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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 'iCOUN FLORIDA Building Permit Application 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 PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: D/�3 MllkS gJvv( j�--hkn XPA c 4 Property Tax ID#: '6b -90 1 -V ,6"000"© Lot No. Site Plan Name: .� Block No. Project Name: akloyl DETAILED DESCRIPTION OF WORK: 3T0111 k SFf s 016 /vW CONSTRUCTION INFORMATION: AddI work to be performed under this permit-check all that apply: _7Mechanical _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: $ '1 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name epVT✓ 4ileo Name: Address: 2 t g6lyd Company: C. City: � State:: Address- O` hS it Zip Code: L651 Fax: City: Alf (I State: Phone No. 7�ro� 5} - 0463 Zip Code: 3A-F3 Fax:�� E-Mail: 4 /d Phone No - Fill in fee simple Title Holder on next page ( if different E-Mail V r >ti► from the Owner listed above) State or County License ly/y,�9� 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. 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder I STATE OF FLORIDA i STATE OF FLORIDA COUNTY OFo ICOUNTY OF The f r oing instr ent wps cknowled before me The f oing instr m t W s acknowledge efore me this.Z day of 20 by this day of 2014 by SLS Name of pe son making statement. Name of per on making statement. / Personally Known OR Produced Identification r/ Personally Known OR Produced Identification r' Type of Identification Type of Identifi i 11 � Produced _ Produced L (Signature of Notary Public-State o f F_I ri a! —_ (Signature of Notary Public-State of Florida ) KAREN S. NIELSEN Commission N °;P�'�8, `lorida{t�eaijy Public KAREN S. NIEU�SCial) :, Commissi N�„�P Comrn scion # GG 207484 ?a� �, ?ate o o: da-Notary Public Pv1y 'Drum=.scion Fxpiras = Commission # GG 7.07484 - 11111 ` u �,F Of F��` - June 12 2022 REVIEWS NG SUPERVISOR PLANS - - ANGROVE COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �e_v­. 2/7/19