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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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: PRfJPfJSEp 1'N . V { �Nl' L©CATI'ON: „�'RO► DEME Address: 5t'p('�Y 'OlumPi 7�1V� . � - V1 - Legal Description: it. ill at Viggo- rje� I I 1J 1 r" oc - �! Lk- 44 I"C' 6F- LZy 7l ig AU. W Lcrr 23 Cm e= IW 62t- ln6�2 Property Tax ID#: _V24t)P (QeV-6,019 Lot No. Site Plan Name: Block No. 23 Project Name:_e,-"�tJwAF�fk-rr� 1VG�l�Y Setbacks Front Back: Right Side: Left Side: D l ORWINDWK:' G C IF utw­ o = a tulr- L yy I b C , -e:�7ozv ��! t38 riv;,gg:� bf-- W t pg- ►, G`Z CONSTR�UCTI®N NF®RIVIA�TI®N: .. Additional work to be pertormed 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: Sq. Ft.of First Floor: Cost of Construction: $TGI2A>_ A9 Utilities: —Sewer _Septic Building Height: OUVN?E0 LES�SE CONTRACTOR: Name�Njcr IGLU 4bMOC'D Name: 1 Address:f'44(-z5;1LA11�� Dom! VE Company: l fviJG r� City: State: Address: tLL t�2V 11 Zip Code:! }-6V- Fax: City:w5ULINk-tetStater ;7 Phone No. '��v ' ���� Zip Code: �✓,3�-� Fax: E-Mail: ActJ �I,�COM'{�Pc�A�CbG''1� & hone Noe?4+-+k3 Fill in fee simple Title Holder on next page (if different E-Mail__ M�1L 6Ci' fj �j , GDM from the Owner listed above) State or u`n�ty c,�gse GING l� -GY�S3 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENI"AL C®NSTR't1G1'I®N LI1N LAW IN1*ORMATIfJN: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: /_ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEESIMPLE TITLE HO LDE _ 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 a'pplicable Home.Owners:A.ssociation rules,bylaws•or'and covenahts.that-may restrict.orprohi bit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In corisiderat'ion 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.con.currency,review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessoryuses 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.Kmust•be recorded and,posted.on the jobsite before the first inspection. If you intend to obtain financing,'consult'With lender'or ah'attorney before commencing work or recordin our Notice of Commencement. Sig , ure.o caner/Lessee/Agent Sig tur , Contractor/License Holder. STATE OF FLORIDA. STATE OF_FLORIDA, / p COUNTY OF '� COUNTY`OF The fo oing instrument w s acknowledg d before me The forgoing instr eA�ws knowledg d efore me this�day of 20�p by this day of - 20�by 14 (Name of persona nowledging) (Name of person knowledging) n 1 (Signature of Nota ublic-State of Florida ) (Signature of Not Public-State.of Florida ) Personal_I o n OR Produced Identification Personall n f OR Produced Identification Typel;Idteoj i�ation Typdd.c �€icati Prod `. °-,' - N q Pr ed `-� ; Commiss o tate of Florida X �'F 1 °�r:' Co ry public M NUFF. Com 'i5 My l nrriR, .t��?#FF 23473 Se Commissron>IV'o17 mmtssi Staterot" eal). � rrte�Nla Q ) .. Y�gFF Ror/d Bonded throw li y 27,20:19 Rn 111177 Expires 23473p•a .`, ; 9 National, 0", Assn. through 'lay"7 19, ,REVIEWS ,FRONT ZONING SUPERVISOR PLANS VEGETATION. SEA ' LE MANGROVE COUNTER REV'EW• REVIEW REVIEW REVIEW' REVIE* REVIEW DATE RECEIVEDr, " DATE COMPLETED _ ev.