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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L? Date: dl.l Permit N ` � . M; OCT 212019 , - -� Building Permit Aprilk3fiCtUng Department Planning and Development Services St. Lucie County, FL Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: L- PROPOSED IMPROVEMENT LOCATION: Address: !? lc�- ?P,57 Property Tax ID#: .5'( O �rS Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: L sr kc.. Z—Ab ) F--©3e6 CONSTRUCTION INFORMATION: Additio 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: $,�i5�o Utilities: _Sewer _Septic Building Height: l OWNERAESSEE: CONTRACTOR: Name MN Name: Address: e. P Y Com an City: J State: Address: XIV r Zip Code: 31?,5l Fax: N City: State: Phone No. A 7t - !J),7- l yi/ Zip Code: M 5'3 Q Fax: E-Mail: (��/} Phone No 2 - - Fill in fee simple Title Holder on next page(if different E-Mail rifam ns from the Owner listed above) State or C unty License l 0 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 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 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 NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA J. - COUNTY OF COUNTY OF a_10�1 The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me this day of 20_e by thisoP I day of ,!,-7L-- 20_M.by 14� 01 kit r Namd of person making statement. Name of person making statement. Personally Kn OR Produced Identification Personally Kno OR Produced Identification Type of Identificati Type of Identi i atio Produced Produced ( ignature of tary Public-State of Florida (Signature of N ublic—tate of of Filo dada ) Commission No YP REY B.HUJl1$I�EY Commission No `�°�FF1'L '1UDREY B.HU �Y °: '*; MY COMMISSION ff GG 300817 A; rt : , AMMISSION 817 pa;= EXPIRES:March 6,2023 MArC �' '.�O. %FOF f� Bonde Thru Notary Pudic Un erwriters nvn tars REVIEWS VISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.2