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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3�\;1'Naa Tt�GFrrft ,,, -_-�---- 2 2027 LrMZ1pp nty, Permitting Building ication Planning and Development Services LqS Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE`. �v,. 0 � PROPOSED IMPROUEMEN LOCATION: Address: P y© 1 Property Tax ID#: c 1.( n )"'�,►�- —c� Lot No. Site Plan Name: "5 J1a�' daO3 dad— 1 Block No. Project Name: MTN=D09tIPT1ON O ©R vO 1 CONSTRUCTION II'INS POR,MANTI ION: 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:$ / (� Utilities: _Sewer _Septic Building Height: OWNER/LESSEI CONTRACTOR: Name Name: Address: „! R ..Company: City: tjprt-t L'i k-e—©3.A-= State:L�sr Address: Zip Coder Z Fax: City: State: Phone No. 1A Zip Code: Fax: E-Mail: Phdne No Fill in fee simple Title Holder on next page re(if diffet -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. P ` 0 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 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 ATTORN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." AIX—, i n ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _ COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this_JS day of rha 20x0 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 Identi ication Type of Identification Produced Produced _, r+1 (Signature of No r Staeb iggLda;�1#GG 022023 I' (Signature of Notary Public-State of Florida) EXPIRES:December i6,2020 I Commission N , oFF.`,�`Zdcd7hruNo4., icCommission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW, REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19