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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: Permit Number: Building Permit Application PROPOSED IMPROVEMENT LOCATION: Address: ilkf G e Commercial Residential Property Tax ID #: C101 — iXV - 3 Site Plan Name: Project Name: Lot No. d Block No. DETAILED DESCRIPTION OF WORK: I 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: $ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 4J ,) c� Name:_ JLa7'i3N ��;V7, %v Address: "77 �I'�X%d' / Company:%l'( eC- City: State: r-L Zip Coder Fax: Phone No. Address: 612 4 N:-4 pz_ City: PSi_ State: �tL Zip Code: 3 Yi Fax: Phone No 777--0W L> E-Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) E-Mailu:�- State or County License�'C-Yi`s``) 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 CONSTRUCTION LIEN LAW IN' FORM, AI IC N: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: I City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITTLE HOLDER: T Not Applicable Name: Address: City: Zip: Rhone: BONDING COMPANY: Not Applicable Name:_ Address: City: Zip: Phone. vvvIicrc,l c.VtNI I KA9-I UK AI'I-IL)VI I'. 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 Horne 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: TOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERYY- 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 YO ER OR AN ATTORNEY BEFORE RECORDING YOUR NO nF COMI4IENCIEMENT " Signature of o ner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY ©F STATE OF FLORID COUNTY of Ceti The fDing instru ntras cknowledgefore me this ay of I20 by The for&oing instrumeipt was acknowledgeefore me C thi,,Z�, day of . �' 20 qby Name of person making state nt. Name of person making stat ent. T Personalty Known O Produced Identification Personally Known ORProducedIdentification Type of Identification Type of Identification Produced A Produced O (Signature of Notary Pub11�,F,�baof Florida IBrIiQ�B ?TT FF (Signature of Notary Pub'c�S� � Florida } R..rp' s fw Commission No. ? y� IoII # GG141442 Tres. May 4, 2Q21 .ft $ffi10�8 Commission Na.S DO >$ GG111tQ42 Expires: May Q, 2021 it M1 Aaron Notary% `\••�REVIEWS =FRONTZONING SURERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I21 VIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev_