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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3�2,�a.0 Permit Number:�d��'��0, 1 =0 COUNTY ECEI�JEfJ Building Permit AppliL Planning and Development Services R ® 3 ''90Building and Code Regulation Division2300 Virginia Avenue,Fort Pierce FL 34982 County, Pe itting Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResideMntia rlRMITTYPE: c•`� ��q PROP©M R&MMW WonTION; Address: _%0S 5?<V cL-s- , T:;;,r---r Property Tax ID#: "YNC Lot No. Site Plan Name: Block No. Project Name: DETAILED DP5CR1 P JT1ION 10 FAWN,OR+ . (2o►acrzF_7T-_ _Qrtkv;G. W Av XI -n r.K. 381 x 1,6) 3�7_g_ . S 000 I'S, 2 i:6u L.Am NJ L-r y F I Jaaa- [TH&MON, FORMATION: 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:$ 11/00 0. 00 Utilities: —Sewer —Septic Building Height: OWNMER/LESSEE. CONTR CTOR: Name 0 oy &5gL& Name: 5-�- Address:9'OA ®��d1_� C�iErr . . Company: �LDtnf 6a�-za City: !T Ate, c or State.-17'L- Address:268 2 Sk.1_:T�XPo MT CZ Zip Code: 3c5igS 2 Fax: City:T10=- Lo c►c= StateE Phone No. '7'72— Zip Code: 3 Ar'AS'rl Fax: E-Mail: oJ\o to •r•vhone No X61 6 BxS Fill in fee simple Title Holder on next page(if different E-Mail .60t\ W1 n crr Co`M from the Owner listed above) State or County Licens Cac ISI I,66k-1 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. S PPL0 OR TAL CONSTRUCTION I N 1 NFORMATIO 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: 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 df Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-6'-)r. \ %3 t \'-*- COUNTY OF b a'. 1-•Or`]k The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of`l`Nck{ ,201,es by this 3 day of ' Nd\t 20aa by 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 t-- Produced 1p L (Signature of Notary blic-State of Florida (Signature of.No ,', GNENS ie gos•,, DEANNAP�I t f GIWENS Commission No. CWd_b`", a DEANN lE G022023 `�"' OMPJIISSI N#GG 022023 �G Commission No. t1a N�o.2020 ;r;; ,�<�• COM%Al. 6 2020 N. IRE Dec i MY ;December mets 'r oP' Bonded 7hru Notiry Rublic Undenrrriters EXPIRES ublicUnder++ EOFF.. Bon <.r 0011�" Bonde REVIEWS �� SUPERVISORPLANS VEGETATION' SEATURTLE MANGROVE Cfi ER REVIEW •REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.