HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `�f Permit Number:
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Building Permit Application ' tueeoa ant
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:
PRa4PCSED INRROVEIVIENT LOCATION. a "
Address: IQ T_;C 1coot Aki e cook 1PC"CA0_
Legal Description:
Property Tax I D#: i '5N- V (_D ' - 0_3�3 9-1 b c(_� -I Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front % Back: Right Side: ,�'{- �(J Left Side: ZZ
DETAILED DESCRIPT[QN QF WORK: �, F
CONSTRUCTION INFORMATION ' 3
Additional work to be pertormed uncler this permit–check all that appy:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: _Sewer _Septic Building Height:
Q1 (NE,R/LESSEE: CONTRAC 'QR;. ,
2 3�- �
Name k" Ci•��� Name:
Address:(�`` O ( �!E Company:
City:fngE Pi P<<C State: Address:
Zip Code:M 9$j Fax: City: State:
Phone No. —7-77– X77 O(AI Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRl1CTION LIEN LAW INFORMATtQN
DESIGNER ENGINEER:
/ Not Applicable— pp 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�p permit will authorize the permit holder:to build the subject structure
which is in conflict with any applicable Home Owners Assoctation-r.•ulbs bylaws,or and covenants that:may restrict,66 prphibit 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-i-ntend to obtain financing, consult with lender or an attorney before
commencingwork or recordin -.` ur Notice of Cpmrriencement.
,,Signature of Owner/Lessee/Contractor as Agent fo.r Owner Signature of,Confractor/License Holder.,
STATE'OF FLO t A _ STATE OF FLORIDA
COUNTY OFCi�SL COUNTY OF
The forgoing instrum nt w acknowledged before me The forgoing instrument was acknowledged before me
this�day.of V1 20� by this day of 20_ by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publ'c State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification ' s" =' "" =w' i'Type of Identification
Produced _ ; ewe•:, DEANNAMARIEGIVENS .5
( Produced
_ :*? COMMISSION#GG 0220.3
�� ErX�IR sC:December 16,'2020
Commission No. ••r Boodle lrlotaryPublicUrder.,niiers Commission Nu` : (Sealy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE s MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ' REVIEW` REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Planning and Development
•
Services Department
UNTY
Building & Code Regulation Division
Inspections
Helpful Hints for Owner Builders
Scheduling Inspections
• Inspections are typically performed the day after the inspection is scheduled.
• .There are two ways to schedule an inspection:
a. Call 772-462-2172 or 462-2165 between 8 a.m. and 5 p.m., or
b. Go to www.stlucieco.org, click on permits, click on online building inspection
system.
1. , Enter permit number
2. Enter confirmation number(this number is on the top of your building
permit next to the building permit number.)
3. Enter
4. Click on the request next to the inspection you want.to schedule.
--. 5: You can schedule an inspection online until.9 pm.Monday.-Friday for next
day inspection service. On Friday, the inspection will be scheduled for
Monday. On Saturday and Sunday, the inspection will be scheduled on
Tuesday.
6. For residential fences inspections, submit compliance affidavit to the
permitting office after the fence is completed. It can be emailed to
Permits@St.Lucieco.org.
Day of Inspection
• Go to www.stlucieco.orq, click on permits, click on daily inspection schedule.
• Locate your address or permit number, the screen will show the inspector name
and whether the inspection is in the morning or afternoon.
• Inspections are listed in order of scheduled site visit.
• .Inspectors are available by phone at the numbers listed below from 7am till opm.
Andy Wentz 772-249-9502
Gary Scheigner 772-370-2543
Greg Smyth .772-370-0482- (7 a.m. —3 p.m.)
Walter Pride 772-370-2539
Dave Johnson 772-370-2548
Clyde Heffelfinger 772-200-6386
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