Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFr MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� Date: 22 2(� Permit Number: Iojill - , S �3( —1 RECEIVED Building Permit Application APR 2 2 2019 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: StNI 0 Q PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID#: Z, �Cf• `j��' ©(�/,� �� •� Lot No. Site Plan Name: Block No. Project Name: &4A.L14 rDp(nQ IT)Y�yQ. WW DETAILED W�ION OF WORK: pa&kL2� OAA 4WO C-V� slu"oAt6 bJUL�0t kMA-0 No CONSTRUCTION 1!NFORMMATION: Additional work to be performed under this permit—check all that apply: —Mechanical —Gas Tank _Gas Piping _Shutters _Win'dows'/Doors Electric _Plumbing _Sprinklers _Generator —Roof_ ."Pitch Total Sq. Ft of Construction:���( 0, 0 Sq. Ft. of First Floor: Cost of Construction: $ 2pOtJ aDO Utilities: Sewer Septic ' Building Height: OWNER/LE=SSEE; CONTRACTOR: NameName: Address:_�20 Company: City: `�-� pl,tAe State:,�_ 'Address: ' Zip Code: Fax/: City: State: Phone No. Le G Zip Code: Fax: E-Mail: �0 kJo S)6 P-4 MOJ. a, 7" 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. R" R1Fg. CONSTRUCTION LIE LAW INFORMATION. DESIGNER/ENGINEER:,. _-Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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,YOUIR LENDE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signa ure f Owner/Le ee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO DA STATE OF FLORIDA COUNTY COUNTY OF OF lk, - The forgoing instrument was acknowledged before me The r oing inst ment was acknowledge before me this day of 20_ by this y of 0 .by e of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced -�— ' i nature of Notary Public-State of Florida) S\ (Signature of Nota y Pu is mmissioni No. (Seal) KAREN S. NIELSE Commission No. 'St ggaqq�Florida Notary Pu lic ;2 •= t 014ission # GG 207484 pAy Conrnission Expire Juna 12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER •REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19