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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: . /..70MaD- Permit NuEResidentia pzo EE� T11i, Building Permit Appl2020 Planning and Development Services ,C? rttY9 nBuilding and Code Regulation Division ul j�y �L 2300 Vir inia Avenue,Fort Pierce FL 34982Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT TYPE: �'y,, )e- v A-t- i� RAM 11,90 9 1 DI I!MPR01/EMEN10L+CA •.�N: Address: / ��/eJ� � l�r91. : 1 �c� � 1A� ���� Property Tax ID#: %�«—���D�e���G'QF� Lot No. Site Plan Name: Block No. Project Name: D TAILED DESCRIPTION t+?F 1NOR 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:$ �� � �® Utilities: _Sewer _Septic Building Height: XiRRR/LE=SSEE: CONTRACT©'R: Name:AV .__.: <... Address: Comp #ny =~` City State Address: Zip Code: Fax:Fax: City: J, State: Phone No. ���- � Zip Code: � `' Fax: E-Mail: Phone No 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. 1 i SUPPLEMENTAL CONSTRUCTION LEN LAW IN mKI ION: 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_ob'tain 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 F PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND 05TED ON HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ITH YOU NDE OR AN ATT0fRNWBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF COUNTY OF The fo ing instrument s pcknowledged before me The forgoing instrument was acknowledged before me this day of 20.Ptby this day of 20_ by V1.b ikuiS?0JkA Name of person making statement. Name of person making statement. Personally Kno OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identification Produced Produced (Signature of (Signature of Notary Public-State of Florida) MY COMMISSION 0 GG 300817 Commission No. :*; *? IftE3:I� A�,2023 Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.