HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7
Date: March 20, 2020 Permit Number: c2y120 3
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: city water
PROPOSED IMPROVEMENT LOCATION:
Address: 6327 Lenape Street
Property Tax ID#: 3409-703-0098-000-5 Lot No.28/partial 29
Site Plan Name: Block No. 8
Project Name:
DETAILED-DESCRIPTION OF�_WORK: . .
We are going to run city water to our house. FPUA has already installed the meter.
CONSTRUCTION.INFORMATION:
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:$ i ' Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Jennifer/Wayne Lincoln Name:
Address:6327 Lenape Street Company:
City: Fort Pierce State:_ Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-370-6489 Zip Code: Fax:
E-Mail:jenniferlincoln214@hotmail.com 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.
SUP:PLE.n/IENTAL CONSTRUCTlON LIEN LAIN INFORMATION
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DESIGNER/ENGINEER: x_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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Sig atur of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA ,Zvz,'Z, COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-7.0 day of 1� '9 .20 AP by this day of 20_ by
Name of person making statement. lame of person making statement.
:�dls1rf NOT
Personally Known OR Produced Identificatio '= rsonally Known OR Produced Identification
Type of IdentificQ
?o, m pe of Identification
Produced vV�� " duced
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( ignatu a of NotaryPubl" State of Florida) d 3 0 nature of Notary Public-State of Florida)
Commission No. (Seal) °' a mission No. (Seal)
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REVIEWS FRONT ZONING SUPER OR NS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIE VIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Fort Pierce Lftilhies
206 S 6th Street
Fort Pierce, FL 34950 Fort Pierce tjti I it jels
Telephone No, (772) 466-1600 206'S 6th Street
03/12/20 4-.22PN Fort Pierce, FL 34950
Telephone No. (772) 466-1600
Receipt #: 0182200312000046 03/12/20 4:21PN
Customer 260186
Location 15001495 Receipt 018200312000045
For: JENNIFER L NELSON LINCOLN Customer 260186
Payment Received: 290.00 Location 15061495
Amount Tendered - Credit Card: 2.90.00 For, JENNIFER L NEI-SON LINCOLN
Authorization Number 117607 Payment Received: 60.00
Amount Tendered - Credit Card: 60.00
Payment will be posted; 03-12-2020 Authorization Number 1224499
Register: CASHIER17
Payment will be Posted; 03-12-2020
Thank you - Have a nice day.... Register- CASHIER17
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