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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: Permit Number: —� RECEIVED • OC i 2 4 20?9 Building Permit Applicciu County, Permitting Planning and Development Services g and Code Re u/ation Division 23001/irginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT.TYPE: Elec7P lco PROPOSED'IMPROVEMENT LOCATION: Address: x,70 C�Qo� yyT Property Tax ID#: 1301- 608-0213- 00(9- 13,_j Lot No. Site Plan Name: u>> 644,,00c 1l Ao,* >>4r7lT /n8i . Block No. `/6 . Project Name: �[.l#le h9 k) OA.0 5 � 0,0 . �fee'iC6M V DETAILED DESCRIPTION OF WORK: iveu) I o 0elerrn a'J . Do �er- 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:$ �� lot), �' Utilities: —Sewer .✓Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 0 ey — Name: Address: S'6©� t11:5')�ct9 r1py. Company: f0 6 ec.' r^le_ �Yyl s o s City: gye,n'YkA Oeo r h State: f2, Address: P751 ©Esc pL-) G or F 4. Zip Code: ,33 41'72 Fax: City: We5i %blml��PQc1j State: J<L Phone No. 99 f3' Zip Code: ,33V02 , Fax: E-Mail: ffGno(refw UDO!R ig c W2=sznw) Phone No 163 3 6 366 3 Fill in fee simple Title Holder on next page(if different E-Mail S l f r> V from the Owner listed above) State or County License eC 1,3493 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. s s 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 LIJNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT f°E OF CO MENCEMENT." Signature of Owner/Lesse /Contractor as Agent for Owner Signature of C ractor/ icense Holder STATE OF FLORP�fyG_ _ STATE OF FLORIp COUNTY OF �/ / �-C%�'7 COUNTY OF ,�' The forgoing instr en w s ack owledged before me The forgoing instrumentwas ack owledged before me this day of 20 ' by this�day of f 20®9 by 6~tea Name of person making st ement. Name of person making statement. Personally Known making Produced Identification Personally Known PZ/OR Produced Identification Type of Identification Type of Identification Produced Produced T ignature o..' puf�l 1p#[gyp 56 ( ignatu 4K: 22,2021 Expires: CommissiaOcto r Aaron Commis9 - Expires:October 22 2 eal) •�� on hr�Aaron No REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. r