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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: O�aa��� Permit Number: REC HVEI� I OCT 2 2 2019 Building Permit Appli *i911i County, Permitting Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: Pub O, WMMUM 0 —H=.o Address: (��o l�Pc�� Ns C k Property Tax ID,#: gb\— G �dO" O Lot No. � Site Plan Name: k; L�— Block No. Project Name: MMM© SCS 4PTi+ N O OR CONS RUCTION I�NFORATON: 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:$ Z1,S(�> Utilities: —Sewer —Septic Building Height: O ESR/ SS E. N�. I n 1 CORACTOR. Nam ' STC 7ySdJ� Name: � Address: 2Uy&::f C((e Company: C- City: �aCLZ (S1�C State: "Address-:` J��� 1�1 L . . N1 Zip Code:3��,,� �' Fax: Gity;' lF— State:LL Phone No,_­?az�"229 Zip Code: �'1 . ` Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County LicenseC �(7G� 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. JE4 UI PP'LEMEN A CSO S RUCT O L IN O M TIO 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 WI UR 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 FLORID STATE OF FLO IDA COUNTY OF 5 l.yc'�a COUNTY OF The forgoing instrument was acknowledgAbefore me The forgoing instrument was acknowledged before me this':�`a- day of Com" 20_ by thisaa-day of4 2031 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced V_ p L (Signature of Notary lic-State of Florida) a of Nota ublic- IEG7U�d- IREs,.DeG060 ,.J EANNAMARIE GIVENS 1 Commission No. 0 .' 'a3vm.,�a.-L gal) DEJ1�SIDN# n No. _ OMtdISSIO�S ( 0023 20 Map :m orEXPIRES:December 16,2020 r o?•' edTFlNNotaryPublieUndenxriters Ii ''+r....�o%' BOR e •",uu.r ;.... REVIEWS FRONT Z ISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER RE W REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.