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HomeMy WebLinkAboutBuilding Permit App Revised All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: :2• (o• Permit Number: 15a�1-8a6 RECEIVED JUL 0 6 05 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PR� POSED INP• 01/E ENT LOCAT©�. Address: 5 Yoh *n R_ Legal Description: Property Tax ID#: �J� as �o a $ d' ado- Lot No. Site Plan Name: Block No. Project Name: Setbacks- Front Back: Right Side: Left Side: DETAILED DE�SCR+IPTION OF WORK: CONSTRUCTION I'NF©RMATION: Additional work to be peffo-rmed un er t is permit-check.all tat appy: _Mechanical _Gas Tank -Gas.Piping —Shutters ' _-Windows/Doors _Electric _Plumbing _Sprinklers• ` Generator _Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor:' oq o Cost of Construction:$.� //- c Utilities: Sewer. _Septic Building Height: OU1lNER/LE�S�S �E: CONTRACTOR: Name L �Sfiihc. Name: Address: o ,a•�. ;:7:n _ Company: PAL City: State:_ Address:-( •.2:`t . 2 w, 7Q Zip Code: 3�1�$a, Fax: City:�� -5� - �� State:fL Phone No. Zip Code: Fax: E-Mail: Phone No' YD t, Fill in fee simple Title Holder on next page (if different E-Mail <SL(2- B Ez, 1, from the Owner listed above) State or County License C4L K12-50 if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 5 tPLE1VIE'NTA� CONSTR?l1CTI:ON L.I� N LAW FNFORIUTATIO 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: 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 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. i� Si r of Owner/Lessee/Agent Sign a Contractor/License Holder ATE OF FLORIDA STATE OF FLOREpk L�C. COUNTY OF 5 �, L v c�-� COUNTY OF t5 Q Theforgoing inst�?ent was acknowledged before me The forgoing instrument was acknowledged before me this t day ofy�%J 2015 by this_(cL__day of 206 by ak me S endy%oy.- J d1 vr.e.5 �e�► a wa - (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary PubINL State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Iden ' Personally Known OR Produced Identifc Type of identificationNNP�� eo1�\0 p.,e Type of Identification gtVENS f;da t Produced L L OQ'�%c'`SesDer,5a�61 Produced L L EPb�A Staleec�6 206 -%, At No." �� 6,Notat9�m Sso�#Eallo�atYA55o Commission No. �.�,a, Nomu �sx�Pt❑t#�E856��6psso• .o . .:tI`y °m u9�Na�\°o . , MYS'�tov at taota r °ajht0o9 3. ,''�:�11:: REVIEWS FRONT ING SUPERVISOR PLANS VEGETATI TURTLE MANGROVE COUNTE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 zl 96fifng-1-tim i ff" `Seniicess ASBESTOS NOTICE Bulf�lig&tiGole:Re ala�onDiviston� 230Q:V(fglNa Avenu@�. ,Pfoie(T12j462-2172��Fax�Tt'2)462=6493 Asbestos Notice to Contractor July 06, 2015 REDMARQ HOMES LTD CO JAMES REDMOND 13245 ATLANTIC BLVJACKSONVILLE, FL 82225E 4-376 FILE Copy RE: Building Permit Number 1507-0064 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. Signature Date 7/6/2015 12:55:59 PM