Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �3 �� � Permit Number_�C�03 ©�(( RISC TVF_D Building Permit Applicatio MAR Planning and Development Services �! Building and Code Regulation Division Lu e Country, 2300 Virginia Avenue,Fort Pierce FL 34982 ST. - Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residen Ia PERMITTYPE: E`,Q� � � PROP'OSE6 IMmuNENT LOCATION. Address:Z ,eAi Property Tax ID#: 3 0 000h O Lot No. Site Plan Name: Block No. JZ2 Project Name: C-ora .DC7 DETAILED D&S-@R,IPTIM OE WORK: vC�7i P/.'-Z L i o> TOO!; CONSTRUCTION 11 . 11, 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: ` O-WCONTRACTOR: �...e� Name "'4'0 Name: Address:7AD /r7` Company: City:11- Stater/- Address:,.I Zip Code: Sgf rFax: City: State: Phone No. 77A .7D --/XT2 Zip Code: Fax: E-Mail: 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. I 0CF, Krull P I EMENOW CONSTRUCTt N LI �N FO M T ON: 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'arid 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'restrictioris 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/Les ee/ on c r as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The f rgoing instru ent wa acknowledged before me The forgoin strument was acknowledged before me' this day of ► ` 2CM by this day of 20_ by Name of per on making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced I (_ Produced a - �iig�nre of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)- Commission a`;P"Y^�a,., KAREN S. N4F EN Florida-No( Public Commission No. (Seal) �= Commission # GG 207484 pP` - _ iq °:1I une 12, 2022 REVIEWS RVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19