Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - Date: Permit Number: ( R° RECEIVED Building Permit Application MAR 0 6 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /v PERMITTYPE: PROP©SEDIM.&RO11EM", ENT L•CAT10N. Address: 7 L �9 A pru-e- / Property Tax ID#: 0 1 I ��,� 0 59 ^ L/�� Lot No. (0 Site Plan Name: L i - a h-c Block No. Project Name: - DETAILED DESCRIPTION OF W©RK: 0Vi/0- e- CONSTRUCTION PATT"11.0,21 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:$ VO 0 Utilities: —Sewer _Septic Building Height: 01NNER/LESSEE: -CONTRACTOR: Name 'I)W —-el� 'AName72l Address: b! gl SW� !.{� (/ _� Company:F L ��1� \ , City:� S� 11 VC Q State: Address:21( �6t,L V ",. Zip Code: S� -�6 6 Fax: City: 'P0�� SV State:—� Phone No. __�' '� _ �( �r7• Zip Code: Fax: E-Mail: Phone Nii]E(- 2- 2`' pzjly� Fill in fee simple Title Holder on next page(if different E-Mail e/1 A NA VKPC7(2 �0'1 from the Owner listed above) State or County LicenseC6 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. NAL 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 T B SITE BEFORE THE FIRST INSPECTION. IF YOU 1NTkNDTO OBTAIN FINANCING, CONSULT WITH YOU ER OR AN ATTORNEY BEFORE RECORDING YOUR N E of COMMENC MENT." - -Si atur -of-ZRIDA er essee/ ntractor-as gent for Owner _ -Si to Contract Brise Holder ST E OF TE OF FLO A OUNTY OF -��-�. L-tt Gee COUNTY OF 5TC-ue- The forgoing instrument was acknowledge before me The forgoing instrument was acknowledgebefore me this<P day of XANtkl 20` by this Co day of VVN4•,% 204 by 'etc te,rtiCk Qc%SS6� 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 Produced Produced (Signature'of Notary blit-State of Florida)- (Signature of Nota " P ► :Mate of iR11t 811�ARIEGIVENS MY COMMISSION#GG D22D23 Commission No.�sCr ?o DPJIARIEGIVENS f'i aF�(PIRES:� eri6,2020 1 B V; Commission No. ,.. . MY COMMISSION#GG.022023 nde I Thru Notary Public Underwriters ; ;o EXPIRES:December i6,2020 .,E°F:; one ru_o i REVIEWS-' FR TMW' PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.