HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST WCOMfED FOR APPLICATION TO BE AC
PLECEPTED
Date: Permit Number: r--.22=s
Building Permit ApplicatLonFEB6 2020
Planning and Development services y ittinBuilding and Code Regulation Division Lucie Depa�mer
1300 Virginia Avenue, Fort Pierce FL 34982 0 U n ty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: "O e) 4 --
Address: 7 Z Oo 7 '2 T4 6/ d'i
Property Tax ID #: 2 T Z-r - 6,0 / - p 0 640 - 0 0 0 / 0 Lot No.
Site Plan Name: ?-r/ii!%ory q Block No.
Project Name:-i,✓ir/�Scrtig
Additional work to be performed under this permit -check all that apply:
tbechanical Gas Tank —Gas Piping _Shutters
_
1) Electric Plumbing —Sprinklers —Generator
Total Sq. Ft of Construction: J) / Sq. Ft. of First Floor: _
Cost of Construction: $ f ')00 Utilities: Sewer Septic
Address:_ 3 Loa T
City: ��/% /�/�Y�?. Stater
Zip Code: TV 98 L Fax:?? /09- Y? z°l
Phone No.i772% Y09 - Sr 3 t 6
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
— Windows/Doors
Roof Pitch
Building Height:
Address: 41:& `/.:azs/or� 44 1
City: ds-r7 'iPeze State:
Zip Code: TV 9 8 Z Fax:
Phone No ?7Z2 4'9L 9_ -/ -Y r/
E-Mail /?1 _i/a,,, 7- J9A-VLO)GsZd
State or County Licensee!!
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.
L ___1
_,
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
Signature f ner/ see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF�_`��/�
The forgoing instrum9r-,nt wLas acknowledged before me
this A day of—�8J� 20,V by
Name of person making
Personally Known OR Produced Identification
Type of Identification (� r
Produced����� JJp�-
Commission No.
REVIEWS
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1619
COUNTY.�,'�/Llcense yHo1d,,,
STATE OF FLO;�Inb
The fo oing instrum was acknowledged before me
th is day of 6 .. 20--Wby
�EhP
Name of person making-st�at�jneri .
Personally Known OR Produced Identification
Type of Identification .
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COIAM""Dw3wir
Commission N
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EXPIRES. March6;2023
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