HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1(oJ19 Permit Number: 3
RECEIVED• - � -
Building Permit Application JUL162019
Planning and Development Services Permitting Department
St. Lucie County
n
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: 2300 SI h',1 o17i-AA s rtra�l n ict St Luce. rEL 3349 Sa
Property Tax ID#: 341` � 5b I- 1609- 4 Do I oQ Lot No.
Site Plan Name: Block No.
Project Name:
[?ETA{LED DESCRIPTION O,F;,WORK
�C)Uf . S�QkJ
y'' add i No 6-r Comer- A-e w 1 -A b eX
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:
B�
Cost of Construction:$ �[` � Utilities: —Sewer _Septic Building Height:
OINNERKESSEE CONTRACTOR I
r.
Name Name:
Address:,300 ShCIA03'Trcu.1 Company:
State:
Address:
Zip Code:3y9 SA Fax: City: State:
Phone No. -"?-7a-L(q7- y3y S Zip Code: Fax:
E-Mail:ShC)WMoi)nlao�) 1ryldd.COM 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.
ti
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 l 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."
Signa ure of Owner/Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA1'La C(, STATE OY OFORIDA
COUNTY OF V
The for ping instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this ay of 20_�by this day of 20_ by
M,,ILw �
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatioi:t,— {� Type of Identification
Produced Produced
(Signature of Notary Public- to of Florida) (Signature of Notary Public-State of Florida)
Commission No. mission No. (Seal)'
-"AV PO'i", ELLEN VAUGHN
State of Florida-No
ommission #GG 270079
y Cor•
REVIEWS FRONT '' ® INGM 0 t M Rir s P NS VEGETATION; SEA TURTLE MANGROVE
COUNTE ' 22 IEW REVIEW REVIEW REVIEW
DATE
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DATE
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