Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RBCMVED AUG 31'1019 Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St- Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 hone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ERMIT APPLICATION FOR: PR©POSED INPROUE ENT LOCATION: Address: 14 Val EYL SO G� b L0 Legal Description: PrlopertyTaxlD#: -d0 60011 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION ®F UNQRK: W Mb, r&-iu C q Z o 9 E P L-14 C: E D L-1 G 1--1 W1 rJ l-t 1 y L< its P2&V G l✓i ii b Cr r LO M C SLxt 1 w tx. I OW ONS TRUCT ON INFORMAT(ON: Additional work t0 6-e-p--eiffo-rmed under 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: 01tV ER/LES-SSEE: 00 O W'IT,7 R ANKINR: Name {Z&0 1 YJ > -6V 1-J Name: Address:- 26l y A VY Ei2-90P IgQ C— Company: I L­City: �O�—i �1 E4zGE State:�L :Address: IZip Coder �� Fax: City t,',! _'� State: Phone No. q Dq 10 —a 9 3.1 Zip d0:0—e- Fax: E-Mail: Phone No i . Fill in fee simple Title Holder on next page(if different E-Mail i from the Owner listed above) State or County License Iflvalue of construction is 2500 or more,a RECORDED Notice of Commencement is required. SU PLEMEN AL CONSTR4lJCTl©N LIEN LAW INFORM? OWN 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 commenci work or recording our Notice of Commencement. Signat re of Owner/Less ee/Contr for as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA, STATE OF FLORIDA COUNTY OFCOUNTY OF The forgoing in Itrument was acknowledged before me The forgoing instrument was acknowledged before me thisal day o 201L by this day of 20_ by Name of person making statement.4 Name of person making statement. Personally Know--nOR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-Sfate'of (Signature of Notary Public-State of Florida) Commission No. °SSb�1eioPlleu eyg6a Commission No. (Seal) BIOZP n�Lo�j#uolsslwwp) ,.�b"I'll", epvol110 eta "--l"i V oa b{N i, REVIEWS FRO b QHS Q IP PLANS VEGETATION SEA TURTLE MANGROVE COUNTE � RE N�;;`' REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.