HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial i/Residential
Property Tax ID #: 57
-,2" f`i l ID-0Lot No.
Site Plan Name: 6= wt }r'7A-- — Cc,-Jo,F„_ez�,,s _ _ Block No.
Project Name: — .�,vr�c� n -1 00-1 fl -e-11.
DETAILED DESCRIPTION OF WORK:
.�1�-c C f k4 !k /� [ C U �J Z ti f y v ,�v.�� l�/ �l r�T- A)e w'
��- & tac in 5441 Pram C- -("r, -1-6 k -c C, L' {
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping — Shutters
Electric
Total Sq. Ft of Construction:
Cost of Construction: $
Plumbing _ Sprinklers
Generator
Sq_ Ft_ of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name
Address: 935-" 2L;.)'t4- e
City: LA o /3-1-1" _. ._ State: FZ-
Zip Code: 3.q ra J Fax:
Phone No.
E-Mail:J It -.0- i"[ elfi.14-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR: _
Name: ! " ►_ ;fin
Company: var
Address:
City: i7 rl ' State: � -
Zip Code: 3222 5� Fax:
Phone No %72- -S-6-7- 9-7.41!y
E -Mail ttQ-p'r0 1 P r 0- �/, , � , Gc '
State or County License c. k 1145-11721(�
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NaSIGIVERf ENGINEER:
,Not Applicable MORTGAGE
me.
COMPANY
Address:
. Name:
City:
Address:
Zip: Phone
State. City:
Commission N o. � � �'"�� I� 3 �7�y Y, ��G•
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
___- Not Applicable BONDING, COMPANY:
Name:
Address:
Name:
City:
Address:
Zip: Phone:
City: —
ZiP: Phone:
Not Applicable
State:
____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 Counttyy 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 borne 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 th
e 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 morns and accessory uses to another non-residential use
"WARININC TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 114E 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of O;Aynerf LesseejContractor as Agent for Owner
STATE OF FLORID
COUNTY OF �lra
The forting instru Ment was acknowledged before me
this 2 day of 2a2�by
(7in-C
Name of person makings tement.
Personally Known OR Produced Identification
Type of Identification
Ider
STATE OF FLORIDA u
COUNTY OF
Theoing instrument was acknowledged before me
forg
this 2 day of 20 -IL by
Com.-...- �'t1
Name of person making ssttatement.
Personally Known W_ OR Produced Identification
Toe of Identification
�1
Produced ,+'° P• DA G
• "Y Comm.
(51gnat re of Not
- " r 14 2022
{Signature of Notary Public- S e of Floridt") GG 323282
Commission No.
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F .'r'v PLh ET`432x7 F:17
mmassor. — G ;
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Commission N o. � � �'"�� I� 3 �7�y Y, ��G•
µy Co .
.,rr.xprres Se. 23. 2022
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REVIEWS
FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED