HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02• �°'�f)� Permit
Number:-
on
Building Permit Applil7S'tM
FEB 6 2020
1
' Planning and Development Services ritting Depart,
De
t,
Building and Code Regulation Division .
2300 Virginia Avenue, Fort Pierce FL 34982
Lucie; r, �- '-!_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: rn o R) UE
Address: oC) !1 St.,ee
Property Tax ID q: 2 SY 2
Lot No._3 0
Site Plan Name: zeJiHd S od, 9
Block No.
Project Name: ✓,i,o/Sv�, o
Additional work to be performed under this permit -check all that apply:
Mechanical _ Gas Tank _Gas Piping _ Shutters
-Windows/Doors
dElectric Plumbing _ Sprinklers _ Generator _
Roof Pitch
Total Sq. Ft of Construction: 6Y Sq. Ft. of First Floor:
Cost of Construction: $ / .�oc7 Utilities: —Sewer —Septic Building Height:
Name_/ ,,9 Name:
Address:_ ?zop 5'. i �i( SEfee f .a �O Company: Zetn,�y
City: Fo/e dz-�' eiee /IrL Stater[ Address: /S/2 &I r✓a��,�a/
Zip Code: 3 S/9f/ [ Fax: 2 7 -) Sib 9) 3 22 L City: Oaf," Pi UCr
State:
Phone No. 77 2) vo `J - t13 2 Zip Code: ?I! 98 2..
Fax:
E-Mail: Phone No7Z) u ?7 -
/ V S/
Fill in fee simple Title Holder on next page ( if different E-Mail ,��N/J� •L ,
006) 614-s
from the Owner listed above) State or County License_ _J-/.4
3 / ? 6
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
• If value of HVAC is $7,S00 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, 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 f ner/ see/Contractor as Agent for Owner
STATE OF FLORIDA .
COUNTY OF_ l-td/%
The forgoing instrum nt was acknowledged before me
this � day of 20�V by
erne �z-P 1044
Name of person making state nt.
Personally Known OR Produced Identification
Type of Identification t�
Produced NIOLd 0 r
Commission No. 1I?c-�-•r_, NY CAA9d1!'i01RFICG0300817
REVIEWS I- FRONT I ZONING
COUNTER REVIEW
u_vfq
STATE OF FL
COUNTY OF
The for oing instrum was acknowledged before me
this/ day ofJ 20_,'Wby
eEhP Z�A4A-
Name of person making.statefneri
Personally Known OR Produced Identification
Type of Identification
Produced
of
Commission
SUPERVISREVIEWOR I REVIEW PLANS I VREV EWON I SEATURTREV EWLE I M EV EWVE