HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: � �
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
PI6one:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
ERMITTYPE:
R OPOSED IMPROVEMENT LOCATION;
Address: 354 johnston street ft pierce fl 34982
Pro pertyTax ID#: cC7 --���-�D`=��'"b�0- Lot No.
Site Plan Name: ex-Is Block No.
Pr oject Name: 1
DETAILED.DES'CRIPTION OF WORK ,"" _.
repair rafters/trusses
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., FORMATION
1CONSTI2UCTION IN "
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
'I otal Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: _Sewer _Septic Building Height:
01NNE LESSEE CONTRACTO
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Name stella hunter Name:
Address:354 johnston street Company:
ICity: ft pierce State:_ Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-216-5122 Zip Code: Fax:
stellahunter82@gmaii.com E-Mail: @9 Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
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Owner listed above) State or County License
nstruction is$2500 or more,a RECORDED Notice of Commencement is required.
VAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Ziip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable. BONDING COMPANY: Not Applicable
Name: Name:
address: Address:
City: City:
Ap: 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.
Irk 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,
ai cessory 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."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF W e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of V Vva 20Mby this day of ,20_ 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 Produced
(signature of NOO Pu - (Signature of Notary Public-State of Florida)
osi`�a'• CHESTER J.EDWARDS
Commission No. " :< Notary ¢).State of Florida Commission No. (Seal)
My Comm!Expires Dec 20.2022
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REVIEWS FRONT ZONING SU PETVII& PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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