HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPU
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498;
Phone: (772) 462-1553 Fax: (772) 462
PERMITTYPE: I?" R 5?
Address: 3 0 o 0 5- TLr •rf✓ ,
PropertyTaxlD►t: 2'YZ-;� ' Go!— OQ 60. O0010 Lot No.-1/3
Site Plan Name: dSon 'I Block No.
Project Name: ��ii�C�r sfjQ
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Addi tonal work to be performed under this permit— check all that apply:
Mechanical Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_/
Electric l! Plumbing _Sprinklers Generator
_ _Roof Pitch
Total Sq. Ft of Construction: 1,39 g Sq. Ft. of First Floor:
Cost of Construction: $ /,iOO Utilities: —Sewer _Septic Building Height:
Name,W.,* A Name: Z j
Address: Z Oy 26 74 97/01 i 7 Company:[�a j �1 �
City: r % Pj •^re, y' G State: —� Address:——S.,/ ern r ie Af
Zip Code: 20198 Z Fax:272%YOq— Y� City: Ff? �� P/Go, State:&
Phone No. 7 > L) YO q- sr? Z G Zip Code: _3 Y 9 Fax:
E-Mail: PhoneNo_7?_77�
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) State or County License 1
i
I value of construction Is 52500 or morn
a RE - R•-- �•..� �� wmmtln t Is require
eq i regURen.� ^T 3bJ I W
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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, 1 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,
accessary 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
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Signature f O ner/ see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrum nt was acknowledged before me
this day of 20OV by
one -�zp�
Name of person making stat�m nt.,
Personally Known OR Produced Identification
Type of Identification
Produced ��' gad o ✓ ��SSi
Commission No.
REVIEWS
RECEIVED
0"gGG3=17
March G; 2023 .
The for oing instrum was acknowledged before me
this: day of 4,d>� 20-20by
K'e'nf>
Name of person makin�tit6 eri .
Personally Known OR Produced Identification
Type of Identification
of
Commission
FRONT � ZONING COUNTER REVIEW I SUPERVISOR REVIEWI PLANS � REVIEW VEGETATION EVI WI S REVIEW LE MANGROVE