HomeMy WebLinkAboutBuilding permit appAll 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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7�
Property Tax ID #: J3 Z Z 5-0 b
Site Pian Name: To +—r,, I hr�
Project Name:.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
31/ 9� G
000 Y
�_1-44f N--�a �-
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank — Gas Piping — Shutters
_ Electric umbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11 s o�
OWNER/LESSEE:
Lot No. .32 A
-Eyoo. 7 3
N15 L
Windows/Doors
Sprinklers — GeneratorRoo¢
— Pitch
Sq. Ft. of First Floor:
Utilities: , Sewer _ Septic
Name 'If
Address: '7 0 3 C
City: -S L State: C
Zip Code: 3 VX3-6 Fax: —
Phone No. 2 y' �3 -5— ( 6
E -Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: i(a 6 curl 140 k— i, t L
Company:
Address: s` S U
City: 4 1 C<
State: 4' L.
Zip Code: 3 % 5 t Fax:
Phone No _777— 370
E -Mail ►'NoiJ��/viii z eC0),21
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY -
Name:
Add rens:
City: State:_
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
Not Applicable
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 Horne 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 COM NCEMENT MUST BE RECORDED AND
POSTED IN JOB SITE BEFORE THE FIRST INSPECTION. IF Y I E TO OBTAIN FINANCING, CONSULT
WITH YOE1R 'E ER RAN ATTORNEY BEFORE RECORDING YOU IC OF OMMENCEMENT."
of Owihef/ Lessee/Contractor as Agent for Owner I Sigpatiu'rei5f Con ractor/License Holder
STATE OF FLOR>RA
COUNTY OF ,+ �, ,-C
The forgoing instrument was acknowledged before me
this _ day ofJ. _ 20r_, by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida j
Commfssion Nod" (' 4 Atm l) DONNA PADUL
Notary Pubiic, State of
Commission# GG 31
STATE OF FLORIDA
COUNTY OF - +' ,� [ P
The forgoing instrument was acknowledged before me
this I day of 20 _, , by
4
Name of person making statement.
Personally Known OR Produced Identification,
Type of Identification
Pro&tceda
igna re o Notary Public- Stat1e of FJ�
No. NotaryDONPubliNA•!
c
Commission,#
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
CO
SEA TURTLE I MANGROVE
REVIEW REVIEW
2023