Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLI5A6LE INFO1MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� Permit Number:a8c.Lr 1 - -C- COUNTY t _ Building Permit Applicatin FEB 2 12020 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 �^ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential (` PERMITTYPE: PR4 OSED !'MPR01/ MEAN O A ION' Address: t,-i wyca_tN. 1Jy-. IF �Le%z c[_ 31AA LV� Property Tax ID L, .6633 /-ADD( Lot No. 249 Site Plan Name: "Sw� Block No. !'- Project Name: M DEySCRFPTION QF OR : 5 V G�tvv�t? tM.�i kC, r2�o>ri�i fPx innov- i2o+ y2�L=t�vC� �M�� int sig ho 1ir:u-7� "C3kT- C2_��-L X,- CONSTRUCTIi3N INFO MATT EN". Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters_- _Wiri'dows/Doors 5-11 z ­0- _Electric _Plumbing _Sprinklers Generator, 'Roof Ff Pitch Total Sq. Ft of Construction: Swo FL� Sq. Ft. of First Floor: Cost of Construction:$ 1-1 ,SD©- `� Utilities: —Sewer —Septic Building Height: (! NEAR/LESS CONTRAC aR: Name -r�_�s�mow. �'o►����t- Name: Address: Company: 64_-5-cr, City: 'FT ,State: (. Address: 32'71 Zip Code: _94q- � Fax: City: -E=t Stater=L_ Phone No. -iceZ �ST�I ���'� Zip Code: 34j,9 ?i Fax: ` 6' (-o.cgT 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 eC� )S-S-3­73 loZi 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. NUPPL AMENTAL CONSTRUCTIN' N LIE W N 'OR t• 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 thepermit 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: Y FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY YOUR PAYING TWICE FOR IMPR ME YOUR PROPERTY. A NOTICE OF COMMENC MUST BE ECORDED AND POSTED ON T JOB E BE RE THE FIRST INSPECTION. IF YOU INT OBTAIN FIN CING, CONSULT WITH YOU", ND AN ORNEY BEFORE RECORDING YOUR NO OF OMM " Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contrac or icense Holder STATE OF FLORIDA .�y�tf UOF FLORIDA f �, COUNTY OF � COUNTY w V The fp�{{ oing instr t as acknowledged before me The f r oing'nstrun w s acknowledge_-dt�efore me thisOC1 day of 20=by this day f 20aa LQ Q( e'vrl OA Name of person making statement. Name of person mak7OR tement. Personally Known O OR Produced Identification Personally Known Produced Identification Type of Identification Type of Identification Produced Produced 01-x_ (Sign ture of Notary Pu lic-State of Florida) (Signatu P KAREN S. NIELSEN Comm °�a���'',, KAREN S. NIELS�(( 11 �� =State of Florida-Notary(ISM4 ;: Notary I°'Gb�ib Commis __ mission # GG 207484 '* *_ Commission # GG 207484 =� ,y ,� �i,FOFFIOP� My Commission Expires ''�F "` June 12, 2024 REVI SUPERVISOR PLANS VEGETATION SEA I UIA I LIZZ ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19