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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO 0015 MU�ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �V j�,`mo' Date: t-�� .191 Permit Number: 'SI COUNT ► RecEivFo ImmiNtimmiiigur Building Permit Application fAN 2910'9 Planning and Development Services AQ'mftte 9 o Building and Code Regulation Division St Lucie County Ant 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED INPROVEMENT LOCATION: • Address: • � n `T C\�C (kS Ove- ` e ` fl -C�_ Property Tax ID#: c.. 14-0 1-1— — 5-0 1 " 0 6 ( 3 -- ©©O —Yp Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: --e:Of\ p rc),r Pct Co I-e_ . CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _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:$ 5-4;0 —00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: . ` CONTRACTOR: Name c �-e— r CcL(Y\\, \e_ e() r 1l�/` Name:Edward June Address: q 0 )--Qty \/1 12_1/47.1 T( • Company:Ed's Electric Inc City: ' ' Cly C c&So(\ Statel—rZC Address:6201 Oleander Avenue Zip Code: 7SoK0 Fax:_ city: Fort Pierce, State:FL Phone No. Zip Code: 34982 Fax: 772 467-1359 E-Mail: Phone No 772 489-2196 Fill in fee simple Title Holder on next page(if different E-Mail kjune53288@aol.com from the Owner listed above) State or County License EC0001569 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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. VIII 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 your Notice of Commencement. Signature of Owner/Lessee Con r. for. Agent . Owner Signature of Contractor/License Hoo 1w STATE OF FLORIDA STATE OF FLORIDA COUNTY OF .WW2. COUNTY OF St Lucie Theg instNaient was a nowledged before me The f r }ing instru ent was ac nowledge before me this day of ,t(tla� ,20 l by this l day of lail►ka.( ,2019 by eC,1%DOA---11,LNe.- Noca 1. Name of person making statement. Name of person making statement. Personally Known 1 OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced ' )-1-tu,kic, Acuuis1/4-- . ?nature of Ootary Pu o. (Signature of No :ry Public-St erp"ts . .a1, ��� si CEY GARCIA -MY COMMISSION#GG 08654 Commission No. _, ._ MY C SIGN#GG 085840 ` :; E PfRES:May 16,2021 Commission No. GG085840 �; ,. ,fir' Wary-o? :May 16,2021 •,$::,�c• :I. 1�I .4 Eos 6,,es Bonded ThIu Notary Public lMderWriters y REVIEWS FRONT ZONING SUPERVISOR n# PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.9/26/18