Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE IINFFO( MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: U " t Permit Number: i • r RECEIVED Building Permit Application Planning and Development Services JUL 2019 Building and Code Regulation DivisionPerDepartment 2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IM'PROlIEMENT LOCATION: Address: Property Tax ID#: 1 LA In Lot No.' Site Plan Name: % Block No.7_� Project Name: ©ETAILED D09CR�I�PTIOINS OF WORK: 1Cy_ 62' 1 J'C V\ 1 \ V\ S CONSTRUCTION INFO MANIONS : 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: 1 Sq. Ft. of First Floor: Cost of Construction:$ 1 � - Utilities: —Sewer _Septic Building Height: O NE11NALI SEE• C• NS ITI OR: Name _ ,Name: 1 Address: 2.2V 6 Lscets— � Company: L( Qi City: Statet� Address: cc,": n' 1 AV1 Zip Code: Fax: _;:.; City: ..P,; State:z( Phone No'.'' ' rf -� Zip Code: N S Fax}t f E-Mail -' '`.. Phone (� 1 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. SUPPLE ENTAL C*ONSTRUCTION L!E LAW INFC�}RMATIaN: 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 4in 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 YOYR NOTICE OF COMMENCEME " S gnature of Owner/Lessee/Contractor.as Agent for Owner Sig are of Contractor/License older STATE OF FLORIDA STATE OF FLORIDA OF 51 51 (JJCt� COUNTY OF S - �C e— V� The for oing.instrumen wa acknowledged before me The forgoing instrument acknowledged before me this t y day of 2� by this day of `�v1as 20 by ���0-m-i i t o`L vhf u)i Name of person making statement. . Name of person making statement. Personally Known OR Produced Idgntification Persona Ily'Known OR Produced Identification Type of Identification Produced Type of Identification Produced (Signature of Notary Public-State of Florida) (Signature of Not blic-State of Florida) Commission No. � Q 7 7 (Seal) ���"Y P'��i ELLEN G HN Commission No. ;o��" °B,, of Flori a- 4ary Public " "� ELLEN.VAUGHN =' *= Commission #GG 270079 J�iPRY P4'4 0 ,'r° °�=State of Florida-Notary P October 22, 2022 ,. ission #ppG@@G 2 0079 Y�c[¢�tdHd3�2E REVIEWS OR PLANS VE 21�F� ROVE COUNTER REVIEW REVIEW REVIEW R EW DATE RECEIVED DATE COMPLETED Rev 2/7/19 ; , , i parkL.— ',envE } } 7 - -- i F I r i y • } i • •' t i i a , : i_ i . • i FS t # t t 4 ' , _ } , • ' 1 ! , t I _ a iI s 17 ! ; , z f a , Ilkt ' I ev S e ' E � I• i —i f E ' {• C Ag t#p - - e - - - t , E.. — _ I { ; t i r 7/9/2019 Saint Lucie County Property Appraiser (https://www.pas;lc.org/) Y p Saint Lucie Count Property Appraiser -� Michelle Franklin CFA { a, / r n 2019-05-03 40ft Click here for Legal Disclaimer https://www.pasic.org/map/?ParcellD=3414-501-1408-250-2 1/2