Loading...
HomeMy WebLinkAboutBuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '"� �'''"� Date: / � Permit Number: 19 � d-- 1 ;j`ir.- FnE ElULLJ • r - Building Permit Applicati0 3 2019 Planning and Development Services unty., Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION— Address: L ' Address: Property Tax ID#: C)a (OnR---(7)1,R C.0 - 3©o (_a Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION O'P WORK 2 s -4 ,( 0 10 CONSTRUCTION .INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Window _Electric _Plumbing Sprinklers Generator _ R Total Sq. Ft of Construction: C>? wn Sq. Ft.of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: OWNER/LESS'EE CONTRACTOR: Nam C Namer\ 4 Address: { Y Company: io\ a,����' EAMS�-( City:�� ef r( e State: Address: ;S� lrt� Zip Code: Fax: City: _ -QQ 1 Stater Phone No. Zip Code:_� l Q�� Fax: E-Mail: Phone No — — O.la' Fill in fee simple Title Holder on next page(if different E-Mail ht'e r 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. 'SUPPLEMENTAL.CONSTRUCTION LIEN LAW 1N.FORMATION 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." S nature of Owner/Lessee/Contractor as Agent for Owner ,:;:. nature of Contractor/License Holder STATE OF FLOSTATE OF FLW11A COUNTY OF �� { (�-o {�_, COUNTY 01`(�� The forgoing ins nt was ack wled cll efore me The forgoing inspurn was ackn wledg efore me this day of ,014y this day or t_L{�IZ�by Name of person making statement. Name of person making statement. Personally Known roduced Identification Personally Known C---01�_Produced Identification Type of Identification Type of Identification Produced Produced (Signat a of Notary Pub - of F�i*p ;;c State0Florida Signature of Notary Public- t t I ) `/ iu 1';./ t�ssion GG 211256�]) �'�j �0 NOIN Pu is$tate of Florida Com mi n O. o►wo' EnplS 412512022 Commission IVA P' i $$��, {�I Am �� Sanderson Wcommiasion GG 211256 �111J Expires 04/25/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.