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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 17,7 y"'. � Building AUG• AGuf lPermit'Application Planning and Development Services PERNIITTiNiG Building and Code Regulation Division St. Lucie County, FL. 2300 Virginia Avenue,Fort Pierce FL 34982 Y 1 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /\ PERMIT APPLICATION FOR: �al` PROPdSED INPROVEMfNT LOCATIO'N� n Address: ,��o� �Oy/►✓�/ S W&y FI)/ ` 112i / L. 3 L/9y9 Legal Description: Oce,,,",7 �r©rf3 �o4�eraf>� Ole )S Property Tax ID#: ��L7- OZ��® �'�' ���© `� Lot No. $$ Site Plan Name: Block No. Project Name:_5_30/ Qre917 4mC7` Setbacks Front Back: Right Side: Left Side: DETAILED DE1SCR+IPTION 4F UV®'RK' � e D l7ti"on qn� �aLG / � '— o��� �io�P 4✓� C®NS'TRtIJCTFON INFORMATION: rK to be performe under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping —'Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: 5_3 3 Sq. Ft. of First Floor: 5-33 Cost of Construction: $ /700,0,0 Utilities: Sewer _Septic Building Height: 77T 0Ud1lN`ER/LE�S�EE: C.ONTRACTOR: Name �hi`Ge. i`ItY1l!/ *; Name: Address: 98�.,•� �: �T�,! Z4hP Company: r✓! J/ rl)7 Od�i �vc• ,Lha• City: State:'Fl- Address: 6//l ,/1/'?C f�ehce� f�o Zip Code: W7 Fax: City: �_T n-0,4 /3e" State: • Phone No. 843 70/- 6"5-33 Zip Code: ?y96--7 Fax: E-Mail: Phone No' z 7,2-` 2-Z9 -3 7/T Fill in fee simple Title Holder on next page(if different E-Mail 't M sIn /�7LLi ill r yli -610,19 from the Owner listed above) State or County License C,&C42 _W�'t' If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S�IIPPLEII/IENI'�►L CONSTRl1'CTI�N LIEN l./�W IINFORNI/�TION: DESIGNER/ENGINE _Not Applicable MORTGAGE COMPA _ Not Applicable Name: Name: Address: Addres City: State: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not able BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Pho Zi Phone: OWNER/CO ACTOR AFFIDVIT: Application is hereby made to obtain a per tt 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 inspecticip. If you intend to obtain financing, consult with lender or an attorney before ,­ commencingwork or , cordin o No 'ce of.J! iencement. Signature of Owner/Agent/Lesse Contractor S 'Signature of Contractor/License Holder ,:;.. STATE OF FLORIY& STATE OF FLORIDA ' COUNTY OF = = COUNTY OF o The foeing instr ent was ac ,wledge before me — The folgaing instru nt was ackn wledged before'm� this day of 20 by this, day of 20�6 by (Name of person acknowledging) (Name of person acknowledging) J � (Signature of Notary Zubate��ir" (Signature of Notary Publi tate of Florida) h aunoig1�a?uog Personally Known R Pro:19g6d �tification `°_= !l, Personally Kno fh 4Y i { entt Type of Identification)' �� '.3 or n t 4 Type of Idelz t ,, 19 d 4�etol. x n�. ; �.�, Produced s7fN0llttil Pinnyn., .°.' Produced .,,tt, ti as DAG/N�1t6t1� •77 �, Commission LN ci+_ 1� ��o�la`riSublic4 S�( fy��rFlnda y Commission:•, o wt151rp �. �<<:��::-v-`.��,:--�•' - . .. ed Thrnunn National Nota REVIEWS FRONT ZO ffw SUPER ISOR PLANS VEGETATION SEA�TU,RTL_Ers, MANGROVE � 0t E • � C"l-, R tr tsr�ElvuStato of. EUI REVIEW ,R U ] VV I tur lEWt REVIEW DATE =`t; 'f t l Comm Expires ala 22 $017 {� 1`' �td#�FY.pub�ic-State of Flcn RECEIVED °, o ommiss!ori-� 77571 .•_�y?YCorn ili3s A afL 7,1 NT DATE i e uoug ahonal"lotaryAssn 'u'% ,r you !S:����45 7 '' COMPLETED - �` _ _ BtjnCed rl;u�n Nationaf•NotaryAs:n. J ., ev. :Corfu', Planning&Development services ASBESTOS NOTICE Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce,FL. 34982_ Phone:(772)462-2172 -Fax:(772)462-6443 Asbestos.Notice to Contractor AUG 0 5 2016 PERMI 71NG August 05, 2016 St. Lucie County, FL ADAM SMITH BOBCAT SERVICE INC ADAM SMITH 661 NE SPENCER ST JENSEN BEACH, FL 34957 RE: Building Permit Number 1608-0108 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 A-/5 Date 8/5/2016 8:32:08 AM