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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �O Permit Number: fi- �-'�� � •ice! -- --- 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: AMM PROROWS'ED (NPROUEMENT L�CRTI�N: / Address: 0 Y 8 e59/v,,-,,/ e!/15e� &ic 3 y 5- Legal Description: e Ile-S Property Tax ID#: X�711 Dot - g of-15-7 6,-,900- 5- Lot No. 11/017 Site Plan Name: /✓ e �le3 Block No. Project Name: /0l Setbacks Front Back: Right Side: Left Side: DETAILED DE�SCRI�PTt®N tJF W©R+K: Com,a /e4e e ,`fiI`o4 a m re,nova/ of K25- -i--f. o'b% me C/n� /ori C!a -.00A CONSTRUCTIQN LNF©RM� TION: Additional work to be performed under this permit-check all tat appy: _Mechanical -Gas Tank _Gas Piping- _Shutters _Windows/Doors Electric _Plumbing � _Sprinklers _Generator _Roof Total Sq. Ft of Construction: LO Sq. Ft.of First Floor: 6 /,2 57 Cost of Construction: $ 709.oa Utilities: eysewer _Septic Building Height: OV1llER/LE�S�SEE: CONTRACTOR: Name ` e d- am i Q lVotaktn, Name: A ,,�� // ;-7L4 Address: C10l •(N 9-77P4 4n. Company:/,rz6ir Si�i%yti l7obcaf Svc. �`hC• City: /a n6l State: • Address: d8/ 'Al zz 1cel, �f zip Code: 33067 Fax: City: J-enj-Lon L?ew A State:-L• Phone No. 3.28- 5-1492 Zip Code: 3i/F5-7 Fax: 772•-23.2 ,z/9/ E-Mail: Phone No 7 7,Z- 2-40 -3715- Fill in fee simple Title Holder on next page(if different E-Mail �c�cz/�.5 � 7��ii✓1 Ca /v1io0 e co/n from the Owner listed above) State or County License Et of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENI'ALCON�STRIlCTlON LIEN EWA 11NFORMATIlXN: 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 ciEpt!cording yoyeNotice of Commencement. Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA ���� STATE OF COUNTYOFORIDA � L��� COUNTY OF The f rgoing instr nt was acknowledged before me The forgoing instrum t was acknowledg d fore me this; ay of 201(�pby this_2,_(c py of 20 y (Name of person acknowledging) (Name of person acknowledging) O'A �J � aD��� ��Q - (Sign u -f, ' lic-State of Florida) (Signature of Notar Public-State of Florida) a : •'�_ ANG ers r tay No ry p 52�M4vb. ehT, ification of Known OR Produced Identification Typ- oF. mmtssion State oI Ftor�d, T e of Identification _ „„�„ � YCornmFF23q Produced ? 011,, E 7 � ; 'x�^,a- , ANGELA M HUFF rt Toughay 27,2o «�.�? Notary Public-state of Florida Commission No. NationatNotarygsshSbal) Commission No. = Cgh)on#FF 234730 OFF�OP'� My Comm.Expires May 27,201ST 1L_ " Bonded through Nati,1n. i1)ni,,ry AS, t' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.7/2014