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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO nnusT BE coMPP tiCATION To-el_ACCEPTED U q, Date: U' W Permit Number: 1 OCT St;Lucie County P E un q cie t Mousing Department C a C'�t��t�. �:, BOd n Re li�ati®n 2� Plannin _ond Development Services Building Code Reulation Division Approved B�• 2300 Virginia Avenue,Fort Pierce FL 34982 A� � �+ LE Phone: (772)462-1553 Fax: (772)462-1578 Commercial — ORD Ke� A t� PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PV ENT7Lt3CATldel Address: I Oro Q �' r®zit� L-- Legal Description: 14ke4 ouq Rel Lin n%,il< B (oL' 134 k2 Property Tax ID#: d - ®z - ®® IQ - ®00 5 Lot No. Site Plan Name:_V® 6,b to S, Block No. Project Name: 120 tb6 ' Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK . t �k1 2 ��.Q ► C2reeIQ4 !>O©ZS CONSTRUCTION INFORMATION s Additional work to be nertormed under this permit-check all appy: HVAC Gas Tank —]Gas Piping _Shutters Z Windows/Doors Electric ❑ Plumbing Sprinklers 1:1 Generator Roof Roof pitch Total Sq. Ft of Construction: a 14 1 Sq.L. of First Floor: Cost of Construction: $ :O®© Utilities: Ll_Sewer®Septic Building Height: _ 01lUIilER/ ssE C�IN1-RACOR Name i I t�f;'i }� )AVO (t..lis 4J.5 Name: P UVCX0 0Ve_ Address: Z 10(o iJ 1-1144 V\ St Company: City: ���L �(���� State: 'FL Address: 3 q:�:4t>V-3 > Q 7Q K Fjrt Zip Code: Fax: U City:_� �C State: Phone No.�� de - ���ro �Y -3 3 Zip Co :84C'(J Fax: JK/ E-Mail: L)/ 1 Phone No.�-)Z Fill in fee simple Title Holder on next page(if different E-Mail: firorro< he t9vdner4iste iabode) State flr Cour9ty License:L:(� - I ( :5 ' If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. w SU'PP,LEMENTAI CONSTRUCTION LIEN-LAW INFORMATION'; DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable -Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: one: FEE SIMPLE TITLE HOLDER: _Not A icable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The"followmg buidiYing permit appticalrons are ex�rnpt frr�rr�uradergo;irag a Fuii con cur;rencj.revlew:.Toom additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S$ • k COUNTY OF LI_A� C The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2&day of Or��c�{_/ 20 jhgiby this 2k day of 20 LLjL by (Name of person acknowledging) (Name of person acknowledging). ( ature of Notaby Public-State of Florida) (SlIfffff6re of Nota ublic-State of Florida) Personally Known V OR Produced Identification Personally Known_V OR Produced Identification Type of Identification P o u d Type of Identification Produ' �•..����P JENNIFER,HANCE ,t• 'v'P�e,,,, JENNIFERHANCE Commission No. ••a` ue NotaE��dllc•,State of Florida:: Commission No. `�; (fihd3a3l�Public-State of Florid Commission,#FF 941677' :•= Commission#.FF 941577 Sul �.c =:�, .o:' M Comm.Expires Jan 29,20 '��°i�n�'� Bondedthrou through Ass Bonded National Not;ry A`ssn: A Y Revised 07/15/201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS