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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED ( Date: Permit Number: J` l` o . LORIt Building Permit Application i 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 - ! PERIVIMTYPE: il-e&JrCc 7c4 P • M2DIM'MN E N WO C •M• Address: SgrQhjea 1. ldey Property TaxID#: 33ZI-.Sba ^Da3a'f�a0/ � Lot No. 83 :Site Plan Name: 54bgl Cvtck - T g-r-e .9 Block No. Project Name: ILEQ E « ION OF WOR rut, v vc K Z 02 &,C4 /az 4 k 9L S✓ G tU y4V ROW1 > W!lac C{•) R CTION INF®R+M ON. .!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: I Cost of Construction:$ 00011% Utilities: —Sewer _Septic Building Height:, Q R LEA �E. SON RACT•R: ! Name Det wx YMzCrt Name: Address: 6 VJJ WIV LO4itt. p2 ' /� ii t'�iif'{i'�.�,p 4rIG6t}iti:iititi::''..i •' �...v:, 1� City: J S 1. State: GG' Actdf !:,' l+rfti??st d:fr„4 4"� 3.`'�:•. .�•=�� �v:.s? ;;:t %' State: � Zip Code: 35`9�6 Fax: ��City.GS,u�� ��+a. :.,�.=..a� =��;, ' Phone No. 9Z- L6-.! d00 ati,.r�4ir. j',,;i`_=u+ c;xes/ 0 j E-Mail: PttiI6 © blJz 4J41-er r-ezJ Phone No Fill in fee'simple Title Holder on next page(if different E-Mail l 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. I � ' + � t S!J PLEMENTAL CONSTR+UCTf©N LIEN LAW INEORMAT O 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 O TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 11,9 W-, Anature of 0- er/ ess /C tor Agent for 0 er Signature of Contractor/License Holder STATE OF RID STATE OF FLORIDA COUNTY F COUNTY OF The f�going instrument was acknowledged before me The forgoing instrument was acknowledged before me this�day of 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 Identification Type of Identification Produced Produced Signature of Notary P IMNG (Signature of Notary Public-State of Florida) Commission No. =+: 'AlMVGG275060 Commission No. (Seal) E��=ce 600,2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19