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HomeMy WebLinkAboutBuilding permit app All APPLICA L''E"^INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� /�/� f Date: � �W V Permit Number: ?rlo 1�Vb I;= LWA PI 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: PROP©SE© 1'M R01/EMENT LOCATIFJN: Address: 5tc) �i I I Q,T/ J c) S Property Tax ID#: 1--�) p` - �� ( Q-- ®C Lot No. Site Plan Name: Block No. Project Name: DETAILED DE�SCR�('PTION O WORK: bDV2 D11 a Linchm CeNSIT]RUCTIONI INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ S�� Utilities: —Sewer —Septic Building Height: eVUNER/LESSEE. CeNTRTA CT©R: Name i L Name: Address: S UQWL042d AVCTV-L-�—_ Company: City: -�-+ ,ty"V(.Q State:� Address: Zip Code: S t el , 1 Fax: City: State: Phone No.J(—I ra q'1` cl-140 Zip Code: Fax: E-Mail: & S I , Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. I j s DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: ' FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable — I Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: i OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated certify that no work or installation has commenced prior to the e issuance of a permit. St.Lucie County makes no representatibn that is granting a,permit will authorise the pe�mlt holder to build the,subject structure which is in conflict with any applicable Hqme Owners Association rules;bylaws or an( cgvsnants that may restrict or prohibit such i 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. I � The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to-another non-residential use "WARNING TO. OWNER YOUR FAILURE TO RECORD A NOTICE OF_.__ MR _ C_OMMENCEMENT.MAY RESULT IN YOUR PAYING MICE=FfIMPROI�EMENTS�TO �fOUR�PROPERLY:_A;NOTICE OF=,COMMENCEMENT MUST_BE RECORDED AND 1. �o- ....�.., ;. . (Project Street Address or Property Tax #� STATE OF�FLORIDA STATE OP-FLORIDA / COUNTY trS�CRSZ CIAO COUNTY OF_ I i The forgoing instrument was acknowledged before me . The forgoing instrument was acknowfedged before me this 4 day of�_ ,202Z by this_qday of _ by { Name of person making statement. Name of person makings em Personally Known OR Produced Identification Personally Known R Produced Identification i Type of Identification Type of Identiftcatio Produced Produced ELLEN VA U (Signature o Ic- f NA, H "� ° $b IYcifiAbc a) ss on 270079 ' s ?o,noP°� My Commission Expires �t.;State of Floride•Notsr, Public ", " Commission ►� Commission q 0 47170479 No. October (Seal) y p� PfifitisSi9he ?�pires (0Mob I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE I COMPLETED ke-v-. 277/19 " i