Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a`\aS 1 z-a Permit Number: i RECEIVED Building Permit Applicatio 1 FEB 2 6 9070 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 �T, Lucie Count , Permitting Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: ` 7 2g- 2"- Property yProperty Tax ID#: ocv C>O0 -`� Lot No. Site Plan Name: Block No. Project Name: E)ETALLED DESCRIPTION OF WOR+Kp: ` CONSTRUCTIO 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 t400f %e- Pitch Total Sq. Ft of Construction: IV 0 Sq. Ft. of First Floor: /o0-c2 Cost of Construction:$ `6m©O Utilities: —Sewer —Septic Building Height: OWNER/LESSE CONTRACTOR: Name L"-��4 �/cc�� Name: 4 e eiv"•i Address6�l/_k /Q` Company:' City: v 1C vt r� �. State: !=% Address:_//1 /8k' Zip Code: ?9q'7© Fax: City: ZOO.04ice- State: Phone No. —S—Cr - 2C<, Zip Code: `93 Fax: E-Mail: ca%- Phone No / Fill in fee simple Title Holder on next page(if different from the Owner listed above) State or County LicenseG'CC l3 Z�3G�z 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. UPPLEM �NT L@MMUMMUM, LOW I KoA 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or anti 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-1 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 TICE OF COMMENCEMENT." Signature Owner/Lessee/Contractor as Agent for Owner ign ure of Contractor/License Holder STATE OF FLORIDA ATE OF FLORIDA COUNTY OF—S-V COUNTY OF S,\,, 1.ur�e Thefor oing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisa day of ��1� 20 ao by this a�day of 'F.�� 20a� by C\ C\,V\-k +'. 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 Produced (Signature of Notary P lic-State of Florida) (Signature of Notary blit-State of F i m? OEANNP ViARIE GIvcrafi �a• .-•-<rK::Y3=�':'' G00 rrJ t d , 7C'm6202Commission No.!� '3 Commission No0G07 � MNPIRES'D-',c1t�_AyNAber�. OMMSSIOh o PbicUnda ' Yi 111;t'--t N. p licUnd vI4tecs�¢ Q REVIEWS FRONT fGBonde -Sd �PLANS VEGE 'I` A TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.