Loading...
HomeMy WebLinkAboutBuilding Permit Applicationr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 20 0 171 g 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: PRap05ED IMRROI/ (V1EI�}T L4CAT1f3N. ' ' �, �`.3 v is N�� i '�- -i` iar°v&'c 61 �4 f" a s`il,"z ^a Address: 3 �,�qc� z-irhe�� T lce c(� Property Tax ID#: 6.)_ - t'O d - I Lot No. Site Plan Name: Block No. Project Name: ©��{I{���.�I�� � K ��_� �Sls.YM�)'i♦ �� 1�W13� �`TYi.-Y.._"f f(4`�Y 3� k'��`Zy{ b4� �i� ��i xm M1SK.�'�Y.,. w4 r41.'4,!a`-'' ,3 �2� S`�`�°Yw t`y T.•F€�k �zn,�' ,: q i Ss Y} '42�j�8g✓�f x.,-�>':(5�e ip��.>'ec,�.�� i"r �' '�+ 's nx'C ?.-'2t xz y.�` d - yY,lf �y. .. c.,..�r,:.. s...,. n_... _., s.,•.c.,., �,;z,e x..-,:. ���,�h:.�"'°: x{.,,..=z.4'k aw,,,. � �• z,rr� �.} �' s}.. t s "5 t '4 rh zr` 5`�s a�r�;;, 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:$ 5 a 00 Utilities: —Sewer _Septic Building Height: t"J V Y.{Y R�L J t,µ ••^.+ .rN4'r`7" ,4�'�,',� 1y7�'��Fs""�r y gf l--��4 a .. $'•v. E�'. .,?�. e�P.a fir, .'� ,s��A•�R�%?� wi- '` �� �M.�� ��roe i�di:.�s$.?iun,..�.w`� .,'�'����L�. Name V(f 'JI I "50 n Name: Z&f I Le V"'1 S Address: -31 e it tL'Ct CZ CG Com an City: Ce State: Address: 731 'l t Like- Zip k Zip Code: cl Fax: city-k';'! Y State:/ Phone No. 1 Z- ' ZipCode: fG/ - Fax- -7 (G 1j.7�J E-Mail: Phone No -12- 27 ' '- Fill in fee simple Title Bolder on next page(if different E-Mall :, C `b'"I - a/21C i C�6T from the Owner listed above) State or County License C: if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. f SUFPLEt1ENT rl:�4NSTRt t }Nv� 1i F i T# �t q t 7 4 �! e',a� .+..+ ..... s4c .,.. ..,.,...g,-, n� .,Yi,r ,ten x..i•� p$;. ;•,• .. ..a:..1imA4 ttf'�YM. ..J� t a�j.. t, +, ^4 w�f 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 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 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, accessary 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 of Owner/Lessee/Cont actor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA st l�� L � STATE OF FLORIDA COUNTY OF COUNTY OF ST`The forgoing forgoing instrum�r�t wps acknowledged before me The for Ring instrument was acknowledgedefore me this day of V u �1 .20 'l.�y this day of dl�0 LA4 20 2 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced_ L L Produced >!L (Signature of Notary Publi @ .LEN VAUUH ignature of No lyr 1PPY P(,B,iPRY PUB 'VAUGHN ==o state of Floridaid -Notary Pub c Commission No. _. *= g��s sion # GG 27007 moi° ':State of Florid No aary Public -9 Qa CtC'bmmission Expires mmission No. _* *= mission4U)270079 October 22, 2022 �,9� °Q My Commission Expires '"niii� � r) .tnhnr 99 9n99____ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE YMANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Te—v.277719