HomeMy WebLinkAboutBuilding Permit Application All APPLICABL INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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_ ..��. Building Permit Applicati n MAR 16 2020
Planning and Development Services Perm i t t i t i c ��' ;� ��-men
Building and Lode-RegulationDivisionS t. LLL c i e F .j ri vY; FL
2300 Virginia Avenue,Fort Pierce FL 34982
Rhone:(772)452-1553 Fax:1772)462-1578 Commercial Residential
PERMIT TYPE: — ,
PRCJPQSED 1M PRQVEMENT :ATtON a
Address: °
Property Tax ID#: ks tr, ` - Lot No.� .
Site Plan Name: � J 1 1,AW Block No. �
Project Name:
DETAILED DESCRiPTIQ14QF WQRK u x }
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CQA�{STRUCTaON INFORMATIQN.� . {w �..-- � -_ _ �r
Additio workto be performed under this permit-check all that apply:
v 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:
- Q�IVI�IER/�ESSE�• `�� �` - x� � �" CANT ,`COR• -�."�`�' - —
Name �E�X•
Address:_72'1 PSLZIA-S- � u Company_:—
City: ��(� State:� Address:
ZIP-.Code: 3A9-.f-,T Fax: City: State:,
Phone No - Zip Code: ( Fax:
E-Mail: Phone No-
Fill
- 7D�'— coo 9
Fill in fee simple Title Holder on next page(if different E-Mai (0L -CG er-�
from the Owner listed above) State or County License C�A,0 n 4tq b4
ff 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.
SUPPLEMENTAL CONST,RUCTiON LIEN LAW iNFORMATIONy - z ,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
-Name: Name:
Address: Address:
City: State: City: State:
-Zip: -Phone Zip: Phone:
FEESIMPLE 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 consultwith your home Owners Association and review your deed for arty 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.
Thefollowing 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 MUSS' BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIO OU TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD! YOUR NOTIC OF ENCEMENT:'
Signature of Owner/Lessee/Contractor as Agent for Owner S' ture of Contractor/License Holder
STATE OF STATE OF FLMP
COUNTY OF T ORW lV1 6T'ick COUNTY OF
The forgoing instrument was acknowledged before me The foreoing instru nt wa acknowledg beforeme
.this .day-of QUI GrCh .20?n .by this .day-of. iii 2�Q -by
,�
Name of person making st ment. Name of person making statement.
P_ersonally.Known OR Produced.ldentification Personally Kno n OR Produced on_Z
Type of Identification Type of Idea- fic ion
-Produced rodu
.Old
(Signature of Notary P ic-State of Florida) ature of Not ub11 IR A M.COGGS-JONES
Commission#GG 911954
Commission No. w:'u .,�MARTH/*aOSPINA Commission No. ' ';FP'oP°`
EXP ptember 30,2023
Bonddd T_hrtr_ my Fe;n insurance 800.385-7)19
MY COMMISSION#GG068172
no,
REVIEWS FRONT ZONW6 ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
_DATE
RECEIVED
-DATE
COMPLETED
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