HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 140- 949Permit Number: a sb is-630S
RECEIVED
90001 DW-116- 11110-111111-I&M
Building Permit Applicati n MAR 1 1 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
PERMITTYPE:
PROPOSED tMPROVEM'ENT LOCAT�&N
Address: iV���-- ez " 7-A1a ,2-0 6/, 3 Ld7
PropertyTaxlD#: Lot No.
Site Plan Name: Block No.
Project Name:
DETA LED DESCRIPTIO OF WOR
CONSTRUCTION I'NFORMA ION:
Additional work to,be performed under this permit—check all that apply:
_Mechanical —Gas Tank Gas Piping —,Shutters _Windows/Doors
0z
_Electric Plumbing -,__Sprinklers _Generator le"' Roof X22-3p. Pitch
Total Sq. Ft of Construction: � a Sq. Ft. of First Floor:
Cost of Construction:$ lam Utilities: _Sewer Septic Building Height:
GINNER/LESSEE: CONTRACTOR:
Name fJ?/� � � ��®/��7 Name:
Address: — Company:
City: �6&C*. %4�7V _- -4te: Address:
Zip Code: .�J�lf�Q Fax:e a 9-2!E?2 Citjr` d{< :i - ": State:
,r;. s ;�h
Phone No. „Zip,Cdde _ Fax:
E-Mail: Dim/S 421040 Phone'No
Fill in fee simple Title Holder on next page(if different E-Mail
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' PLEME L CONSTRUCTION LIRNLAW 18"NOM� :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: __vilVot 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
"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 f Owne /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORInn STATE OF FLORIDA -
COUNTY OF �C'Z0 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i1 day of 11AV&(0 201x. by this day of 20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Idetific on Type of Identification
Produced rL i Li Produced
G
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
W i 1 ��`:M� I) Commission•No. (Seal)
Commission No. T ,�.. THOMASBAIOCCO
MY COMMISSION#GG001 91
'niH" Boa 4 Iwo
tE Thru Suogel N°a, g
REVIEWS FRONT ZONING SUPERVIS 11A W1pPLANS VEGETATION SEA TURTLE MANGROVE
COUNTER R..EVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19