Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ad RECEIVE® Building Permit Applicat on MAY 218 2020 Planning and Development Services Building and Code Regulation Division ST, Lucle County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial =A= Residential PERMITTYPE: Address: AQ 7 U RA Property Tax ID#: " J5 - 51 S - 00 11?- ®0 ' z Lot No. L' Site Plan Name:- __ &tJY Block No. �7 Project Name: DLTAiIED DESCRIPTION`© WORK ,d a r 3° P P1 Ci Y1 9 --3 , -r®w pjjmp CONSTRUCTION INFQRMATION: h Additional work to be performed under this permit-check all that apply: AMechanical _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:$ Utilities: —Sewer _Septic Building Height: Name V1 Name: 7FrS Address: U 14 (�W ��� Company: rtvtw C (n tluC City: 2ns0o P3C,�A Stater Address: 2( Zip Code: Fax: City: I; State"ez Phone No. j Zip Code: :3 X1. 2 Fax: E-Mail: Phone No '�'22,Z Fill in fee simple Title Holder on next page (if different E-Mail lrf.(J011(ny00® 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. SUwPLENIENTAL CQNSTFtUCT10N LIEN LAW INaF�RiVIATION 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, 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." • nature of Owner/Lesse /Contractor as Agent fhr Owner Signature of Contractor/License Holder 4�/� STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S k, Luci COUNTY OF S•)r, L �� The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of xv,.Ay 20 a o by this _J-k day of d 202.E 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 F D L Produced (Signature of Notary blic-State of Florida) (Signature of Notar - ',: ., IE MANS Commission No. d7��u�7. IEG E " MY COMMISSION#GG 022023 p NAMAR 59 m Sion o n N o. 3 EXPIRES:lk 16.2020 MY COMMISSION#G Bonded Ttw Notary Public Underwriters •:*= S pecetnbet i2o.6 • ,��� sig •. 6PPr Bonded ThN Notary Pu 11,unds-11— REVIEWS FRONT Z . LANS VEGETATION SEA TURTLE MANGROVE COUNTER R REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19