Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4n '13 ) Date: oZ/•/v� Permit Number: '$`M4YLci P it7PBG gr111 _ R4- . -- y Building Permit Application MAR 2 7 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. LUCIe U nty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROP©SED IMPROI/EMENT LOCATION: //�� Address: " 3 64-5 Sl/— 6 (?_l Uma Property Tax I D#:_ 3�Da " (o l�—L/o7 5 �'��®—� Lot No. Site Plan Name: Block No. Project Name: DETAILED ©ESC«RIPTION OF WORK: •� �� CO STRUCTION INFORM TION: Additional workto be performed underthis permit—check all that :;: apply ; „ _Mechanical _Gas Tank _Gas Piping j ?Sh'utters _Windows/Doors 'Electric PaKQ-�-- Plumbing _Sprinklers ?Generator--. _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First)Floor: Cost of Construction: $_���� Utilities: Sewer Y_Septic Building Height: OWNER /LESSEE: CONTRACTOR: Name 6 Name: Address: . gf'1)3 Company: City:_�j/L7— State: ( Address: Zip Code: Fax:77ol— 337-5"DSV City: State: Phone No. Zip Code: Fax: E-Mail: /�oPl/Je _� 7�IL�,g$�,/�e7` 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. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL C*©NSTRUCTI©N LIEN LAW INFURMATI(JN: 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 JOB SIT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/ ontractor as Agen 4' 9 Signature of Contractor/License Holder STATE OF FLORIDA .... STATE OF FLORIDA COUNTY - F. COUNTY OF OF 0a The forgoing instrument was acknowledged before me The fg5lEgng instrument was acknowledged bef ^� this day of 20_ by this day of ��%)� , 200 by 0° �V Nov Name of person making statement. Name of person making statement. y Personally Known OR Produced Identification Personally Known OR Produced Identifi on Type of Identification Produced Type of Identific i Produced C , (Signature of Notary Public-State of Florida ) (Signature of Nota ublic-State of Florida U Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19