Loading...
HomeMy WebLinkAboutBuilding Permit Application L All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q �j Date:ed'•D /—f 4? Permit Number: Building Permit Application pepartme�t Pe ,mating t 0 Y n u Planning and Development Services St,Lucie C Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _X PERMITTYPE: 4 a6ya. L;-- f4prr Pg e FRUPOSED IMP' OVEM T LOCATION: Address: 3116 S, ;2 3 R a,S. pp /� Property Tax ID4Ln9-60K"0®/oo-000 7 Lot No. Site Plan Name: Block No. Project Name: ©ETAILE D=12TIO •'F WORK: C«UNSTRUCTItON INFORM ATION: 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 3,�, Pitch Total Sq. Ft of Construction: 1 pp.s ifAVAR9S Sq. Ft. of First Floor: Cost of Constructiion: $ () KJ V Utilities: —Sewer _Septic Building Height: WE�'%L:S EE: M� WNSITIQNe /� J `�� utpE cj�NEName: 4� !iG Address:YA6- 1 .S. 3�.1 f'• Company. i�f'915/-AffROGFt"Mi City: State:_ Address:/1 S• % M10A WAV Zip Code: a� Fax: City:Ab1f S41�NIor Stater Phone No. 6-4 1G5-1-' 5'0a Zip Code: 3?✓!�e6711 " Fax:7702^0��3^066 . E-Mail: Phone No77a�:34/ 3707 Fill in fee simple Title Holder on next page ( if different E-MailX1� from the Owner listed above) State or County LicenseC�C 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 'PL M NT L CONT' U TION L N LAW IN � A IO 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: _XNot Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDAVIT:Application is.hereby made to obtain,a permit to ab, the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. LucieCounty 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 COMM NCEMENT." Signature of Ownei�L see/Contractor as Agent for Owner Signature of Contractor/License Holde STATE OF FLORI .A STATE OF FLO A , COUNTY OF �v Cr COUNTY OF ( < <i� C r _ The forgoing instrument was acknowledged before me The f r oing instrument was acknowledged before me this `�`' day of P e✓ 20� by this day of P/ 20A by I afl C e fel. Vol 4e � Name of person making atement. Name of person making statement-) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced —L, i na ure o otary ,j�;,�State of Florida ) ature of otar�r Pfl��ta Commission GG161404- te omen `=Q�PRy.PY ,, Joseph Gomel_ Commission No. _ "' COmmiSGG151404 Commission No. s. EX ices: Nove(1 *6,2021 Expires:'November 16,2021 OF Fu Bonded thru Aaron Notary oF 'c' Oo REVIEWS FRONT ZONING-, SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW ' REVI.EW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.