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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �( Date: Permit Numbe : u`�'lX. Building Permit Application 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 PERMIT TYPE: hROPOSEDa IMI R©AE My,ENTi!OCATI©N Address: a�7o� �.l!`C`I Lc ,ne— L.c-, .Property Tax ID#: 3 O VCO oofc') aon " '7 Lot No. Site Plan Name: Block No. Project Name: DETAILED IAM-0I1PTION 01 ONR C:cJe� L 60 e)l.e S GONSTRUGTIC7N tNFORMATION: 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: —�J �' Sq. Ft. of First Floor: Cost of Construction:$ ��d ' b D Utilities: —Sewer _Septic Building Height: � tE'R�L�SS1E.• CDNTRAC °dR: Name Nji 0. Name: Address:,T77Z Company:"., . .. .. •_ Y.,. -} City: State: ' ress: c;w Zip Code: 3y� =s::c, Fax: City: State: .,r,, Phone No. -T?D� ' 332— �33a— Zip Code- Fax: E-Mail: % U Lo-- Cam 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. i 1 S .N!PLEM T L C©NSTRIJC«TION LIEN LAW tNFQRMATtO =N 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 y "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 11 STATE OF FLORIDA COUNTY OF �L , 2� COUNTY OF "C1 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 30 day of 20 6 by this day of ,20_ by r Name of person making statement. Name of person making.statement. Personally Known V"' OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signs re of Notary Public- t e=a�¢Flg��dadotary Public State of Floridture of Notary Public-State of FloridaMargaret E MontepareCommission No.QGo I 1) '�,= S Y)Commission GG 2148 ission No. (Seal) x ires 06/05/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.