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HomeMy WebLinkAboutbuilding permit J All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2\� Date: Permit Number: 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 t PERMITTYPE: PROPOSED IMP;.OVEMENT LOCATION: Y. Address: Property Tax ID#: 31R& . 313 'QQOS Lot No. Site Plan Name: SN',U` Block No. Project Name: DETAILED DESCRIPTION OF W©R�K: CONSTR+UCITI INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical Gas Tank Tank _Gas Piping _Shutters _Windows/Doors Electric GPlumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: -Cost of Construction:$ /��? Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: I CON' RAC+�T,OR: Name C r�i S f14 Name: C •c r Address: �; �v` y +��i-�-�-�- -.1/•1.1�1 :�� 'a_: .W�`y'-,. Company: U:( rP City: State*_� Address:,.f f Z-Jr- Zip Code: �,(o;c Fax City:- Zs''d etPhone No �� y$ E-Mail: Phon'e;'lU'o.,. :_,,t Fill in fee simple Title Holder on next page(if different E-Mail �,Cw'r� y C '1a( ' "��',1 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. �U ' PLEM CONST t t(�7 L LAW I' TIO 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 "WARNINa NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT' MAY RESULT IN YOUR PAYING' TWICPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO MENCEMENT MUST BE RECORDED AND POSTHE JO SITE BEFORE THE FIRST INSPECTION. IF,YOU T D TO OBTAIN FINANCING, CONSULT WITHN RAN ATTORNEY BEFORE RECORDING YOUR'N TI O C NCEMENT." ' i Signs a of Owner/Lessee/Contractor as Agent for Owner Signatu o Contrac or icense Holder STATE OF FLORIDA' �[)1 STA OF FLORIDA pp ) COUNTY OF COUNTY OF NET hQ10ACL The for oing instru nt was acknowledge efore me The fof oing instrum t was,acknowl edge before me this day of - 20by _ this J`7 day of ! 20 1 by A LYE lbl = Name of person making'statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifi tion Type of Identification ProducedL ProducedL/ (SigYatdre of Notary Public tate of Florida) (Signatur ;;RY.p� LASHAHNAINGRAM-RA iM NG i. = MY COMMISSION#GG 2]I�6Q Commission No. Commissi �a,N :.: `b22I) ; vg"•., LASHAHNAINGRAM-RAHMING �I•, x �p ecember-70, ON#GG 275060 {I ':�.• Bonded Thru Notmy Public Undervrtite►s' EXPIRES:Dewmbe 20,2 REVIEWS OR PLANS VEGETATION SEA TURTLE' MANGROVE VIEW - REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.