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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u q Date: /!^ 2 7-/ Permit Number: e- s ' RECEIVED Building Permit Application NOV 2 7 202 Planning and Development Services Building and Code Regulation Division ST, Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IN` OVE E T LOCA ION Address: it E L 0M S P E/ OR j F Property Tax ID#: N.NOl- \1 1 a0iz I - 4G'00-S Lot No. Site Plan Name: ,AAA /.li461 Z//1//C Block No. Project Name:,,47,,�4Z K /,5 iz DETAILED DESCRIPTION Of WORK: ORf c-c 4/f9 CO-01YJI T/aA/ 30� /y 52FfA �xw CONSTRUCTION 1'NFOR�MATION: Additional work to be performed under this permit-check all that apply: Mechanical —Gas Tank`" . _Gas.-Piping _shutters", _Windows/Doors _Electric _Plymbing /,._,Sprinklers _Generator _Roof, .Pitch, Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 19� / Utilities: —Sewer _Septic Building Height: OWNER,701 CONTR0-10, Name 4-/,, ,E! Gv14C89>/✓& Name: L7AviD Address: _// F1665 .01 t it O RTE Company: 0,0, City7"' h Pl��:G�r State:FL Address:? LUG Zip Code 3 t-f;`,lc�"/.-' ,Fax City: /�T� Sy`.~. - !C State: )=L ..Phone No 'a"61' ma ,, k:' �.�2 Zip Code:, ?Y 913 ,Fax: E-Mail: Phone No 77.2- Fill in fee simple Title Holder on next page(if different E-Mai64 ;�ire�tir>iTia�✓i�G'� �y/C��Cr� from the Owner listed above) State or County License ' �O C°f C /S'/ ./0- If If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. S PP'LEMENfA►t CONSTRUCTION LIEN LAW I'NF©RMATI�N: 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+nstallation 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 or recording our Notice of Commencement. Signature of Own essee/Contractor as Agent for Owner Signature of Contra r/License Holder STATE OF FLORIDA STATE OF FLOJtIDA COUNTY OF Sip. 1.V�-�� COUNTY OF The for oing instru ent was acknowledge before me The forgoing instru ent was acknowledged before me this aday of O� 20 by this�day of � bV ,20�R by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identific on Type of Identi ication ProducedL Produced L (Signature of Notary Pu ic-State of Florida) (Signature of Nota_ry Public-State of ,«,•.... tt=N$ Commission NpMgRI Commission No. Doha RN#GG022023 GG 02202 H: 16,2020 as} MY COMMISSION# 444 'ca: p(pIRES:December e. ber16;202 }w:. s: BondeAThtuNOW PublfeUndeturtllors u+r 'g' gonde 1t1N Notary.Pub%U e •..'...`' REVIEWS „6T VISOR PLANS VEGETATI EA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.