Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED TOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIVED Building Permit Application JAN 2 3.2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential V PERMIT TYPE:---P©o F SkN:i f I PR@ @SEVE-MiTillL©CAT1.0 Address: 72OS y3c',cV\, \-�\V ­�-'�Yk ' FF' F L 3L,1 q51 Property Tax ID#: Sol - ua!i • 031(R - OW - Lo Lot No. � 1 Site Plan Name: Block No_g(g� Project Name: DETAILED DE-�S�CRIiPT10N OF WORD f � Se,! —, CQNSTR'UCTICIIV IN�FORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping Shutters _&ridows/Doors _Electric _Plumbing _Sprinklers _Generator. Roof ; 1 Pitch Total Sq. Ft of Construction: �J5 Sq. Ft. of First Floor: Cost of Construction:$ 15, 0(20 Utilities: —Sewer —Septic Building Height: O NER/IESSE1E: CO,Ni RAC"�TiO,R: Name ( n Name: Address: TJ3 (79 WQf�6 ��� � Company: City: State: Address: " Zip Code: 3Qk0A9 Fax: City: State: Phone No.(�a ) Zip Code: Fax: '' E-Mail: Phone No n __.•.. Fill in fee simple Title Holder on next page(if different E-Mail 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 LA INFURMAT[ON: 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." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ,� I STATE OF FLORIDA COUNTY OF X76. a }CIF _ COUNTY OF The forgoing insti ment was acknowledged before me The forgoing instrument was acknowledged before me thi day of 2Z�)by this day,of 20_ by f� 1 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 L Produced I ( igna ure of (Signature of Notary Public-State of Florida) KAREN S. NIELSEN ♦SPa UB i Commission N ,r° `:State of Florida(SWO)ry Public Commission No. (Seal) =N ommission'# GG 207484 ;�F oPc My Commission Expires REVIEWS FRONT ZON NG UPE VISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.