Loading...
HomeMy WebLinkAboutBuilding Permit Application I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 513Oi4 Permit Num er: 0 �... RECEIVED k �r. Building Permit Appl cationMA Y 312019 Planning and Development Services Permitting Depar ment Building and Code Regulation Division St. Lucie C 2300 Virginia Avenue,Fort Pierce FL 34982 tY,, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia PERMIT TYPE: PROPOSE© IMPROU �' ENT L•�ATIO Address: Property Tax ID#: 23Z1 - 56 t o c-> V`7:—05'01 --`7 Lot No. Site Plan Name: Block No. Project Name: I DETAI E© DE�SC«RIPTI©N OF WORK: tt 1 � ` �CiC'.P�CJ t� 6 c cow, A_,c�P,U i t v� Ciso-rR�Le'i �?P ?K:7 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: $ ?C(; Utilities: _Sewer _Septic Building Height: OWNER%1F1SEE; CONTRACTOR. Name Srir,,e, eJe,4c)r"e Name: f3ar-;c� Address1 Compaa` City: F-�: ;Digi SGS '��v� State:_ Add.�ess 'y ro4/,.f/G✓: ;� . taorc, ��d�i Zip Code: City: State:/- Phone tate:Phone No. Zip Fax E-Mail: Phone No �7?__�� - SYZ( Fill in fee simple Title Holder on next page( if different E-Mail ,�� L� ��-f �benr 42 C acaVt C ?t,, 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*OO NSTRUCTION LIE=020, , FORMATis 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 YOUR NOTICE OF COMMENCEMENT_" Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA ' COUNTY - COUNTY OF l✓ OF _ V1&ftA Az The forgoing instrument was acknowledged before me The rgoing instrument was acknowledged before me this.94 day of tn Avor by thisday of 20 by —t SS Name of person making statement. Name of person making statement. / Personally Known I'-- OR Produced Identification Personally Known ! OR Produced Identification Type of Identification Produced Type of Identification Produced (Signature of No Public-State of Florida ) (Signature of N aUMPHREY Commission No YP ., REYB.HU ;t A 4: MY COMMISSION#GG 300817 WCOMM:1SlON#GG300817 Commission No. '• ` E(pIRi�h6,2023 ="� o�-` EXPIRES:March 6,2023 '•'Fo'd...;�Q` gpnded Thal Notary Public UndelurtilersJ Bonded Thru Notary Public U waiters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19 l