HomeMy WebLinkAboutBuilding Permit ApplicationAIfAPPLICABLE INFOayMUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTED D
Date: r �� /
Permit Num er:
FEB 6 2020
Building Permit Appli tion
Planning and Development Services Fermltting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
Address: 37 S-t ye.e ��✓% P.oyC
Property Tax ID #: 2 y - G o (- coo Ga Oy O (D Lot No. SO
Site Plan Name: Block No.
Project Name: frA bSo?g:�Ten27
7e 7- r�g g�,•/ A&121C 21e coQ
1 Z -k 5,6
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Additional work to be performed under this permit - check all that apply:
r_/llMechanical Gas Tank _Gas Piping _Shutters _Windows/Doors
[Electric //Plumbing _Sprinklers _ Generator —Roof Pitch
Total Sq. Ft of Construction: �T 2 Sq. Ft. of First Floor:
Cost of Construction:$ /(OD Utilities: _Sewer _Septic Building Height:
NameName: ZG�
Address:--2 oe T. 2, s!4rECl- Company
City:_State:AF—G Address:/17*AApp �4L/
Zip Code: 3y9AL Fax:7; VO`?-e132 City:OgGZ7' State: AL
Phone No.--77V Y64?-S'37:6 Zip Code: 3y987 Fax:
E-Mail: Phone No '77 2. G
Fill in fee simple Title Holder on next page (if different E-Mail atlati 2 1
from the Owner listed above) State or County License T 14 / ?�
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.
DESIGNER/ENGINEER: _/Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: n.yPJ7 ?.6/cr�[J Name:
Address: 476O S Address:
City: orf L✓ L i e� State: City: State:
Zip: Phone 2 92 0 - 3 ZV Zip: Phone:
FEE SIMPLE TITLEHOLDER: _,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 1 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
Signature f ner/ see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrum�gnt was acknowledged before me
this kL_ day of - . rb� 20.V by
one =7zP_►
Name of person making state nt:
Personally Known OR Produced Identification
Type of Identification
Produced ��>ayA L�_ tl ♦� ASS
of
Commission No.
REVIEWS
M g GO 300617
Mardi 6; 2023 .
The for oing instrum was acknowledged before me
this day of 4,6� 20_�Qby
k'Pnir> z�gJr
Name of person making statefneri .
Personally Known OR Produced Identification
Type of Identification
of
Commission
FRONT I ZONING' COUNTER REVIEW I SUPERVISOR REVIEWI REVIEW I VEGETATION
I S REVIEW I MANGROVE