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HomeMy WebLinkAboutBuilding permit app I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - - - 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 PERMIT TYPE: PRQPOSED IiVtPfiROV--' tl"TELOCATtON � ... - ,a .. JJ �� Mi twin Address: '73 '1 (o L+ _ �i11�$$ �' �''�' C� L:CA.G� Property Tax ID#: 33.11 - R0 Y b o 3'7 O w '^ Lot No. Site Plan Name: 11 Block No. Project Name: orc E ms, - e I _ `3 �: "r`a �y3✓e ®+ka.',-�*y'p DETI�IIEDDE5CIIPTI(JN O °lii/®dRit ,J €� r� ,� � -t l � s: .-e ... it} f s+... .hmv�Mm .. nR `,# Y;,? To 17 &©r-,,1 J9e.e,I 94JI- F1_ 19317f ). 111 ,54-,41 �C-4e � FlG '2�d� (2-(o w�--�-� TC 10 t o Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Electric _P.lumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 42 L4 Utilities: —Sewer —Septic Building Height: OW."WNt /LESSEIa f :CONTRACTOR �� Name Name: S e�EfcY1 _ Address 3LI `�!`�� '[' � Company:S-t-e� rrzs. e_1,_ i City: ! ,,ey State: " Address: 3 S7'ZO S Nne l�i`n Zip Code: i;Fax: City: 1r� C�� _Stater �( Phone No. _01J1 OU46 Zip Code: 34c1 Fax: E-Mail: 1� d. '�,(�- ��itb (� .Yy k, 6Vv%- Phone No Fill in fee simple Title Holder on next page(if different E-Mail S -eve_- (zDkU.0 ae-17,the Owner listed above) State or County License CC—c- 1 3 Z (ml If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or mole,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL C•QNSTRUCI'I®N LfEN LAU�I 1�NF0[�MATIQN: 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. FORJMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEN _ MUST BE RECORDED AND POS 'THElJOB S'1 r-BE ORE THE FIRST INSPECTION. IF YOU O, OBTAIN-F ANCING, CONSULT YOUR LE R OR AN ATTO NEY BEFORE RECORDING Y 1 COMMENCEMENT. _)zn Signat re of Owner/Le tractor as Agent for Owner ignature of Ctr for/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF is IZ,in COUNTY OF MArul;n The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me this�day of Apgj 2023 by this .-I day of o 20.20 by Name of person making statement. Name of person making s atement. Personally Known �/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatione'�` Produced Produced o�� (Signature-of Notary Pubr, �tt Cir d �r` r (Signature f Notary Public-State of Florida) m o 1 R. ' yam t a� Notar�y�.Pup�c State of Florida 3 P Di Commission No. F Carr�k�'• yrantantoni Commission No. i� q5 �3 (Seal) n p ; 5 fsy('arrrnission FF 975783 C5 cn { y� o`od° Exrirrs 05/29/2020 I'll o T{111d YT.4y•U�YTtiA'Cir '�F A{35�P L' @ KF V�1'L � '!SJ� � •h REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAN&Cr COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REV \e-- a s a. DATE RECEIVED DATE COMPLETED lev. 2/7/19