr P: 20 (JCby this 7— day of 20 +�by (Name of person ackno g-)--- - (Name o ac nowl ing (S' nature of t�r�u ) (S' ature of otary Pu 1c- FloridaPersonally KI own Produced Identification Personall nown OR Produced Identification Type of Identification Pro ced Type of I entification Pro ced Commission No. _ Commission No. _(See n`•+�:��RY P.Y,o,c, HENRY RAMIREZ � a';q�•"•`"pRP��.� HENRY RAMIREZ `tr -1' ?,d9 I CI �I 8 c o LR 1 , I oa ';` EXPIRES:March 16,2018 -:,' �,.+ o EXPIRES:March 16,2018 % ° BPublic Undewiters Revised 07/15/2 Bonded Thru Notary Unden+rrifers °_f e Bonded Thru Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE LINITIALS