Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: _ RECEIVED Building Permit Applicatio F Planning and Development Services SEP 7 -2019 Building and Code Regulation Division -ST'- 6HE1@Qu,flty, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 ----=—__-___ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential. PERMIT TYPE: ROPOSED IM'FRO\lEMENT LOCATION: � Address: El Tl--� 21 Property Tax ID#: �.`1 a.1 - �. .a b 0�'a.�d�0 -aLot No. Site Plan Name: Block No. Project Name: DETAILED DESSC«RIPTI©N DF WORK: C NST llCT10 IN'1=0R,MATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters —Win1s Doors Electric _Plumbing _Sprinklers _Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Q) Utilities: —Sewer _Septic Building Height: SONERjLE�SSEE: CONTRACTOR: Name "Name:. Address: City: Stat Zip Code: Fax: City: , State: Phone No.—n-Qt��-�y-f Zip Code: E-Mail: Phone No Fill in fee simple Title Holder on next page if diffe 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. DESIGN ER/EN,GINEER. _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 AFFIDAVIT: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 here by.agree•that•I will,in-all respects, per form'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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTE ON THE JOB SITE BEF E THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITI-1,10UR LENDER OR-AN A RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature o Owner/ see/Contractor as Agent for Owner 'Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me this]'_day of p- 20 by this day of ,20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatior Type of Identification ProducedtProduced (Signature of Notary blic-Stat ,_W_" � ���p2 ( gnature of Notary Public-State of Florida). C,OMMI$S1�N�16 202 Commission No. A(S&A&RESoumission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.