Loading...
HomeMy WebLinkAboutMcNallyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C!. -�" - Permit Number: t3t1NT. / R I -.a . A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential PERM IT TYPE: Wej�` ,— kc-cci t- L PROPOSED IMPROVEMENT LOCATION: Add re ss. �� S -C) I i . i vi b it f/1 ek. � V - Property Tax ID 4: - `� — d ' _L 6 C -' -Z Lot No. L "5 .Site Plan Name: - ��.��� � ! �� C4 L; 6 Block No. ) d Project Name: DETAILED DESCRIPTION OF WORK: .f.--------- CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: Mechanical Electric Gas Tank hPlumbing Total Sq. Ft of Construction: Cost of Construction: $ 1:59 C! C C' Gas Piping _ Shutters Sprinklers _ Generator Sq. Ft. of First Floor: Utilities: —Sewer —Septic Windows/Doors _ Roof Pitch Building Height: OWNERAESSEE: CONTRACTOR: NamekL 'h om an : Address: � � (✓i'i/� (0 l !'� City.- #G; Ste• i cy State: V --L-. Zip Code: `-i`i Fax: Phone No. Addr`es3:l. 7 :5L._ 5'2 UA Cl City: t' t . %. c.. r _ Zip Code: L46iJ'- Phone No. State- Fax:1_Z73 . E -Mail: KP+"cAJCL !.(0 - e 1. i • C Z€ A -i Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail State or County License CF(" W 4 ,�2 It value of construction is 52500 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 CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: 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 Nome 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, wails, 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 M ST BE RECORDED AND POSTED ON TF#j� JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INND TO OBT IN FINANCING, CONSULT WITH YOUR L DER OR AN ATTORNEY BEFORE RECORDING YOI RI NOT E OF COMM NCEMENT." Rev. 2///19 Signature of Owner/ Lessee/C6. tractor as Agent for Owner Sig ature of Contractor/Licen e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 2SQ i y-� -� LLAci a COUNTY OF S% iU'lA , Lt C I.2_ The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me this dayof 72l Z. 20�" by this.g.-_d f r , 20 )by Name of person making statem, nt. Name of person making statement. Personally Known Vsto O P iu clode T111"P on . ,.; Personally Known -, t Type of Identification; >4* 0lANk w r r T e of Identification =;p. `'-. Type Notary Public - State of Florida Produced ^. N�tr Pubic stat u} io}<< Produced Commission#GG%f089 'tru, 5s�rr R );>10 ........... My Comm. Expires Mar 14, 2024 onded through National Notary Assn. ©o ,c (it r_ y Ya3ra�lwE i n. (Signature of Notary Pu lic- State of Florida) -(Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2///19