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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IqPermit Number: iD MAY � Building Permit Applic tion 2019 Planning and Development Services Permitting 6spartment Building and Code Regulation Division St. L�C(�' 2300 Virginia Avenue,Fort Pierce FL 34982 Co u n tY�, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia -------- PERMITTYPE: �'I �ti®w� PROPOSED IM'PR01/EMENT LOCATION: _ Address: � 1�Cv S Q_ P 3E19S Property Tax ID#: (DD:�,@-- (� r/ �� (o_ Lot No. Site Plan Name: / ,p Block No. Project Name: L � 1A1 I ��OL - DETAILEIADEW—Safi R,IPTION OF WORK: (-\--cLn a sLo . 41 -� CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all.-.that-apply: � . P g Mechanical Gas Tank Gas Pi in�i _ +Shutters Windows/Doors — — ` ' —Electric —Plumbing —Sprinkler's ;`o Generator _Roof Pitch Total Sq. Ft of Construction: ;;S ..Ft;.'of.First Floor: Cost of Construction:$ 00 Utilif'ies: Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Qi--�LL 11 L��x5 Name: Address: l lAtbl SCL) Company: City: A occ-0- State:"- Address: Zip Coder-1 �s Fax: City: State: Phone No. n")a .O \L fl) Zip Code: Fax: E-Mail:'1A'k\b% BCL) 5 5�� W1�' alnc� 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. L SUPPLEMENTAL CONSTRUCTION LIEN LAW INF©RMATION: 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 thepermit 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 OU PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOREJfHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y LEN R OR AN ATTO BEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." X Al Sign o wn Lessee/Contractor gen for ignature of Contractor/License Holder %+�jts STATE OF FLO °r: �" TATE OF FLORIDA COUNTY OF OUNTY OF The fRrgging instrument was acknowledged efore m I' a forgoing instrument was acknowledged before me thiday of 20vby ' o is day of ,20_ by se 93 Name of person making statement. 1=1 flarrie of person making statement. Personally Known OR Produced Identification rsonally Known OR Produced Identification Type of 1 n ication w pe of Identification Produced ��l/ i oduced (Signature of ary Public-State of Floriea U (Signature of Notary Public-State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19